Requirements for Performing Safe and Effective Combined Surgical Procedures

Various routine surgical precautions should be taken as a combined surgical procedure is performed. We routinely obtain preoperative medical clearance, administer intravenous wide-spectrum prophylactic antibiotics (e.g.,Ancef or Cefotan), and use pulsatile antiembolism stockings. If the procedure is going to exceed 4 hours, we consider low-dose heparin therapy as well. Almost all surgeries are performed under general anesthesia. This is in variance to most urogynecologic procedures, which we routinely perform under spinal anesthesia. Many procedures will require a patient to be changed from lithotomy to prone, jack-knife position (or vice versa). Great caution must be taken during the "flip" to avoid soft tissue damage or joint dislocations. This procedure requires at least four persons.

We have not had any complications related to this position change.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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