Category Archives: ObGyn Surgery

Tubal Ligation – Laparoscopic Silastic Band Technique

Surgical Details of the Procedure 1. The patient is placed supine on the operating table with legs placed in stirrups 2. A Jacobs tenaculum is inserted into the vagina and is used to grasp the cervix so the uterus can be antiflexed (tipped up). 3. A periumbilical port is placed. Although most general surgeons have Continue Reading

Salpingo-Oopherectomy (Fallopian Tube and Ovary Removal)

Open technique When this procedure is performed using an open technique it is most commonly performed in association with total abdominal hysterectomy. The steps described below are for isolated salpingo-oopherectomy and are slightly different than if the tube and ovaries are taken out en bloc with the uterus. Indications Malignancy – virtually all ovarian cancer Continue Reading

Total Abdominal Hysterectomy (Uterus Removal)

Open Technique Surgical Details of Procedure 1. A lower midline incision is made vertically (up and down) in the skin with a No. 10 scalpel. 2. Dissection is done through the subcutaneous tissue with Bovie cautery. 3. The midline between the rectus muscles is appreciated and the fascia is incised. 4. Some clinicians may elect Continue Reading

Cesarean (Caesarean) Section

Surgical Details of Procedure 1. A transverse (side to side) skin incision is made at the level of the pubic bone with a No. 10 scalpel. A midline incision can also be used. 2. Bovie cautery is used to dissect through the subcutaneous tissue to the bilateral rectus muscles. 3. The rectus muscles and the Continue Reading