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    The document describes a pelvic laparotomy procedure with left salpingo-oophorectomy surgery to remove a fallopian tube and ovary. It lists the instruments used during the surgery such as scalpels, scissors, forceps, and retractors. It also lists the types of sutures used to close different layers of tissue. Spinal anesthesia was used and the document outlines nursing care after surgery including positioning the patient to promote comfort and prevent complications like aspiration, avoiding exposure and rough handling, and monitoring vital signs and dressings.

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    The document describes a pelvic laparotomy procedure with left salpingo-oophorectomy surgery to remove a fallopian tube and ovary. It lists the instruments used during the surgery such as scalpels, scissors, forceps, and retractors. It also lists the types of sutures used to close different layers of tissue. Spinal anesthesia was used and the document outlines nursing care after surgery including positioning the patient to promote comfort and prevent complications like aspiration, avoiding exposure and rough handling, and monitoring vital signs and dressings.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    34 views2 pages

    Assignment

    Uploaded by

    danielleyu
    The document describes a pelvic laparotomy procedure with left salpingo-oophorectomy surgery to remove a fallopian tube and ovary. It lists the instruments used during the surgery such as scalpels, scissors, forceps, and retractors. It also lists the types of sutures used to close different layers of tissue. Spinal anesthesia was used and the document outlines nursing care after surgery including positioning the patient to promote comfort and prevent complications like aspiration, avoiding exposure and rough handling, and monitoring vital signs and dressings.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    Danielle Lois L.

    Yu April 24,2010
    BSN-3 NA Mrs. Ma . Charisma Requerme , RN

    Pelvic Laparotomy- left salpingo-oophorectomy


    -it is the surgical removal of an fallopian tube and the left ovary. This surgery is performed to treat ovarian
    or other gynecological cancers, or infections caused by pelvic inflammatory disease.

    Instruments used:
    Scalpel - used to dissect, incise, separate, or excise tissues
    Metzenbaum- used for cutting or dissecting delicate tissue
    Mayo Scissors- used for dissecting heavy tissue / used for cutting sutures, dressings and drains
    Toothed forceps- they are being serrated, provide firm hold on tough tissues-including skin
    Pick ups or thumb forceps- they are tapered with serrations at the tip (they will not injure delicate
    structures )
    Babcock forceps- used to pick up or hold soft tissue and vessels
    Mosquito forceps- used to occlude blood vessels
    Kelly forceps- used to occlude blood vessels
    Pean forceps- used to occlude blood vessels
    Heaney forceps
    Richardson retractor- for exposing and retracting for exposure of the surgical site
    Army-navy retractor- for exposing and retracting for exposure of the surgical site
    Needle holder- used to grasp and hold curved surgical needles
    Suction machine- suction body fluids, blood, tissue, and irrigating solution
    Towel clips- used to clip for the drapes and for the suction

    Sutures used:
    All are absorbable sutures

    1. Peritoneum - Chromic 2-0


    2. Muscle - Chromic 2-0
    3. Fascia - Vicryl 1-0
    4. Subcutaneous - Plain 2-0
    5. Skin - Vicryl 1-0

    *Regional Anesthesia was used


    -Spinal anesthesia

    Nursing care of Clients During the Immediate Postoperative Recovery


    Position client to promote patent airway and prevent aspiration.
    Avoid exposure of the client. To protect privacy and prevent chills.
    Avoid rough handling of the patient. This affect his/ her comfort.
    Avoid hurried movement and rapid changes in position. This may cause hypotension.
    Perform baseline assessment:
    *Vital signs
    *Status of respirations
    *General color
    *Level of consciousness
    *Type and amount of IV fluids or blood transfusion
    *Special equipments
    *Dressings

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