PATIENT NAME: S.A.

B
OPERATION PERFORMED: TURP
PRE-OP DIAGNOSIS: BPH
DATE OF OPERATION: September 20, 2017
NAME OF STUDENT: ADLAWAN, Vianca Marie Yzabel A.
ROLE: Student Circulating Nurse

CS/CESAREAN SECTION
A c-section, or cesarean section, is the delivery of a baby through a surgical incision in
the mother's abdomen and uterus. In some circumstances, a c-section is scheduled in advance. In
others, the surgery is needed due to an unforeseen complication. If you or your baby is in
imminent danger, you'll have an emergency c-section. Otherwise, it's called an unplanned
section.

EQUIPMENT (standard)
 2 Babcock clamps (if tubal ligation planned)
 6 Allis clamps
 4 Pennington clamps (8 inch)
 2 Tissue forceps (toothed) (6 and 8 inch)
 2 Dressing forceps (smooth) (6 and 8 inch)
 2 Russian forceps (6 and 8 inch)
 4 Sponge forceps
 2 Adson forceps with teeth
 2 No. 20 blade
 No. 10 blade
 6 Curved hemostats (5½ inch)
 6 Curved Kelly clamps
 Needle holder
 Kocher or Ochsner clamps (7½ inch)
 2 Army-Navy retractor
 DeLee, Fritsch, or Rochard universal retractor
 Richardson retractor (small, medium, and large)
 Bandage scissors (7½ inch)
 Metzenbaum scissors (7 inch)
 Curved Mayo scissors (6½ inch)
 Suture scissors
  Straight Mayo scissors (6½ inch)
 Poole suction tip
 Yankauer tonsil suction tip
 Packages of suture (two packages each of 0 chromic and 1-0 Vicryl)
 20 Lap sponges
 Surgical stapler
 Bovie cautery device
 Cervical dilators

PROCEDURE:
The obstetrician will use a knife to make a horizontal incision in the skin and the
abdominal wall, usually along the bikini line, meaning that it's low enough down on the pelvis
that it would be covered up by underwear or a bikini bottom. Some women may get a vertical, or
up-and-down cut, she said. After the abdomen is opened, an incision is made in the uterus.
Typically, a side-to-side (horizontal) cut is made, which ruptures the amniotic sac surrounding
the baby. Once this protective membrane is ruptured, the baby is removed from the uterus, the
umbilical cord is cut, and the placenta is removed. The baby is examined then given back to the
mother for skin-to-skin contact. The cut made to a woman's uterine wall is an important one
because the way this uterine scar heals can affect her ability to have a vaginal birth in the future.
Once the delivery and afterbirth are completed, the cuts made to the mother's uterus are repaired
with stitches, which will eventually dissolve under the skin. The abdominal skin is closed with
stitches or with staples, which will be removed before a woman leaves the hospital. A woman
typically spends 60 to 120 minutes in the operating room for a C-section, depending upon
whether any complications arise during the delivery. After the surgery, a woman will be taken to
the hospital's maternity ward to recover.