Date Visit Yyyy Explained for Students (Easy Guide)
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Original Question
Date of Visit: 05/02/YYYY Patient Name: Leila Longship Date of Birth: 11/12/1990 Gender: F Patient Type: Inpatient Reason for Visit: Cervical Incompetence Notes/Comments: Unit 3 Case Study 2 PREOPERATIVE DIAGNOSIS: Cervical incompetence POSTOPERATIVE DIAGNOSIS: Cervical incompetence OPERATION: Transabdominal cervical cerclage with broad Mersilene tape INDICATIONS: This is a 28-year old female discovered to have cervical incompetence and wishes to have this corrected. She presents today for a cervical cerclage. PROCEDURE: The patient was taken to the OR prepped, draped and placed under general anesthesia. Attention was turned to her abdomen where a transverse suprapubic incision was made. The vesical peritoneum overlying the lower uterine segment was divided transversely. The bladder and paravesical tissues were pushed caudally until the supravaginal cervix could be seen and palpated in the midline with good exposure laterally. The uterine vessels were displaced laterally, opening the paracervical connective tissue space. The needle was passed anteroposteriorly above the paracervical vessels immediately adjacent to the cervix at the level of the cervicoisthmic junction superior to the medial insertions of the uterosacral ligaments, care being taken to retract the uterine vessels laterally and to guide the needle tip with fingers behind the broad ligament. Before being pulled through completely, the band width of the tape was verified as being flush with the anterior cervicoist
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