H.M.

CORACHEA GENERAL HOSPITAL

A. Collantes St., Brgy. 7, Tanauan City, Batangas
Tel. Nos. (043) 778-1298 / (043) 784-8386
E-mail address: hm_corachea@yahoo.com

RECORD OF OPERATION

LAST NAME FIRST RM#

MIDDLE 220
POLIDO LORETA
DP
SURGEON 1ST ASSISTANT 2ND ASSISTANT DATE
Dr.Luzviminda A. ADEL LIRIO RM
Corachea
ANESTHESIOLOGIST ANESTHETICS
DR M. SORIANO BUPIVACAINE

SCRUB NURSE CIRCULATING NURSE TIME STARTED TIME ENDED

8:00AM 9:42AM

PREOPERATIVE DIAGNOSIS
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PREGNANCY UTERINE 38 1/7 WEEKS AOG NOT IN LABOR; PREV REPEAT LOW SEGMENT TRANSVERSE
CESAREAN SECTIOM 2X (1ST FOR FETOPELVIC DISPROPORTION) G3P2(2002)
POST OPERATIVE DIAGNOSIS
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PREGNANCY UTERINE DELIVERED VIA REPEAT LOW SEGMENT TRANSVERSE CESAREAN SECTION UNDER
SPINAL ANESTHESIA; TERM CEPHALIC, FEMALE LIVEBIRTH; PREV REPEAT LOW SEGMENT TRANSVERSE
CESAREAN SECTIOM 2X (1ST FOR FETOPELVIC DISPROPORTION) G3P3(3003)
MATERIAL FORWARDED TO LABORATORY FOR EXAMINATION

OPERATION PERFORMED
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REPEAT LOW SEGMENT TRANSVERSE CESAREAN SECTION WITH BILATERAL TUBAL LIGATION
DESCRIPTION OF OPERATION
Major Minor
TECHNIQUE (TO INCLUDE INCISION, DRAINAGE, SUTURES)
FINDINGS
IMMEDIATE POST OPERATIVE CONDITION
Under spinal anesthesia, patient was placed in a supine position. She was aseptically catheterized, prepared, and draped. Excision of
previous midline infraumbilical scar was done. Incision was then carried down to the fascia with muscle splitting. Peritoneum was incised and
entered exposing a gravid uterus, with dense adhesion of the abdominal peritoneum to the to the anterofundal surface of the uterus and
bladder.Bladder retractor was placed. An incision was done at the vesico-uterine fold; bladder was deflected downwards. A transverse,
curvilinear incision was done at the lower uterine segment until bag of waters was ruptured revealing a clear amniotic fluid. A live, term,female
child in cephalic presentation was delivered. Cord was doubly clamped and cut. Manual extraction of placenta was done. Uterus was closed in
layers as follows:
1st layer: Monocryl 1-0 atraumatic continous interlocking
2nd layer: Monocryl1- 0 atraumatic simple continuous
3rd layer: Chromic 2-0 atraumatic simple continuous
Bleeders checked and ligated. Adnexae were both grossly normal looking. This preceded bilateral tubal ligation. A series of Kelly clamp applied
at the ampullary portion of the tube and elevated into a convenient position and the tube was cut and tied using silk 1-0 non atraumatic suture
and sutured with chromic 1 -0 non atraumatic suture Abdomen closed in layers after complete count of needles, instruments and sponges.
Peritoneum: Chromic 2-0 atraumatic simple continuous
Fascia: Vicryl 0 atraumatic continuous interlocking
Subcutaneous: Plain 2-0 non atraumatic simple interrupted
Skin: Monocryl 4-0 atraumatic subcuticular
Antisepsis, Sterile dressing applied. Blood clots evacuated per vagina
Patient tolerated procedure well.

LUZVIMINDA A. CORACHEA, M.D.