NAME OF PATIENT:

Room No.:

Medical Record No.:

IN PATIENT ( )

DATE OF ADMISSION:

DATE OF OPERATION:

SURGEON:

ANESTHESIOLOGIST:

OUT PATIENT ( )

PRE-OP DIAGNOSIS:
POST-OP DIAGNOSIS:
OPERATION PERFORMED:
MAJOR ( X )

MINOR ( )

OPERATIVE TECHNIQUE:
Induction of epidural anesthesia.
Asepsis and antisepsis. Insertion of indwelling Foley catheter.
Abdominal prep done. Sterile drapes placed.
Midline incision done, carried down to fascia. Peritoneum entered.
Retractors and packs applied.
Abdominopelvic organs inspected. Pathology identified.
Intraoperative Findings: There are notes of adhesions between the omentum and peritoneum. The
uterus was surgically absent. The left ovary, which was densely adherent to the pelvic
sidewalls and rectosigmoid colon was cystically enlarged to an 8 x 6 x 6 cm mass, which
was biloculated on cut section: L1 measured 4.5 x 3 x 4 cm that revealed serous fluid on
advertent rupture, L2 measured 3.5 x 3 x 1.8 cm that also revealed serous fluid on cut
section. The corresponding fallopian tube was bulbously enlarged to 8 x 1.5 x 0.5 cm. The
right ovary, which was likewise densely adherent to the pelvic sidewall and rectum
measured 3.5 x 1.5 x 0.5 cm and was grossly normal.
Adhesiolysis done.
Infundibulopelvic ligaments triply clamped, cut, ligated by free tie and suture ligated using silk 0.
Proceeded with Appendectomy (c/o Dr. S. Chan).
Bleeders ligated/cauterized.
Retractors and packs removed after complete instruments, needles and sponges count.
Abdomen closed in layers after complete needles, sponges and instruments count.
Peritoneum simple continuous using Chromic 2/0
Fascia continuous interlocking using Vicryl 0 T10
Subcutaneous simple interrupted using Plain 2/0
Skin Lemberts followed by subcuticular using Vicryl 4/0
Sterile dressing applied. Patient tolerated procedure well.
Specimen sent to the laboratory for histopathology.
Estimated blood loss: 300 cc