rosemary bumbak
OPERATIVE REPORT
Patient Name: Brenda C. Seggerman
Patient ID: 903321
Date of Admission: 03/27/2014
Date of Procedure: 03/27/2014
Admitting Physician: Rosemary Bumbak, MD
Surgeon: Rosemary Bumbak, MD
Assistant: Michael Gerard, DO
Preoperative Diagnosis: Left Tubule Atopic Pregnancy
Postoperative Diagnosis: 1. Ruptured Left Tubule Ectopic Pregnancy 2. Hemoparatonium 3. Pelvic Adhesions
Operative Procedure: 1. Exploratory Laparotomy 2. Partial Salpemjectomy 3. Evacuation of Hemoparatonium 4. Lysis of Adhesions
Anesthesia: General Endotracheal by Dr. Avalon
Specimen Removed: Portion of Left Fallopian Tube containing the Ectopic Pregnancy
Estimated Blood Loss: Approximately 1,000 ml requiring transfusion of 2 units of whole blood
DESCRIPTION: Procedure in detail, the patient was prepped and draped in the usual manner and placed under adequate general Anesthesia. Pfannenstiel incision was performed and carried through skin and subcutaneous tissue, fascia, and the Peritoneum. The Peritoneal Cavity was entered. The Hemoperitoneum was noted, and approxiamately 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 Number 1 Vicryl. Hemostasis was checked again and no bleeding was detected. Further evacuation of blood and blood clots was then performed. The Right Fallopian was noted to be covered with
Patient Name: Brenda C. Seggerman
Patient ID: 903321
Date of Admission: 03/27/2014
Date of Procedure: 03/27/2014
Admitting Physician: Rosemary Bumbak, MD
Surgeon: Rosemary Bumbak, MD
Assistant: Michael Gerard, DO
Preoperative Diagnosis: Left Tubule Atopic Pregnancy
Postoperative Diagnosis: 1. Ruptured Left Tubule Ectopic Pregnancy 2. Hemoparatonium 3. Pelvic Adhesions
Operative Procedure: 1. Exploratory Laparotomy 2. Partial Salpemjectomy 3. Evacuation of Hemoparatonium 4. Lysis of Adhesions
Anesthesia: General Endotracheal by Dr. Avalon
Specimen Removed: Portion of Left Fallopian Tube containing the Ectopic Pregnancy
Estimated Blood Loss: Approximately 1,000 ml requiring transfusion of 2 units of whole blood
DESCRIPTION: Procedure in detail, the patient was prepped and draped in the usual manner and placed under adequate general Anesthesia. Pfannenstiel incision was performed and carried through skin and subcutaneous tissue, fascia, and the Peritoneum. The Peritoneal Cavity was entered. The Hemoperitoneum was noted, and approxiamately 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 Number 1 Vicryl. Hemostasis was checked again and no bleeding was detected. Further evacuation of blood and blood clots was then performed. The Right Fallopian was noted to be covered with