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
0:00Framing Complications With Prevention
2:55Primordial To Quaternary: The Model
7:30Urologic Risks: Bladder First
16:20Trigone, Stents, And Calling For Help
23:45Ureter Injury Playbook
33:20Delayed Ureter Injuries And Management
38:05Small Bowel: From Serosa To Resection
46:30Colon Injuries: Repair Or Resect
52:40Four Tips To Prevent Bowel Injury
58:10Vascular Injury: Aorta To Epigastrics
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