ObGynAI — Surgery Templates

DATE OF SURGERY: 05/23/2026 11:08 PM
PRE-OP DIAGNOSIS: Adhesions
POST-OP DIAGNOSIS: Adhesions
PROCEDURE: Laparoscopic Lysis of Adhesions
EBL: Minimal
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 dorsal lithotomy position with . The time out safety protocol was called out by the surgeon and affirmed by all personnel present. A sponge stick was placed vaginally. A 5mm umbilical incision was made, and the verres needle was used to create a pneumoperitoneum. A 5mm trocar was then placed without difficulty. The camera was then introduced, and the pelvis was inspected with the findings as described above. The patient was placed in trendelenburg. A 5mm suprapubic port and left lateral port were then placed under direct visualization without difficulty. The harmonic scalpel and/or endoscopic shears were used to lyse the adhesions as described in the findings. Good hemostasis was confirmed. The implants of endometriosis where fulgurized using a harmonic scalpel. A uterine manipulator was placed in the uterus without difficulty. The surgeon then removed over gloves and moved to the abdomen. A 5mm umbilical incision was made, and the verres needle was used to create a pneumoperitoneum. A 5mm trocar was then placed without difficulty. The camera was then introduced, and the pelvis was inspected with the findings as described above. The patient was placed in Trendelenburg. Both fimbriated ends of the fallopian tubes where identified. An 8mm suprapubic port was placed. The Ligasure was used to remove both Fallopian tubes. Hemostasis was confirmed. The instruments were then removed and the pneumoperitoneum was evacuated. The instrument and lap count where correct. The incision was reapproximated using two simple interrupted 4-0 Vicryl sutures. The uterine manipulator was removed. The ureters where visualized trans-peritoneal and noted to be peristaltic and away from any surgical area. All pedicles where re-inspected under low pressure and noted to be hemostatic. The instruments were then removed, the pneumoperitoneum was evacuated, and the instrument count was correct times two. The incision sites where reapproximated using 4-0 Vicryl.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 dorsal lithotomy position with candy cane stirrups. The time out safety protocol was called out by the surgeon and affirmed by all personnel present. A weighted speculum was placed in the vagina and retractors were used for visualization. The electrosurgical instrument was then used to excise a cone shaped biopsy from the cervix. The ectocervix was then cauterized using the electrocautery to provide hemostasis and to treat ectocervical dysplasia. Good hemostasis was confirmed. The patient was then brought out of anesthesia and transferred to the recovery room in excellent condition. She was given detailed discharge instructions and plans for follow up. CKC The patient was then brought out of anesthesia and transferred to the recovery room in excellent condition. She was later given detailed discharge instructions and plans for follow up.

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lsAdhesions