ObGynAI — Surgery Templates

DATE OF SURGERY: 05/23/2026 11:08 PM
PRE-OP DIAGNOSIS: Leiomyoma Uteri
POST-OP DIAGNOSIS: Leiomyoma Uteri
PROCEDURE: Total Abdominal Hysterectomy / BSO
EBL: 200
SPECIMENS: Uterus, Fallopian Tubes
CONDITION: excellent

Description of procedure

The patient was brought to the operating room and general endotracheal was initiated. The patient was then prepped and draped in the usual sterile fashion in the supine position. The time out safety protocol was called out by the surgeon and affirmed by all personnel present. A was performed with blunt and sharp dissection to the peritoneal cavity. The was then placed with confirmation of appropriate placement and depth. The pelvis and upper abdomen were inspected with the findings as described above. Two Kocher clamps were then placed on either side of the uterus to facilitate uterine elevation. The round ligaments were then suture ligated and cut using 0-Vicryl. The ovary was elevated, the infundibulopelvic ligament was then suture ligated and cut using 0-Vicryl. The ureter was identified and noted to be well away and peristaltic. The same was performed on the opposing ovary. The broad ligament was then taken down in a stepwise fashion using curved Heaney's and 0-Vicryl pop-offs. The bladder flap was developed with Metzenbaum scissors and dissected bluntly and sharply and moved caudad. The dissection continued down through the cardinal and uterosacral ligaments. The uterus was then removed, and the cervix was noted to be removed in its entirety. The vaginal cuff was reapproximated using a running locking stitch with 0-Vicryl from either end towards the middle. Good hemostasis was ensured. The instrument and lap count were correct. The appendix was isolated and elevated with a Babcock clamp. The mesoappendix was taken down using 2-0 Vicryl and Kelly clamps. The base of the appendix was doubly ligated with 0-Vicryl. The appendix was then excised and the contaminated instruments were passed off the field. The base of the appendix was cauterized to avoid a mucocele. The peritoneum was then closed using running 2-0 Vicryl. A Balfour retractor was then placed in the space of Retzius. A gloved finger was then placed in the vagina, displacing the Foley/bladder to one side. Three sutures using 2-0 Gortex where place in the vagina lateral to the urethra. The sutures where anchored to Cooper's ligament on the matching side. The same was performed on the opposing side. Each matching suture was then tied down to elevate the urethra. The Foley was briefly adjusted to confirm appropriate tightness to the suspension. Good hemostasis was ensured. The fascia was reapproximated using 1-Vicryl in a running stitch from either end toward the middle. The lap and instrument count was again correct. Electrocautery was used in the subcutaneous tissue to ensure hemostasis. . . The incision was dressed with . The patient was then brought to the recovery room in excellent condition.

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TAH_BSO