Operative Report for Brenda C. Seggerman

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  • Topic: Ectopic pregnancy, Fallopian tube, Blood
  • Pages : 3 (471 words )
  • Download(s) : 1338
  • Published : January 20, 2013
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OPERATIVE REPORT

Patient Name: Brenda C. Seggerman
Patient ID: 903321
Date of Admission: 03/27/2012
Date of Procedure: 03/27/2012
Admitting Physician:
Surgeon: Rosemary Bumbak, MD
Assistant: Michael Gerard, DO
Preoperative Diagnosis: Left tubal ectopic pregnancy.
Postoperative Diagnosis:
1. Ruptured left ectopic tubal pregnancy.
2. Hemoperitoneum.
3. Pelvic adhesions.
Operative Procedures:
1. Exploratory laparotomy.
2. Partial salpingectomy.
3. Evacuation of hemoperitoneum.
4. Lysis of adhesions
Anesthesia: General endotracheal by Dr. Avalon
Specimen Removed: Portion of Left fallopian tube containing the ectopic pregnancy. IV Fluids: N/A
Estimated Blood Loss: Approximately 1000 mL requiring transfusion of 2 units of type O blood. Urine Output: N/A

(Continued)
OPERATIVE REPORT

Patient Name: Brenda C. Seggerman
Patient ID: 903321
Date of Procedure: 03/27/2012
Page 2

Complications: N/A
DESCRIPTION: 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 approximately 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. 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....
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