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Cesarean Section Report

This document summarizes the steps of a secondary transverse cesarean section procedure. It details the preoperative preparation including hand washing and anesthesia initiation. It then describes opening the abdominal wall in layers and opening the uterus with a transverse incision. The fetus, placenta, and amniotic membrane are delivered, followed by exploration of the uterine cavity. The uterine wound is repaired with running sutures and the abdominal wound is closed in layers.

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amaliarizky
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86 views

Cesarean Section Report

This document summarizes the steps of a secondary transverse cesarean section procedure. It details the preoperative preparation including hand washing and anesthesia initiation. It then describes opening the abdominal wall in layers and opening the uterus with a transverse incision. The fetus, placenta, and amniotic membrane are delivered, followed by exploration of the uterine cavity. The uterine wound is repaired with running sutures and the abdominal wound is closed in layers.

Uploaded by

amaliarizky
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CESAREAN SECTION PROCEDURES

Preoperative Diagnosis

Postoperative Diagnosis

Operation Performed

: Secondary Transverse Cesarean Section

Surgeon

Assistant

Anesthesia

At

:
Performed Fuhrbrianger technics in washing hands

At

:
Anesthesia was initiated

At

:
The abdomen was prepped and drapped in sterile
fashion

At

:
Skin scratches (transverse caserion section).

Opening the Abdominal Walls Layer by Layer


At

:
A Pfannenstiel skin incision in the previous cesarean
section wound was made with a scalpel and carried
through from cutaneous and subcutaneous.

At

:
The small incision through to the level of the fascia of
restus abdominal muscle. (lamina anterior). The fascial
incision was extended bilaterally to the left and right
with anatomical pincett

At

:
Rectus abdominal muscle was elevated bluntly
dissected laterally until peritoneum was tented up

At

:
The parietal peritoneum was clamped with anatomical
forceps, and peritoneal was elevated and extended with
scissors superiorly and inferiorly. The edges of the
peritoneal incision performed with clamps.

Opening the Uterus


At

:
Peritoneal blaas was elevated with pincette, and was
cut out from right to the left, and separated with
clamps.

At

:
The transversal incision of the lower uterine segment
performed concavely

10 cm

through the

subendometrium. Endometrium was penetrated bluntly


with fingers.

Delivering the Fetus, Placenta, and Amniotic membrane


At

:
The Infants head was delivered atraumatically,
followed by the body and slipped finger between the
lower extremities

At

:
The Placenta and amniotic membrane was then
removed manually

At

:
To exploring the uterine cavity and internal uterine
ostium

At

:
The edges of the uterine incision wound was clamped
to help visualization

Repairing the uterine wound


At

:
The uterine incision was repaired with in a running
continuous interlocking fashion

Closing the abdominal wound


At

:
the abdominal
follow:

wound

repaired layer by layer as

1. To repaired the pariatel peritoneum

with

continuous sutures using catgut


2. The muscles was performed with interrupted
sutures (geknoopt)
3. The fascia of abdominal rectus muscle was
repaired as X figured sutures with catgut
4. If necessary, performed subcutaneous interrupted
sutures
5. The cutaneous was repaired with subcuticular
sutures using zidje suture according to the ekin
scratches then agraved as we need. If there was not
anagrave, the cutaneous was sutured with zijde
At

:
The operation completed

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