Patient Name: Brenda C. Seggerman
Patient ID: 903321
Date of Admission: 03/27/----
Date of Surgery: 03/27/----
Surgeon: Rosemary Bumbak, MD
Assistant: Michael Gerard, DO
Anesthesia: General endotracheal by Dr. Carl Erickson Avalon, MD
Estimated Blood Loss: Approximately 1,000mL requiring transfusion up to 2 units of type O blood
Specimen Removed: Portion of the left fallopian tube containing the ectopic pregnancy.
Preoperative Diagnosis: Left tubal ectopic pregnancy
Postoperative Diagnoses: One ruptured left tubal ectopic pregnancy, two hemoperitoneum, 3 pelvic adhesions.
Surgical Procedures: 1 exploratory laparotomy 2 partial salpingectomy , 3 evalcuation of hemoperitonuem, 4 lysis of adhesions.
PROCEDURE IN DETAIL: The patient was prepped and draped in the usual manner and placed under adequate general anesthesia. A Pfannenstiel incision was performed and carried thru skin, and subcutaneous tissue, fascia, and the peritoneum. The peritoneal cavity was entered. The hemoperitoneum was noted, and approxiamately 500 mL of blood was rapidly evacuated from the pelvic cavity, as were large clots following this, the bowel was packed away from the pelvic area with packing laps. (Continued)
A retaining retractor was introduced. The left fallopian tube was noted. A large tubal ectopic pregnancy was noted affecting approximately the distal half of the fallopian tube.
Following this a Heaney clamp was placed in the mesosalpinx and another curved Heaney clamp was placed in the proximal aspect of the left fallopian tube beyond the area of the ectopic pregnancy. A partial salpingectomy was then performed, removing the portion of the left fallopian tube containing the ectopic pregnancy. Heaney clamps were then replaced with suture No. 1 Vicryl. Hemostasis was checked again and no bleeding was detected. Further evacuation of blood and blood clots was then performed. The right fallopian tube was noted to be...