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Gynaecology & Obstetrics Operative Obs cd554b1f

Following Procedure can be done for all of the following except?

A
An approach for tubal sterilization
B
Removal of fibroids or myxoma
C
Removal of displaced copper - T
D
Drainage of Pelvic Abscess
High-Yield Explanation
Ans. C. Removal of displaced copper - Ta. The image shows posterior colpotomyb. The most common indication of Posterior colpotomy is drainage of A Pelvic Abscess.c. Posterior Colpotomy is a procedure in which an incision is made in the posterior fornix in the vaginad. Although Posterior Colpotomy is mainly used for drainage of Pelvic Abscess, in modern times it may be used as an adjunct to laparoscopy for retrieval of pelvic masses (cysts) and the uterus during vaginal hysterectomy* Indication for posterior colpotomya. Drainage of pelvic abscessb. Approach for tubal Sterilization (rarely done these days)c. Removal of fibroids or myomas (they are sometimes removed vaginally by colpotomy)d. Vaginal extraction of pelvic cyst or mass (Laparoscopy followed by a colpotomy is the surgical option).e. Laparoscopic assisted vaginal hysterectomy (combines three steps for the removal of the uterus, an initial laparoscopic stage, followed a vaginal stage, and a final laparoscopic stage.f. Colpotomy is performed during the second step to deliver the uterus into the vagina.

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