Monday, May 27, 2019

Brenda C. Seggerman Essay

hemoperitoneum was noted, and approximately 500 mL of blood was rapidly evacuated from the pelvic cavity, as were large clots. sideline this, the bowel was packed away from the pelvic area with packing laps. A retaining retractor was introduced. The leftover fallopian tube was noted. A large tubal ectopic pregnancy was noted, modify 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 cheek 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. 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 covered with adhesions, two tubo-ovarian and tubo-uterine adhesions. The adhesions were then sharply lysed, freeing the right fallopian tube. Hemostasis was checked again. No bleeding was detected.Mild serosal abrasion was noted from the area where the ectopic pregnancy was evidently attached to the bowel. This was not bleeding and was very superficial. Hemostasis was checked, and no bleeding was detected.The peritoneum was then closed continuously with 0 chromic suture. The fascia was approximated with interrupted figure-of-8 stitches of 0 Vicryl, and the unclothe was approximated with the staple gun.OPERATIVE REPORTPatient Name Brenda C. SeggermanPatient ID 903321Date of Surgery 03/27/-Page 3The patient tolerated the procedure well and left the operating room in satisfactory condition. All counts were correct. Blood loss was estimated at 1000 mL, which was replaced with 2 units of whole blood while in recovery.________________________rosemary Bumbak, MDObstetrics & GynecologyRBxx(your initials in lower case)D03/27/-T03/27/-

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