Brenda C. Seggerman

Topics: Ectopic pregnancy, Surgery, Blood Pages: 3 (441 words) Published: October 13, 2013
OPERATIVE REPORT________________________ Case 1

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. Avalon.

Estimated Blood Loss: Approximately 1000 mL requiring transfusion of 2 units of whole blood.

Specimen Removed: Portion of the left fallopian tube containing the ectopic pregnancy.

Preoperative Diagnosis: Left tubal ectopic pregnancy.

Postoperative Diagnoses
1. Ruptured left tubal ectopic pregnancy.
2. Hemoperitoneum.
3. Pelvic adhesions.

Surgical Procedures
1. Exploratory laparotomy.
2. Partial salpingectomy.
3. Evacuation of hemoperitoneum.
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 through skin and subcutaneous tissue, fascia, and the peritoneum. The peritoneal cavity was entered. The

OPERATIVE REPORT

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

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 sutures of No....
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