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The perineal approach uses a small incision in the perineum between the anus and the ischial tuberosity. The nerve is freed within the pudendal canal. [10] The laparoscopic approach (Istanbul technique), also termed "laparoscopic pudendal nerve decompression and transposition with omental fap protection of the nerve," is relatively new.
A pelvic examination is the physical examination of the external and internal female pelvic organs. [1] It is frequently used in gynecology for the evaluation of symptoms affecting the female reproductive and urinary tract , such as pain, bleeding, discharge, urinary incontinence , or trauma (e.g. sexual assault).
A study done in 2003 found that 90% of Pennsylvania medical students had done pelvic exams on anesthetized patients during their gynecology rotation. [5] One medical student described performing them "for 3 weeks, four to five times a day, I was asked to, and did, perform pelvic examinations on anesthetized women, without specific consent, solely for the purpose of my education."
The knee-chest position [1]. The knee-chest position or genupectoral position is a position used in a number of medical situations including gynecological examination and surgery, lumbar spine surgery, [2] [3] [4] repair of vesico-vaginal fistula (VVF) by Sims's saucerisation procedure, labor and delivery for which it is recommended in those with a cord prolapse until delivery can occur, [1 ...
Coagulation disorders and dense adhesions (scar tissue) from previous abdominal surgery may pose added risk for laparoscopic surgery and are considered relative contra-indications for this approach. Intra-abdominal adhesion formation is a risk associated with both laparoscopic and open surgery and remains a significant, unresolved problem. [ 33 ]
In medicine, Carnett's sign is a finding on clinical examination in which abdominal pain remains unchanged or increases when the muscles of the abdominal wall are tensed. [1] [2] For this part of the abdominal examination, the patient can be asked to lift the head and shoulders from the examination table to tense the abdominal muscles.
It aims to break up adhesions (scar tissue) on and around spinal joints as the cervical, thoracic, lumbar, sacral, and pelvic regions, or extremity joints as the knee, shoulder and hip, to which a restricted range of motion can be painful and limit function. Failed attempts at other standard conservative treatment methods (i.e., manipulation ...
When the chin is against the chest, the neck is flexed, and the trunk is flexed when a person leans forward. [10] Flexion of the shoulder or hip is movement of the arm or leg forward. [11] Extension is the opposite of flexion, a straightening movement that increases the angle between body parts. [12] For example, when standing up, the knees are ...