Episode 11.3 Preventing Surgical Complications

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

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