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Subjects/OBG/OBG
OBG
medium
baby OBG

While performing Burch operation there was significant bleeding and pooting of blood in the space of Retzius. The source of bleeding cannot be visualized. What is the next step in the management?

A. Call vascular stlrgeon
B. Give a generalized suture in bleeding area
C. Lift endopelvic fascia by putting fingers in vagina
D. Placing surgical drain

Explanation

Ans. C. Lift endopelvic fascia by putting fingers in vaginaBurch colposuspension (retropubic urethropexy) involves the attachment of the fascia at the level of the bladder neck to the iliopectineal ligament (Cooper's ligantent).lt is an abdorninally perfbrmed surgery for stress urinary incontinence .

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