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Mediclip Clinical OB/GYN
Image Index

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Collection Image_ID Title Description View
  COG01001 Genital embryonic development Embryonic development of genitals. A, uterus and superior end of vagina begin to form from fused paramesonephric ducts; B & C, ducts zipper together and arch away from body wall, forming the broad ligaments of uterus from a fold of peritoneal membrane anterolateral
  COG01002 Gonads, female Schematic of female reproductive system  
  COG01003 Gonads, male Schematic of male reproductive system  
  COG01004 Gonads, undifferentiated Schematic of undifferentiated human gonads  
  COG01005 Mullerian duct anomalies, hypoplasia/agenesis Schematic representation of developmental anomaly of the Mullerian duct involving hypoplasia or agenesis  
  COG01006 Mullerian duct anomaly, arcuate Schematic representation of developmental anomaly of the Mullerian duct involving an arcuate uterus  
  COG01007 Mullerian duct anomaly, bicornuate Schematic representation of developmental anomaly of the Mullerian duct involving a bicornuate uterus  
  COG01008 Mullerian duct anomaly, DES related Schematic representation of developmental anomaly of the Mullerian duct related to DES  
  COG01009 Mullerian duct anomaly, didelphys Schematic representation of developmental anomaly of the Mullerian duct involving a didelphic uterus  
  COG01010 Mullerian duct anomaly, septate Schematic representation of developmental anomaly of the Mullerian duct involving a septate uterus  
  COG01011 Mullerian duct anomaly, unicornuate Schematic representation of developmental anomaly of the Mullerian duct involving one horn of the uterus  
  COG01012 Oogonium, development Schematic representation of development of female germ cells in fetal and adult life  
  COG01013 Tanner stages The Tanner stages of female sexual maturity-- breast and pubic hair development anterior and lateral
  COG02001 Lymph nodes, inguinal-femoral Ventral view of pelvis with skin and subcutaneous tissue retracted to demonstrate the inguinal-femoral lymph nodes ventral view
  COG02002 Nerves, presacral Sagittal view of pelvis with uterus retracted to display the presacral nerves medial
  COG02003 Pelvic arteries View of uterus and adnexa with areas of peritoneum removed, displaying arteries supplying the vagina, uterus, tubes, and ovaries dorsal
  COG02004 Pelvic arteries View of pelvis from above with the major arteries displayed superior oblique view
  COG02005 Pelvic diameters Superior view of female pelvis, indicating normal distances between structures superior view
  COG02006 Pelvic diameters Medial view of female pelvis, indicating normal distances between structures medial view
  COG02007 Pelvic diaphragm View into the pelvic floor illustrating the muscles of the pelvic diaphragm and their attachments to the bony pelvis lithotomy
  COG02008 Pelvic ligaments and spaces Illustration showing pelvic ligaments and spaces. inferior view
  COG02009 Pelvic types, Caldwell-Moloy Schematic representation of the Caldwell-Moloy classification of the four types of female pelvis  superior view
  COG02010 Pelvic viscera and perineum Midsagittal view of pelvic viscera and perineum sagittal view
  COG02011 Pelvic viscera, ligaments and fascia Cross-section view of the pelvis showing the ligaments and fascial support of the pelvic viscera frontal
  COG02012 Pelvis Drawing of pelvis showing firm connective tissue covering surrounding bladder, cervix, and rectum lithotomy
  COG02013 Pelvis, blood supply Sagittal view of the pelvis with viscera removed, showing position of major arteries medial
  COG02014 Pelvis, female View from above of the female pelvis, displaying the pelvic bones and their joints, ligaments, and foramina superior oblique view
  COG02015 Pelvis, normal Drawing showing normal anatomy of the uterus and adnexa superior view
  COG02016 Perineum, superficial compartment View from below of the superficial perineal compartment, displaying arteries, nerves, muscles and fascia of the urogenital diaphragm lithotomy
  COG02017 Ureter Superior view of the pelvis showing the course of the ureter and its relationship to the sites of its greatest vulnerability to injury superior view
  COG02018 Uterus, fallopian tubes, and ovaries Drawing of the uterus, fallopian tubes, and ovaries, demonstrating associated structures dorsal view
