Findings At Surgery Normal fallopian tubes bilaterally Description of Operative Procedure

After assuring informed consent, the patient was taken to the operating room and spinal anesthesia administered. A small, transverse, infraumbilical skin incision was made with a scalpel, and the incision was carried down through the underlying fascia until the peritoneum was identified and entered. The left fallopian tube was identified, brought into the incision and grasped with a Babcock clamp. The tube was then followed out to the fimbria. An avascular midsection of the fallopian tube was grasped with a Babcock clamp and brought into a knuckle. The tube was doubly ligated with an O-plain suture and transected. The specimen was sent to pathology. Excellent hemostasis was noted, and the tube was returned to the abdomen. The same procedure was performed on the opposite fallopian tube.

The fascia was then closed with O-Vicryl in a single layer. The skin was closed with 3-O Vicryl in a subcuticular fashion. The patient tolerated the procedure well. Needle and sponge counts were correct times 2. Estimated Blood Loss (EBL): <20 cc Specimens: Segments of right and left tubes Drains: Foley to gravity

Fluids: Input - 500 cc LR; output - 300 cc clear urine Complications: None

Disposition: The patient was taken to the recovery room in stable condition.

0 0

Post a comment