Operations are either major or minor in obstetrics. Commonest minor one is episiotomy and major one is cesarean section.

1. Dr.C.Suresh Babu
Professor
Dept. of OBGYN
GIMSR
Vizag

2.  1. Dilatation & Evacuation
 2. Suction & Evacuation
 3. MVA or MR Syringe
 4. Episiotomy
 5. Caesarean section
 6. Destructive operations

3.  Indications:
 1. Incomplete Abortion
 2. Inevitable Abortion
 3. MTP up to 6-8 eek
 4. Hydatidiform Mole

5.  Procedure:
 1. Consent
 2. Preparation
 3. Anaesthesia
 4. Instruments used
 5. confirmation of completion

6.  1. No more products
 2. Appearance of Air bubbles
 3. Gripping effect over cannula
 4. Grating or gritty sensation felt over the
uterus

7.  Complications:
 Immediate:
 1. Haemorrhage
 . Uterine
Perforation
 3. Cervical injury
 4. Shock
 5. Infection
 Late
complications:
 1. Pelvic
Inflammation
 2. Infertility
 3. Cervical
incompetence
 4. Asherman’s
syndrome

8.  Indications:
 1. Incomplete Abortion
 2. Inevitable Abortion
 3. MTP up to 12 weeks
 4. Hydatidiform Mole

9.  Procedure:
 1. Consent
 2. Preparation
 3. Anaesthesia
 4. Instruments used
 5. Suction Machine is used to create negative
suction of 400 to 600 mm of Hg
 6. confirmation of completion

11.  1. No more products
 2. Appearance of Air bubbles
 3. Gripping effect over cannula
 4. Grating or gritty sensation felt over the
uterus

12.  Immediate:
 1. Haemorrhage
 2. Uterine
Perforation
 3. Cervical injury
 4. Shock
 5. Infection
 Late
complications:
 1. Pelvic
Inflammation
 2. Infertility
 3. Cervical
incompetence
 4. Asherman’s
syndrome

13.  Indication:
 1. MTP up to 8 to 12 weeks

14.  Procedure:
 1. Consent
 2. Preparation
 3. Charge the aspirator
 4. Instruments used
 5. confirmation of completion

15.  Electricity is not
required
 Govt. of India
approved
 Safe and effective
 Sterilization is by
Ethylene oxide

16.  Indications:
 1. Rigid perineum
 2. Malpresentation and Malposition – Breech
delivery, face to pubis delivery and shoulder
dystocia
 3. Operative vaginal delivery – Foreceps and
Ventouse
 4. Previous perineal surgery -

17.  Types:
 1. Medio-lateral
 2. Median
 3. Lateral
 4. J shaped
 5. Extended – Schuchardt’ incision

20.  Different structures cut:
 1. Skin and subcutaneous tissue
 2. Vaginal mucosa
 3. Muscles – superficial & Deep transverse
perineal, bulbopongiosus and levator ani
 4. Vessels & Nerve – Transverse perineal
branches of Pudendal vessels & Nerve

21.  1. Ano-rectal involvement
 2. Vulval hematoma
 3. Infection and wound dehiscence
 4. Remote complication like Dyspareunia and
Painful scar

22.  Indications:
 1. Recurrent – Contracted Pelvis
 Non Recurrent
 2. CPD
 3. Fetal distress
 4. Failed induction of labour
 5. Antepartum haemorrhage
 6. Malpresentation – Breech, Transvere lie
 7. Previous LSCS etc.,

24.  Complication:
 1. Anaetheia related
complication
 . Etenion of uterine
inciion
 3. Injury to bladder,
ureter
 4. Hemorrhage
 5. Fetal injury –
calpel cut and bony
onjurie

25.  Postoperative:
 1. PPH
 2. Infection –
Puerperal sepsis
 3. Shock
 Remote:
 1. Incisional hernia
 2. Scar rupture in
future pregnancy

26.  1. Craniotomy
 2. Evisceration
 3. Decapitation
 4. Cleidotomy

27.  Indications:
 1. Hydrocephalic head – live or dead
 2. Obstructed Labour with dead foetus in
cephalic presentation
 Contraindications:
 1. Contracted pelvis
 2. Rupture uterus

28.  Condition to be
fulfilled:
 1. Cervix must be
fully dilated
 2. Dead foetus
 Complications:
 1. Injury – cervix,
vagina, uterus
 2. Rupture uterus
 3. PPH
 4. VVF
 5. RVF
 6. Sub involution
 7. Prolonged ill
health

30.  1. Craniotomy – Oldham’s perforator
 2. Cleidotomy – Embryotomy scissors

31. Thank You All