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Histerectomy Operative Report

Title of Operation: Total abdominal histerectomy and bilateral salpingo-oophorectomy

Findings At Surgery: Enlarged 10 x 12 cm uterus with multiple fibroids. Normal tubes and ovaries bilaterally. Frozen section revealed benign tissue. All specimens sent to pathology.

Description of Operative Procedure: After obtaining informed consent, the patient was taken to the operating room and placed in the supine position, given general anesthesia, and prepped and draped in sterile fashion.

A Pfannenstiel incision was made 2 cm above the symphysis pubis and extended sharply to the rectus fascia. The fascial incision was bilaterally incised with curved Mayo scissors, and the rectus sheath was separated superiorly and inferiorly by sharp and blunt dissection. The peritoneum wasgrasped between two Kelly clamps, elevated, and incised with a scalpel. The pelvis was examined with the findings noted above. A Balfour retractor was placed into the incision, and the bowel was packed away with moist laparotomy sponges. Two Kocher clamps were placed on the cornua of the uterus and used for

The round ligaments on both sides were clamped, sutured with #0 Vicryl, and transected. The anterior leaf of the broad ligament was incised along the bladder reflection to the midline from both sides, and the bladder was gently dissected off the lower uterine segment and cervix with a

The retroperitoneal space was opened and the ureters were identified bilaterally. The infundibulopelvic ligaments on both sides were then doubly clamped, transected, and doubly ligated with #O Vicryl. Excellent hemostasis was observed. The uterine arteries were skelatinized bilaterally, clamped with Heaney clamps, transected, histerectomy