ObGynAI — Surgery Templates

DATE OF SURGERY: 05/23/2026 11:09 PM
PRE-OP DIAGNOSIS: Endometriosis
POST-OP DIAGNOSIS: Endometriosis
PROCEDURE: Laparoscopic Fulguration of Endometriosis
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 was placed to assist with uterine mobility. A 5mm umbilical incision was made. . The camera was then introduced, and the pelvis was inspected with the findings as described above. The patient was placed in trendelenburg. The implants of endometriosis where fulgurated using . The harmonic scalpel and/or endoscopic shears were used to lyse the adhesions as described in the findings. Good hemostasis was confirmed.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 and the pneumoperitoneum was evacuated. The instrument and lap count where correct. The fascia was dissected from the subcutaneous tissue to clearly delineate the facial defect. The fascia was then reapproximated using interrupted 0-Vicryl. The port sites were re-closed using 4-0 Vicryl and 2-0 Vicryl on the fascia for the larger port sites. Bupivacaine was injected at the port sites for post op analgesia. The vaginal/uterine manipulator was then removed. A single tooth tenaculum was placed on the anterior lip of the cervix. Cervical dilators were then used to dilate the cervix. The hysteroscope was then introduced with the findings as described above. Lactated Ringers was used as a distending medium. A sharp curettage of the endometrial cavity was then performed, with removal of endometrial tissue and any other tissue as described in the findings above. Good hemostasis was confirmed. The specimen was sent to pathology. The cavity length and cervical length were determined per routine. The Novasure endometrial ablation device was then introduced without difficulty, and the width measurement was then recorded on the device. The cavity integrity CO2 test was performed and passed. The ablation was carried out without difficulty. See findings for details. After removal of the instrument, good hemostasis was confirmed. The Thermachoice endometrial ablation device was primed, then introduced without difficulty per routine. After stabilization of internal pressure, the ablation was carried out in the standard fashion, passing all safety checks. See findings for details. After removal of the instrument, good hemostasis was confirmed. The endometrial ablation device was then introduced without difficulty per routine. The ablation was carried out in the standard fashion, passing all safety checks. See findings for details. After removal of the instrument, good hemostasis was confirmed. 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 than brought out of anesthesia and transferred to the recovery room in excellent condition.

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lsEndometriosis