  COG02019 Vulva and perineum View of external female genital anatomy showing the various structures. lithotomy
  COG02020 Vulva and perineum, arteries Drawing of vulva and perineum demonstrating the major arteries and the posterior femoral cutaneous nerve lithotomy
  COG03001 Examination, bimanual In the bimanual examination, one hand is inserted into the vagina while the other provides counter pressure on the abdomen to palpate the pelvic viscera sagittal view
  COG03002 Examination, rectovaginal In the bimanual rectovaginal examination, the first finger of one hand is inserted into the vagina and the second finger into the rectum while the other hand provides counter pressure on the abdomen to assist in palpation sagittal view
  COG03003 Harvesting fascia lata, step 1 With the patient supine a longitudinal incision is made at the lower lateral thigh lateral view
  COG03004 Harvesting fascia lata, step 2 Top, Two incisions are made parallel to the fiber of the fascia, about 1 cm apart; the fascial strap is then transected above its attachment to the lateral condyle; Bottom, 4 cm of strap are threaded through a Masson fascial stripper lateral view
  COG03005 Harvesting fascia lata, step 3 The fascial stripper is moved firmly superiorly, paralleling the fibers of the fascia, for 15 cm lateral view
  COG03006 Hysteroscopy Diagram showing instruments in position for a hysteroscopy sagittal view
  COG03007 Hysteroscopy Laser fiber is seen protruding from the hysteroscopic sheath  endoscopic
  COG03008 Laparoscopic knot tying, part 1 Laparoscopic knot tying: A, place needle; B, grasp needle when it has passed through tissue  
  COG03009 Laparoscopic knot tying, part 2 Laparoscopic knot tying: C, make loop about tip of second forceps  
  COG03010 Laparoscopic knot tying, part 3 Laparoscopic knot tying: D, grasp free end; E, tighten knot  
  COG03011 Laparoscopic uterosacral nerve ablation Tucking the laparoscopic probe behind the uterosacral ligament to facilitate laparoscopic uterosacral nerve ablation superior view
  COG03012 Laparoscopy Simultaneous laparoscopy and rectovaginal examination to examine the posterior cul-de-sac and pelvic floor sagittal view
  COG03013 Laparoscopy Instruments in place for laparoscopic procedure; inset shows laparoscopic probe on target fallopian tube endoscopic
  COG03014 Laparoscopy, current diversion, step 1 The activated unipolar laparoscopic electrode develops a surrounding electromagnetic charge, capable of completing the circuit in a nearby conductor  
  COG03015 Laparoscopy, current diversion, step 2 If the nearby conductor disperses the current, here to the dispersive electrode via the conductive metal cannula and the abdominal wall, no concentration of current occurs and no injury results  
  COG03016 Laparoscopy, current diversion, step 3 If conduction to the abdominal wall is impeded by a nonconductive plastic anchoring sleeve, the charge builds on the metal cannula and will seek ground elsewhere, here arcing to the nearby bowel  
  COG03017 Laparoscopy, trocar insertion The trocar is inserted slowly, with a screw-like motion  
  COG03018 Laparoscopy, Verres needle insertion The Verres needle is inserted into the peritoneal cavity in the direction of the uterus  
  COG03019 Laparoscopy, Verres needle insertion Injection of CO2 into the preperitoneal tissue, the most common complication of laparoscopy, can be avoided by transfundal insertion of the Verres needle sagittal view
  COG03020 Metroplasty, laser The myometrium is incised over the septum, bivalving the uterus (left); depending on its thickness, the septum is incised (right) or excised, and the uterus repaired dorsal
  COG03021 Microsurgery for ectopic pregnancy Ectopic pregnancy is treated by making a linear salpingotomy incision over the ectopic on the antimesosalpingeal surface of the tube and gently removing the conceptus by irrigation and counterpressure on the sides of the tube  
  COG03022 Microsurgery, knot tying, part 1 Diagram demonstrating stages (A-D) of needle placement in microsurgical suturing  
  COG03023 Microsurgery, knot tying, part 2 Knot tying in microsurgical suturing: E, grasp suture with right-handed forceps; F, make loop about tip of left-handed forceps; G, tighten first throw of knot; H, repeating movements in reverse places second half-knot superior
