Obstetrics / Gynecology
Sample Name: Tubal Ligation
Description: Laparoscopic bilateral tubal ligation with Falope rings.
(Medical Transcription Sample Report)
DIAGNOSIS: Multiparous female, desires permanent sterilization.
NAME OF OPERATION: Laparoscopic bilateral tubal ligation with Falope rings.
ANESTHESIA: General, ET tube.
FINDINGS: Normal female anatomy except for mild clitoromegaly and a posterior uterine fibroid.
An infraumbilical incision was made with the knife. A Veress needle was inserted into the abdomen. Intraperitoneal location was verified with approximately 10 cc of sterile solution. A pneumoperitoneum was created. The Veress needle was then removed, and a trocar was inserted directly without difficulty. Intraperitoneal location was verified visually with the laparoscope. There was no evidence of any intra-abdominal trauma.
Each fallopian tube was elevated with a Falope ring applicator, and a Falope ring was placed on each tube with a 1-cm to 1.5-cm portion of the tube above the Falope ring.
The pneumoperitoneum was evacuated, and the trocar was removed under direct visualization. An attempt was made to close the fascia with a figure-of-eight suture. However, this was felt to be more subcutaneous. The skin was closed in a subcuticular fashion, and the patient was taken to the recovery room awake with vital signs stable.
Keywords: obstetrics / gynecology, sterilization, laparoscopic bilateral tubal ligation with falope rings, falope ring applicator, laparoscopic bilateral tubal ligation, bilateral tubal ligation, veress needle, tubal ligation, falope rings, anesthesia, tubal, ligation, falope,