How to Answer Case Tanisha Terman Questions (Complete Guide)

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Original Question

Case #2 Tanisha Terman is brought in today for cervical incompetence. Operation Performed: Transabdominal cervical cerclage Description of Procedure: The patient was given general anesthesia and an abdominal transverse suprapubic incision was made. The lower uterine segment was divided transversely. The uterine vessels were displaced laterally, opening the paracervical connective tissue space. The needle was passed anteropsteriorly through the paracervical vessels immediately adjacent to the cervix at the level of the cervicoisthmic junction superior to the medial insertions of the uterosacral ligaments, care being taken to retract the uterine vessels laterally and to guide the needle tip with fingers behind the broad ligament. Before being pulled through completely, the band width of the tape was verified as being flush with the anterior cervicoisthmic tissues. The knot was tied and the patient was extubated and transferred to the recovery room in stable condition. Hint 1: Root operation is Restriction. Hint 2: Approach is open.

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