  COG03024 Myomectomy, laser Laser incision into uterine serosa for myomectomy (left). Myoma is dissected from myometrium with laser assistance and the vascular pedicle is clamped and ligated (right)  
  COG03025 Pap smear Obtaining specimen from the endocervical canal using endocervical brush  
  COG03026 Pap smear Vaginal pool specimen before fixation within 10 seconds  
  COG03027 Polycystic ovaries, laser ablation Laser treatment of polycystic ovaries by draining subcapsular cysts, decreasing intraovarian androgen levels. Fiber lasers coagulate the stroma around the cysts  
  COG03028 Salpingoscopy Diagrammatic representation of a salpingoscopy performed using a modified hysteroscope inserted through the operating channel of the laparoscope sagittal view
  COG03029 Salpingoscopy A diagnostic or straight laparoscope is inserted through the trumpet valve trocar sleeve and a 5 mm probe through another trocar sleeve while a Rubin's cannula is placed into the uterus for manipulation during the procedure sagittal view
  COG03030 Salpingostomy, laser Tube is distended with chromotubation fluid and distal tube incised along vascular lines (left), the fluid absorbing the beam; flap eversion is secured by photocoagulation of serosal surface with low-power density beam (right)  
  COG03031 Speculum insertion Diagram demonstrating insertion of vaginal speculum sagittal view
  COG03032 Ultrasonography, transabdominal In the transabdominal ultrasound examination of the pregnant uterus, the probe scans the surface of the abdomen sagittal view
  COG03033 Uterine fundus Panoramic view of the fundus of the uterus endoscopic view
  COG04001 Vulvar disease, Bartholin's gland cyst, step 1 A diamond-shaped portion of introital mucosa over the dome of the Bartholin's gland cyst is removed lithotomy
  COG04002 Vulvar disease, Bartholin's gland cyst, step 2 An incision is made through the wall of the Bartholin cyst lithotomy
  COG04003 Vulvar disease, Bartholin's gland cyst, step 3 The wall of the Bartholin cyst is sutured to the adjacent mucosa lithotomy
  COG04004 Vulvar disease, condyloma Superficial infiltration of the vulva with normal saline causes the condyloma to separate from each other, facilitating removal while preserving viable bridges of skin lithotomy
  COG05001 Cervical cerclage, McDonald The McDonald cerclage uses 4 needle placements to make a purse-string suture lithotomy, cross-section
  COG05002 Cervical cerclage, Orr technique A, incompetent cervix; B, In the Orr technique, an inflated Foley catheter holds the membrane away from internal os while cerclage is performed frontal
  COG05003 Cervical cerclage, Shirodkar technique, step 1 The Shirodkar cervical cerclage procedure involves two incisions in the cervix (A, B) and placement of a suture through both lithotomy
  COG05004 Cervical cerclage, Shirodkar technique, step 2 In the Shirodkar cervical cerclage procedure a suture is placed through anterior and posterior incisions in the cervix lithotomy
  COG05005 Cervical cerclage, Shirodkar-Barter techn., part 1 In Shirodkar-Barter technique for cerclage during pregnancy, an incision is made through anterior vaginal mucosa near junction with cervix (L); the bladder is advanced toward level of internal os (R) lithotomy
  COG05006 Cervical cerclage, Shirodkar-Barter techn., part 2 Shirodkar-Barter technique. The bladder is advanced toward level of internal os. sagittal
  COG05007 Cervical cerclage, Shirodkar-Barter techn., part 3 Shirodkar-Barter technique. The vaginal mucosa is incised at its junction with the posterior cervix, taking care not to enter the cul-de-sac of Douglas. lithotomy
  COG05008 Cervical cerclage, Shirodkar-Barter techn., part 4 Shirodkar-Barter technique. An aneurysm needle is then passed through the anterior incision submucosally. The other end of the band is attached to a needle passed through the incision around the left lateral cervix. lithotomy
  COG05009 Cervical cerclage, Shirodkar-Barter techn., part 5 Shirodkar-Barter technique. A single knot is placed anteriorly and tightened to allow operator's finger to approach internal os lithotomy
  COG05010 Cervical cerclage, Shirodkar-Barter techn., part 6 Shirodkar-Barter technique. Additional sutures secure the arms of the knot (left) and are placed posteriorly (right) to secure the band lithotomy
  COG05011 Cervical cerclage, Shirodkar-Barter techn., part 7 Shirodkar-Barter technique. Newly placed band barely admits operator's fingertip frontal, endoscopic
