ObGynAI — Surgery Templates

DATE OF SURGERY: 05/23/2026 11:08 PM
PRE-OP DIAGNOSIS: Adnexal Mass
POST-OP DIAGNOSIS: Adnexal Mass
PROCEDURE: Bilateral Oopherectomy
EBL: Minimal
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. Metzenbaum scissors were used to lyse the adhesions as described in the findings. Good hemostasis was confirmed. 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 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 then reapproximated with a running stitch from either end towards the middle using 1-Vicryl. Electrocautery was used in the subcutaneous tissue to ensure hemostasis. The repeat instrument and lap count were correct. . The incision was dressed with . The patient was then brought to the recovery room in excellent condition.

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