8. PREOPERATIVE DIAGNOSIS: Full-term baby with preeclampsia in the mother tried POSTOPERATIVE DIAGNOSIS: Same. PROCEDURE

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8 Preoperative Diagnosis Full Term Baby With Preeclampsia In The Mother Tried Postoperative Diagnosis Same Procedure 1 (53.42 KiB) Viewed 86 times

8 Preoperative Diagnosis Full Term Baby With Preeclampsia In The Mother Tried Postoperative Diagnosis Same Procedure 2 (50.87 KiB) Viewed 86 times

8. PREOPERATIVE DIAGNOSIS: Full-term baby with preeclampsia in the mother tried POSTOPERATIVE DIAGNOSIS: Same. PROCEDURE: Cesarean section. Patient was placed under general anesthesia quickly, and a lower abdominal mine om made from the umbilicus to the pubis. This was carried through the skin, subcutana and peritoneum. Upon exploration of the lower abdomen, the uterus was lying in a roma with only slight rotation. The peritoneal reflection of the bladder was incised, and the day dissected downward off the anterior part of the lower part of the uterus. A midline (roso made through the anterior wall of the uterus, the placenta was presenting, the incisione was vertical, the placenta and baby were delivered, and the cord was clamped and tra baby cried immediately and was not sedated. After the placental fragments were rem- uterine cavity, the uterine wall was closed in three layers using a running stitch of Och suture on each layer. Hemostasis was good. Pitocin and Ergotrate had been given, a minimal bleeding. Upon exploration, the gallbladder was normal. The blood and fluid out of the colic gutters and out of the cul-de-sac. The abdominal wall was then clos Potiont tolerated the procedure well.
7. PREOPERATIVE DIAGNOSIS: Repeat elective cesarean section POSTOPERATIVE DIAGNOSIS: Same. OPERATION PERFORMED: Repeat elective cesarean section via low delivery of Iving white malo child. ANESTHESIA: General endotracheal at patient's request. Patient was placed in supine position on the operating table; after ade domen for repeat C-section, she was immediately placed under ger immediately, an incision was made in the old low transverse cervical in midine from below the umbilicus to near the suprapubic region throug and scar tissue to the midine fascia and scar tissue, which was opene abdominal cavity was entered. There were some adhesions of the ome managed to get them out of the way without too much difficulty and w time Peritoneum was incised in the midine and continued out transven reflected by blunt and sharp dissection inferiorly and cut behind the ret kept out of harm's way. I then made a low transverse midline incision in continuing laterally with my fingers. As the incision went through the ute choroamniotic fluid, there were some very large vessels here. I do not but the vessels were certainly in the uterine wall here, trapped in scarti choroamniotic fuid was of normal color, odor, consistency, and volume problems baby was suctioned, and the rest of the baby was delivered Ming white male child. The cord was doubly clamped and out, and th De Clark who was acting as the baby doctor. Then 2 g of Mefoxin and contracted nicely, and the placenta was delivered without problem and The interne cavity and cervical regions were cleaned with dry spong out any and membranes that might be present, but there were none erne nosion was closed beginning at the left lateral side and continue nga dhromic continuous interlocking suture. A second suture was cooking for added hemostasis. When this was complete, there was Montana was achieved without problems. We went ahead and reappr one te venire incision, thereby repertonealizing the incision, and place police by using 2-0 chromic catgut continuous suture. The clots and b daly behind the uterus. All of these were taken out, and the abdominal wall were incised. Everything tel back into normal anato as was achieved without problem. The abdominal incision was not topproximate the peritoneum; O PDS continuous S the frit fascia: 3-0 POS continuous suture to reapprox LOPOS continuous suures, subcuticular style, with the knots burie Badenton and suctioned and sponged oil. Blood clots wert Nichyer of the abdominal Incision was rapproximated, the w The terus was contracting nicely. the patient seemed to to trgovca the groom for the recovery room in satisfactory condition with