  COG05012 Cervical cerclage, Shirodkar-Barter techn., part 8 Shirodkar-Barter technique. Anterior and posterior incisions are closed with interrupted sutures lithotomy
  COG05013 Cervical cerclage, transabdominal View from above uterus shows band being placed for cerclage of cervical os superior
  COG05014 Cervical cerclage, transabdominal View of uterus with cerclage band in place  dorsal
  COG05015 Cervical cerclage, transabdominal The transabdominal cervicoisthmic cerclage provides strong circumferential support of the isthmus with a band placed above the cardinal and uterosacral ligaments  
  COG05016 Cervical cerclage, transabdominal In transabdominal cerclage the space between the descending and ascending branches of the uterine artery is delineated with blunt dissection, using a right-angle forceps superior
  COG05017 Cervical cerclage, Wurm procedure The Wurm cervical cerclage procedure involves placement of two mattress sutures across the internal os  
  COG05018 Cervical conization, cold knife technique Cross-sectional view of uterus showing the level of transformation zone removed in the cold knife technique of cervical conization frontal
  COG05019 Cervical conization, LLETZ technique Electrocautery (large loop excision of the transformation zone) technique of cervical conization  
  COG05020 Cervix and transformation zone Diagram of cervix demonstrating transformation zone inferior
  COG06001 Hysterectomy, radical Illustration demonstrating sites of ligation in Types II and III of radical hysterectomy superior
  COG06002 Hysteroscopy uteroplasty The septum can be divided by the thinning technique, using a resectoscope with a loop electrode frontal view
  COG06003 Hysteroscopy uteroplasty The septum can be divided by the shortening technique, using a resectoscope with a loop electrode frontal view
  COG06004 Pelvic relaxation, first degree Sagittal view of first degree of pelvic relaxation sagittal view
  COG06005 Pelvic relaxation, normal Sagittal view of pelvic organs in normal position sagittal view
  COG06006 Pelvic relaxation, second degree Sagittal view of second degree of pelvic relaxation sagittal view
  COG06007 Pelvic relaxation, third degree Sagittal view of third degree of pelvic relaxation sagittal view
  COG06008 Rectovaginal examination, standing An enterocele is detected during standing rectovaginal examination by palpating small bowel between thumb and index finger. sagittal view
  COG06009 Septate uterus, hysteroscopic division, step 1 In hysteroscopic division of complete uterine septum with septate cervix, a window is performed at the level of the internal cervical os frontal view
  COG06010 Septate uterus, hysteroscopic division, step 2 In hysteroscopic division of complete uterine septum with septate cervix, the cervix not housing the hysteroscope is occluded and the corporeal uterine septum is divided frontal view
  COG06011 Septate uterus, hysteroscopic incision In hysteroscopic incision of a septum of a septate uterus, a resectoscope is introduced through the cervix incises the midportion of the uterine septum to the point where both intrauterine tubal ostia are visualized frontal, endoscopic
  COG06012 Septate uterus, hysteroscopic incision, t.2,  pt.1 In hysteroscopic incision of a septum of a Class V uterus, a Foley catheter is placed in one cervix and the bulb inflated lithotomy
  COG06013 Septate uterus, hysteroscopic incision, t.2, pt.2 Scissors are inserted in the opposite cavity of the septate uterus and the septum is incised until the Foley catheter on the other side is seen frontal
  COG06014 Septate uterus, hysteroscopic incision, t.2, pt.3 The septum is incised (left) until both uterotubal ostia can be identified and there is no separation of the uterine cavities (right) endoscopic
  COG06015 Uterus, prolapse Sagittal view of prolapse of uterus and rectum sagittal view
  COG06016 Vaginal dissection in abdominal hysterectomy First the posterior, then the anterior vaginal wall is incised after placing upward tension on the lip of the cervix with a tenaculum; the cut vaginal edges are successively grasped with Kocher's forceps (inset) lateral, superior
  COG07001 Fimbrioplasty Incomplete tubal obstruction results from a tubal band  
  COG07002 Fimbrioplasty Normal fimbriae appear with scar removal  
  COG07003 Ovary, polycystic Laparoscopic cautery for ovulation induction in patients with polycystic ovaries  
