ObGynAI — Surgery Templates

DATE OF SURGERY: 05/23/2026 11:07 PM
PRE-OP DIAGNOSIS: Term Pregnancy
POST-OP DIAGNOSIS: Term Pregnancy
PROCEDURE: Stat Cesarean
EBL: 500
SPECIMENS: None
CONDITION: excellent
APGARS: 1'=8 5'=9
PRESENTATION: Vertex
PLACENTA: Normal
UMBILICAL CORD: 3 Vessel

Description of procedure

The patient was brought to the operating room. She had general endotracheal for anesthesia. She was placed in the supine position with a left lateral tilt. A Foley catheter was inserted if not already in place and she was prepped and draped in the usual sterile fashion. The time out safety protocol was called out by the surgeon and affirmed by all personnel present. A was then made, with blunt and sharp dissection to the peritoneal cavity. A . The baby was then delivered with bulb suction on the abdomen as appropriate. . The baby was then handed to the attendant. The placenta was manually extracted. The contents of the uterus were then evacuated using a moist lap sponge. The uterine incision was then reapproximated using 0-chromic in a running locking stitch. See findings for decisions regarding hysterectomy. The round ligaments were then suture ligated and cut using 0-Vicryl. The ovary was elevated, the utero-ovarian 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 side. The ovarian pedicles where attached to the round ligament pedicles to avoid their falling and adhering to the vaginal cuff. The broad ligament was then taken down in a stepwise fashion using curved Haney'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 was correct. 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. Electro cautery was used in the subcutaneous tissue to ensure hemostasis. . The excess pannus was excised with a scalpel and electrocautery. A JP drain was placed. Quill suture was used to reapproximate the subcutaneous tissue. An additional pressure dressing was used. . The incision was dressed with . The patient was then brought to the recovery room in excellent condition.

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Baby

Baby A