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MANAGEMENT WITH
REPAIR OF BLADDER
NOORSALINNA BT MOHAMED
R00616
WARD 2B
PATIENT DEMOGRAPHIC
DATA
Name
: Female
:40 years
Race :Chinese
Religion :Buddhist
Past history
Past Obstetric History
Medical History
NIL
Surgical History
Family History
1) LSCS 2007
2) LSCS -2010
3) LSCS -2012
NIL
CURRENT HOSPITALIZATION
Reason
For Admission
Good of appetite.
ON OPERATIVE DAY
Fetched patient from ot via bed, post LSCS with repair of bladder due to bladder
laceration, anaesthesia under spinal .
CBD 22Fr 3way inplaced with 2nd bag 3000mls irrigation of N/saline running well.
Pad checked,1 and pad soaked,fresh blood seen .pad changed,swabbing done.
Review by midwife, uterus contracted,above umbilical. pv bleeding with fresh blood noted.
Indications
Possible indications include:
Cephalopelvic disproportion (use of pelvimetry is not
advised).
Malpresentation, eg breech, transverse lie.
Multiple pregnancy.
Severe hypertensive disease in pregnancy.
Fetal conditions: distress, iso-immunisation, very low
birthweight.
Failed induction of labour.
Repeat Caesarean section: two sections nearly always
means subsequent births should also be by Caesarean
section.
Pelvic cyst or fibroid.
Maternal infection, eg herpes, HIV.
UROLOGYST
-On CBD 22Fr 3way with continuous
N/saline irrigation.
PRE-OPERATIVE
1)
2)
3)
4)
Shaving
5)
6)
7)
8)
Explanation/emotional support.