  COG08001 Breast development, normal Tanner stages of normal breast development anterior and lateral view
  COG08002 Breast palpation technique Breast palpation can be performed in wedge segments from the nipple outward  
  COG08003 Breast palpation technique Breast palpation can be performed in a circular motion from the nipple outward  
  COG08004 Breast palpation technique The nipple is gently squeezed in breast examination  
  COG08005 Breast schematic Schematic of breast as clock with nipple at center to assist reference  
  COG08006 Breast, anatomy Cross-section view of breast showing tissue types sagittal
  COG08007 Breast, anatomy and examination schema Cross-section view of breast showing tissue types cross-section view
  COG08008 Breast, examination Breast examination includes visual inspection of breasts in several positions and palpation of axilla and lymph nodes anterior view
  COG08009 Breast, lactation Somatosensory pathways for the suckling-induced reduced reflex release of oxytocin  
  COG08010 Breast, lymphatic drainage I.low axl;II.centr axl; III.subcl; 1.dp cerv; 2. infraclavic; 3.sternal; 4.pthwy to mediast; 5. pthwy to contralat brst; 6. pthwy to subdiaphragmatic/liver; 7.ant pect; 8.ctrl axl; 9. subpect axl; 10.interpect; 11.brach v.nds; 12.axl v.nds; 13.subcl v.  anterior view
  COG08011 Breast, needle aspiration of cyst Needle aspiration of cystic breast mass.  (A) Needle is passed into cyst, which is stabilized as shown.  (B) The cysts contents are removed by gentle suction.  
  COG08012 Breast, screening mammography Screening mammography: breast is compressed vertically  
  COG08013 Breast, screening mammography Screening mammography: breast is compressed horizontally  
  COG09001 In-Vitro assisted reproduction Uterus and surrounding internal female anatomy demonstrating  the placement of instruments used in an in-vitro assisted fertilization, including the placement of a retractor blade in the vagina and a tenaculum applied to the posterior lip of cervix midsagittal view
  COG09002 In-Vitro fertilization Diagram of the perivitelline placement of a spermatozoa microscopic view
  cog09003 Menstrual cycle, early proliferative stage Histological illustration of the uterine mucosa (= endometrium) during the early proliferative phase of the menstrual cycle.  Right image is further magnified. histological view
  cog09004 Menstrual cycle, early secretory stage Histological illustration of the uterine mucosa (= endometrium) during the early secretory phase of the menstrual cycle.  Right image is of a greater magnification histological view
  cog09005 Menstrual cycle, endometrial breakdown Histological illustration of the uterine mucosa (= endometrium) during the phase of endometrial breakdown.  Image on right is of a greater magnification. histological view
  cog09006 Menstrual cycle, late proliferative stage Histological illustration of the uterine mucosa (= endometrium) during the late proliferative phase of the menstrual cycle.  Right image is of a greater magnification. histological view
  cog09007 Menstrual cycle, late secretory stage Histological illustration of the uterine mucosa (= endometrium) during the late secretory  phase of the menstrual cycle. Right image is further magnified histological view
  COG09008 Menstrual cycle, regulation Histological illustration of a preovulatory follicle and some of the substances released to regulate menstruation Histological view
  COG09009 Menstrual cycle, regulation Histological illustration of a follicle during ovulation and some of the hormones released to regulate menstruation Histological cross section view
  COG09010 Ovulation Illustration showing the various stages of ovulation within the ovary  
  COG09011 Ovulation and migration of egg Illustration showing the release of the ovum from the ovary into the oviduct and its migration to the uterus during which time it undergoes cell division  
  COG09012 Sperm, anatomy Illustration showing the anatomy of a sperm  
  COG09013 Sperm, anatomy and fertilization Illustration showing the sperm anatomy and  the changes it undergoes during the fertilization of an egg  
  COG09014 Uterine vasculature Diagram showing the uterine vascular structure microscopic view
  COG10005 Diaphragm, arcing spring Arcing spring diaphragm;  held as for insertion  
  COG10004 Diaphragm, flat spring Flat spring diaphragm;  held as for insertion  
