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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.
Arnold Kegel (1894–1972) was the gynecologist who invented the Kegel perineometer (used for measuring vaginal air pressure) and Kegel exercises (squeezing of the muscles of the pelvic floor). This followed the observation that muscles of the pelvic floor inevitably weakened following the trauma of childbirth . [ 1 ]
In the emergency department the typical approach to chest pain involves ruling out the most dangerous causes: heart attack, pulmonary embolism, thoracic aortic dissection, esophageal rupture, tension pneumothorax, and cardiac tamponade. By elimination or confirmation of the most serious causes, a diagnosis of the origin of the pain may be made.
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 ...
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.
Other changes include an increase in heart rate as well as in blood pressure, feeling hot and flushed and perhaps experiencing tremors. [16] A sex flush may extend over the chest and upper body. If sexual stimulation continues, then sexual arousal may peak into orgasm. After orgasm, some women do not want any further stimulation and the sexual ...
Pneumoperitoneum is pneumatosis (abnormal presence of air or other gas) in the peritoneal cavity, a potential space within the abdominal cavity.The most common cause is a perforated abdominal organ, generally from a perforated peptic ulcer, although any part of the bowel may perforate from a benign ulcer, tumor or abdominal trauma.
Still facing the woman, the health care provider palpates the abdomen with gentle but also deep pressure using the palm of the hands. First the right hand remains steady on one side of the abdomen while the left hand explores the right side of the woman's uterus. This is then repeated using the opposite side and hands.