5. PREOPERATIVE DIAGNOSIS: Uterine fibroids. POSTOPERATIVE DIAGNOSIS: Same, with possible adenomyosis of endometriosis.

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5 Preoperative Diagnosis Uterine Fibroids Postoperative Diagnosis Same With Possible Adenomyosis Of Endometriosis 1 (53.31 KiB) Viewed 124 times

5. PREOPERATIVE DIAGNOSIS: Uterine fibroids. POSTOPERATIVE DIAGNOSIS: Same, with possible adenomyosis of endometriosis. PROCEDURE: Total abdominal hysterectomy, bilateral salpingo-oophorectomy, and incidery appendectomy. Under general anesthesia, a bimanual examination was performed. The uterus was denneye seemed to be irregular. A lower abdominal midline incision was made through the skin, au tissue, and anterior rectus fascia. The recti muscles were retracted laterally , and the perforer entered. Upon exploration, both lobes of the liver were normal . The gallbladder had many are around it but no palpable stones within it. The kidneys were normal, and the aorta was nome appendix was in place; and at the end of the procedure, a routine appendectomy was partne panhysterectomy was performed by incising the perineal reflection of the bladder, dissecting ha downward anteriorly and onto the anterior wall of the vagina. Bilaterally the infundibujopeke y broad ligament, and cardinal ligament were clamped, transected, and ligated. The vagra was the uterus along with the tubes and ovaries were removed. The vaginal cuff was then closed continuous stitch of a chromic catgut suture. The round ligaments were then attached to be with a chromic suture. Hemostasis was good. Routine appendectomy was performed, and the wall was closed in layers. a