  COG10003 Diaphragm, hinged spring Hinged spring diaphragm,  held as for insertion  
  COG10001 Diaphragm, insertion technique, step 1 Illustration showing the proper technique of inserting a diaphragm, step one sagittal view
  COG10002 Diaphragm, insertion technique, step 2 Illustration showing the proper technique  of inserting a diaphragm, step two.  Ensuring that the diaphragm covers the cervix sagittal view
  COG10006 Female condom The female condom.  A, Preparation for insertion.  B, Insertion.  C, Condom in proper position sagittal view
  COG10007 Intrauterine Devices, (IUDs) Illustration showing the various types of intrauterine devices (IUDs)  
  COG10008 Intrauterine Devices, Copper 7 Illustration showing the Copper 7 intrauterine device (IUD)  
  COG10009 Intrauterine Devices, Cu-Fix Illustration showing the Cu-Fix intrauterine device (IUD)  
  COG10010 Intrauterine Devices, insertion, step 1 Illustration showing the proper  technique for the insertion of an intrauterine device (IUD).  Left, plunger and insertion tube; center and right, IUD is placed within insertion tube  
  COG10011 Intrauterine Devices, insertion, step 2 Illustration showing the proper  technique for the insertion of an intrauterine device (IUD).  Insertion tube with IUD and plunger placed into uterus through cervix  
  COG10012 Intrauterine Devices, insertion, step 3 Illustration showing the proper  technique for the insertion of an intrauterine device (IUD).  Left, plunger is held steady as tube is withdrawn slightly.  Right, Plunger is removed and tube withdrawn  
  COG10013 Intrauterine Devices, insertion, step 4 Illustration showing the proper  technique for the insertion of an intrauterine device (IUD).  IUD is place within uterus  
  COG10014 Intrauterine Devices, Lippes loop Illustration showing the Lippes loop intrauterine device (IUD)  
  COG10015 Intrauterine Devices, Nova T Illustration showing the Nova T intrauterine device (IUD)  
  COG10016 Intrauterine Devices, Saf-T-Coil Illustration showing the Saf-T-Coil intrauterine device (IUD)  
  COG10017 Intrauterine Devices, TCu 200B Illustration showing the TCu 200B intrauterine device (IUD)  
  COG10018 Intrauterine Devices, TCu 220C Illustration showing the TCu 220C intrauterine device (IUD)  
  COG10019 Intrauterine Devices, TCu 380A Illustration showing the TCu 380A intrauterine device (IUD)  
  COG10032 Sterilization, bipolar electrocoagulation Bipolar electrocoagulation tubal sterilization.  The mid-isthmic portion of the tube and adjacent mesosalpinx are grasped and a radiofrequency electric current is applied. dorsal
  COG10022 Sterilization, Falope Ring Falope Ring for tubal sterilization.  (A) Mid-isthmic portion of tube is grasped and advanced through a cylindrical probe.  (B)  A loop of tube is pulled back into the probe and a silastic ring is applied dorsal view
  COG10020 Sterilization, Irving technique End result of tubal sterilization using the Irving technique.  Tube has been divided, one portion excised, the distal stump has been ligated, and the proximal stump has been buried into the myometrium dorsal view
  COG10021 Sterilization, Kroener fimbriectomy End result of a Kroener fimbriectomy. In this type of tubal sterilization the uterine tube is resected, the proximal portion ligated and the distal portion, including fimbriae, is excised  
  COG10023 Sterilization, Pomeroy technique End result of tubal sterilization using the Pomeroy technique.  Tube has been drawn up into a knuckle, the base of the knuckle has been doubly ligated,  the portion of the loop entrapped has been excised  
  COG10024 Sterilization, Pomeroy technique Pomeroy technique.  (top) Tube has been drawn up into a knuckle, and doubly ligated.  (center) Entrapped loop has been excised.  (bottom)  End result of sterilization showing separated tube dorsal
  COG10031 Sterilization, Pomeroy technique Pomeroy technique for tubal sterilization.  (A) Section of tube is gathered into a loop and ligated at the base. (B)  Entrapped loop is then excised. dorsal
  COG10025 Sterilization, tubal, Silastic ring Tubal sterilization using a Silastic ring.  (top) Position of ring after surgery. (left) Initial ischemic necrosis from interruption of blood supply. (right) Knuckle absorption completed  
  COG10026 Sterilization, Uchida technique Uchida sterilization technique.  (A) Mesosalpinx  is infiltrated with saline. (B) An incision is made in the mesosalpinx and a segment of tube is dissected free. (C) The isolated segment is then ligated and excised  
