Sample Type / Medical Specialty: Surgery
Sample Name: Vaginal Hysterectomy
Vaginal Hysterectomy. A weighted speculum was placed in the posterior vaginal vault. The cervix was grasped with a Massachusetts clamp on both its anterior and posterior lips.
(Medical Transcription Sample Report)
The patient was prepared and draped in the usual sterile manner for an abdominoperineal procedure. A weighted speculum was placed in the posterior vaginal vault. The cervix was grasped with a Massachusetts clamp on both its anterior and posterior lips. With downward traction, we made a circumferential incision of the vaginal mucosa. This allowed dissection and entrance into the posterior cul-de-sac. At this time we visualized the uterosacral ligaments. These were clamped and ligated with #0 Vicryl suture. The cervicovesical space was then created by both blunt and sharp dissection, allowing us to see the cardinal ligaments. These were clamped and ligated with #0 Vicryl suture as well. Once in the cervicovesical space, we were then able to completely ligate the uterosacral-cardinal ligament complex with #0 Vicryl suture. The anterior cul-de-sac was then entered sharply. Omentum and intestines were then visualized through the anterior cul-de-sac window and we began removal of the uterine body. The uterine arteries were then clamped and ligated with #0 Vicryl suture and carried upward toward the uterus until complete removal was obtained. Number 0 Vicryl suture was used on all major pedicles with Heaney clamping. The tubes and ovaries were visualized on either side. The ovarian-tubal complex was doubly ligated with #0 Vicryl suture. We then removed the weighted duckbill speculum and placed a regular speculum in the vaginal vault and visualized the entire area. We inspected for hemostasis, and this was secured. Angled sutures were placed at 3 and 9 o'clock using #0 Vicryl suture in the usual manner. Once these angled sutures were placed and tension was applied, we could see the peritoneum on either side. We closed the peritoneum with #0 Vicryl in a running continuous manner. Hemostasis was excellent. We irrigated copiously. The sponge count was correct times 2 at this time. We then began closure of the vaginal mucosa. Number 0 Vicryl suture was used to close the vaginal mucosa in a running continuous manner, starting at the 9 and 3 o'clock positions and meeting in the midline. A Foley catheter was then inserted and clear urine was obtained. The patient's procedure was terminated. We then awakened her. She was sent to the Recovery Room in good condition.
surgery, omentum, massachusetts, vaginal hysterectomy, vaginal vault, vaginal mucosa, vicryl suture, hysterectomy, ligaments, speculum, ligated, vaginal, suture,
transcribed medical transcription sample reports and examples are provided by various users and
are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports.
These transcribed medical transcription sample reports may include some uncommon or unusual formats;
this would be due to the preference of the dictating physician. All names and dates have been
changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or
place or anything else to real world is purely incidental.