Episode 11.2 Preventing Surgical Complications
Wed Feb 04 2026
We map a prevention-first approach to OBGYN surgical complications—from environmental fixes and technique to early detection, skilled repair, and honest recovery—so fewer patients are harmed and clinicians carry less hidden burden. Practical steps, board-level reasoning, and real cases bring it to life.
• applying primordial to quaternary prevention to surgical harm
• avoiding unnecessary hysterectomy and favoring safer routes
• bladder repair tactics by size and location
• ureter injury recognition, stenting, and reimplant options
• bowel injury triage, Lembert technique, and resection thresholds
• four practical tips to prevent bowel injury
• vascular control from aorta to epigastrics and presacral bleeds
• preventing neuropathies with smarter positioning and retractors
• disclosure with HEAL and supporting clinicians with just culture
• key historical insights
0:00 Framing Complications With Prevention
2:55 Primordial To Quaternary: The Model
7:30 Urologic Risks: Bladder First
16:20 Trigone, Stents, And Calling For Help
23:45 Ureter Injury Playbook
33:20 Delayed Ureter Injuries And Management
38:05 Small Bowel: From Serosa To Resection
46:30 Colon Injuries: Repair Or Resect
52:40 Four Tips To Prevent Bowel Injury
58:10 Vascular Injury: Aorta To Epigastrics
Be sure to check out thinkingaboutobgyn.com for more information and be sure to follow us on Instagram
Follow us on Instagram @thinkingaboutobgyn.
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We map a prevention-first approach to OBGYN surgical complications—from environmental fixes and technique to early detection, skilled repair, and honest recovery—so fewer patients are harmed and clinicians carry less hidden burden. Practical steps, board-level reasoning, and real cases bring it to life. • applying primordial to quaternary prevention to surgical harm • avoiding unnecessary hysterectomy and favoring safer routes • bladder repair tactics by size and location • ureter injury recognition, stenting, and reimplant options • bowel injury triage, Lembert technique, and resection thresholds • four practical tips to prevent bowel injury • vascular control from aorta to epigastrics and presacral bleeds • preventing neuropathies with smarter positioning and retractors • disclosure with HEAL and supporting clinicians with just culture • key historical insights 0:00 Framing Complications With Prevention 2:55 Primordial To Quaternary: The Model 7:30 Urologic Risks: Bladder First 16:20 Trigone, Stents, And Calling For Help 23:45 Ureter Injury Playbook 33:20 Delayed Ureter Injuries And Management 38:05 Small Bowel: From Serosa To Resection 46:30 Colon Injuries: Repair Or Resect 52:40 Four Tips To Prevent Bowel Injury 58:10 Vascular Injury: Aorta To Epigastrics Be sure to check out thinkingaboutobgyn.com for more information and be sure to follow us on Instagram Follow us on Instagram @thinkingaboutobgyn.