  COG10027 Sterilization, Uchida technique Uchida sterilization technique.  (A) Mesosalpinx  is infiltrated with saline. (B) An incision is made in the mesosalpinx and a segment of tube is dissected free. (C) The isolated segment is then ligated and excised  
  COG10028 Sterilization, Uchida technique End result of tubal sterilization using the Uchida technique.  Tube has been divided, one portion excised, the distal stump has been ligated, and the proximal stump has been allowed to retract beneath the mucosa.   
  COG10029 Vaginal sponge, insertion technique, step 1 Illustration showing the proper technique  of inserting a vaginal sponge.  The sponge is thoroughly moistened, folded, and inserted into the vagina sagittal view
  COG10030 Vaginal sponge, insertion technique, step 2 Illustration showing the proper technique  of inserting a vaginal sponge.  The sponge is placed firmly against the cervix sagittal view
  COG11001 Amniocentesis, ultrasound-guided Illustration showing ultrasound-guided amniocentesis.  A thin needle is guided into the amniotic cavity with the aid of real-time ultrasonography sagittal view
  COG11002 Chorionic villus sampling, ultrasound-guided Illustration showing ultrasound-guided chorionic villus sampling.  Using either a transcendent (A) or a transabdominal (B) approach, the chorion frondosum is sampled with the aid of real-time ultrasonography sagittal view
  COG11003 Culdocentesis Culdocentesis is easily done if the needle is inserted at the correct level and the vaginal mucosa over the posterior fornix is taut sagittal view
  COG11004 Ectopic pregnancy, resection, techn. 1, step 1 Segmental resection of the portion of the uterine tube containing the ectopic. The portion of the tube just proximal to the ectopic is desiccated with a bipolar forceps and incised dorsal view
  COG11005 Ectopic pregnancy, resection, techn. 1, step 2 Segmental resection of the portion of the uterine tube containing the ectopic.  The portion of the tube distal to the ectopic is desiccated with a bipolar forceps and incised.  The involved portion of the tube can be removed using desiccation and excision dorsal view
  COG11006 Ectopic pregnancy, resection, techn. 2, alt. step Alternative technique for segmental resection of the portion of the uterine tube containing the ectopic.  After desiccation of the proximal portion of the tube and underlying mesosalpinx, the remaining mesosalpinx is ligated dorsal view
  COG11007 Ectopic pregnancy, resection, techn. 2, alt. step Alternative technique for segmental resection of portion of uterine tube containing ectopic.  Desiccation and cutting of the mesosalpinx, and dessication of fimbria ovarica. dorsal view
  COG11008 Ectopic pregnancy, resection, techn. 2, step 1 Segmental resection of the portion of the uterine tube containing the ectopic. Desiccation of the proximal portion of the tube and underlying mesosalpingeal vessel. dorsal view
  COG11009 Ectopic pregnancy, resection, techn. 3, step 1 Removal of the fallopian tube. (A) Grasping forceps stabilize the fallopian tube distal to the ectopic pregnancy, electrocautery is applied proximally.  (B)  The hook scissors are then used to transect the segment  
  COG11010 Ectopic pregnancy, resection, techn. 3, step 2 Removal of the fallopian tube necessitated by an ectopic pregnancy.  (C) Serial fulguration and transection are used to free the entire length of the fallopian tube. (D) The final appearance of the fallopian tube and ovary following removal  
  COG11011 Ectopic pregnancy, resection, techn. 4, step 1 Removal of the distal end of the fallopian tube necessitated by an ectopic pregnancy  (A) The endoloop is placed near the ectopic pregnancy.  (B) The fallopian tube is grasped through the endoloop, and the ectopic pregnancy drawn through it  
  COG11012 Ectopic pregnancy, resection, techn. 4, step 2 Removal of the distal end of the fallopian tube necessitated by an ectopic pregnancy.  (C) The loop is tightened proximal to the ectopic pregnancy.  (D) After placing a second endoloop tie, the specimen is resected with hook scissors and removed  
  COG11013 Ectopic pregnancy, resection, techn. 5, step 1 Resection of ectopic pregnancy. (A) Grasping forceps placed distally to the ectopic stabilize, bipolar cautery then fulgurates the tube proximally.(B)  Segment transected proximally.  
