Left Tubal Ectopic Pregnancy: Operative Report

Topics: Ectopic pregnancy, Surgery, Blood Pages: 2 (434 words) Published: April 12, 2015


PATIENT NAME: Bendra C. Seggerman

PATIENT ID: 903321

DATE OF ADMISSION: 03/27/- - - -

DATE OF PROCEDURE: 03/27/ - - - -

SURGEON: Rosemary Bumbak

ASSISTANT: Michael Gerarddo

PREOPERATIVE DIAGNOSIS: Left tubal ectopic pregnancy

POSTOPERATIVE DIAGNOSIS: 1: ruptured tubal ectopic pregnancy. 2. Hemoperitoneum 3. Pelvic adhesions

ANESTHESIA: General antiracial by Dr. Avalon

SURGICAL PROCEDURES: 1. exploratory laparotomy 2. Partial self-injectomy 3. Evacuation of hemoperitoneum 4. Licen of adhesions

PARAGRAPH: Procedure and detail, the patient was prepped and draped in the usual manner and placed under adequate general anesthesia. A fenistil incision was performed and carried through skin and substiamious tissue, fascia, and the . The paratinum cavity was entered. The hemoperitoneum was noted, and approximately 500ml 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 clasps. A retaining retractor was introduced. The left fallopian tube was noted. A large tubal ectopic pregnancy was noted effecting approximately the distill half of the fallopian tube. Following the adhaney clamp was placed in the measlepics and another curved Taney clamp was placed in the proximal aspect of the fallopian tube beyond the area of the ectopic pregnancy. A partial self-injectomy was then performed, removing the portion of the left fallopian tube containing the ectopic pregnancy. Haney clamps were then replaced with suitors of number one vicro. 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 covered with adhesions, both tubal adverian and tubal uterine adhesions. The adhesions were then sharply liced, freeing the right fallopian tube. Hemostasis was checked again, no bleeding was detected. Mild serocial abrasion was...
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