  COG11014 Ectopic pregnancy, resection, techn. 5, step 2 Resection of ectopic pregnancy.  (C) Serial electrocautery and transection are used to undermine and free the ectopic pregnancy. (D) Appearance following resection.  
  COG11015 Ectopic pregnancy, resection, techn. 6, step 1 Removal of the contents of an ectopic pregnancy in the fallopian tube.  Atraumatic forceps are used to stabilize the fallopian tube. Pitressin is injected at the point of maximum bulge  
  COG11016 Ectopic pregnancy, resection, techn. 6, step 2 Removal of the contents of an ectopic pregnancy in the fallopian tube.  (Top) The CO2 laser is used to incise the fallopian tube at the point of maximum bulge.  (Bottom) The tissue found within is gently removed from its bed  
  COG11017 Ectopic pregnancy, resection, techn. 6, step 3 Removal of the contents of an ectopic pregnancy in the fallopian tube.  Gentle irrigation of the ectopic bed is performed, and the wound is allowed to heal by secondary intention  
  COG11018 Embryofetoscopy, transabdominal thin-gauge Illustration showing transabdominal thin-gauge embryofetoscopy, where the miniaturized endoscope is delivered into the chorionic cavity for first trimester visualization.  This technique is used for early prenatal diagnosis. sagittal view
  COG11019 Embryofetoscopy, transcervical Illustration showing transcervical embryofetoscopy, where the endoscope must traverse the chorionic membrane sagittal view
  COG11020 Fallopian tube, infiltration Infiltration of the mesentery of the fallopian tube, including the region of the uterotubal, is done with a 1:100,000 Xylocaine-adrenalin solution prior to salpingostomy.  
  COG11021 Fetal scalp blood sampling Illustration showing the metallic cone (in cross section) inserted through the os and pressed against the fetal scalp.  A small incision is then made in the fetal scalp with a specialized lancet for blood sampling sagittal view
  COG11022 Hydrosalpinx, fallopian A hydrosalpinx palpable as a cystic adnexal mass involving the fallopian tube, suggesting the diagnosis of ectopic pregnancy  
  COG11023 Laminaria, insertion and correct placement Illustration showing laminaria correctly placed for cervix dilation frontal view
  COG11024 Laminaria, insertion and incorrect placement Illustration showing two examples of incorrect placement of laminaria frontal view
  COG11025 Pregnancy, ectopic Illustration showing potential locations of ectopic pregnancies frontal view
  COG11026 Twin gestation, interlocking Illustration showing the relationship of twins in the uterus during interlocking twin gestation  
  COG11027 Twin gestation, placental types Placental types in twin gestation. (Top left)  Monochorionic/Monoamniotic.  (Top right)  Monochorionic/Diamniotic.  (Bottom left) Dichorionic/Diamniotic, fused placenta.  (Bottom right)  Dichorionic/Diamniotic, separate placenta.  
  COG11028 Twin-twin transfusion syndrome  Position of twins in the uterus with a schematic representation of the circulation problem that causes uncompensated arteriovenous shunting during twin-twin transfusion syndrome.