ORIENTAL MINDORO PROVINCIAL HOSPITAL

CITY OF CALAPAN

OPERATION RECORD
(CESAREAN SECTION)

Date:
Hospital No.:

NAME: AGE: SEX: STAUS:

ADDRESS: WARD: CLASSIFICATION:

PRE-OPERATIVE DIAGNOSIS:

POST-OPERATIVE DIAGNOSIS:

PROCEDURE PERFORMED:

TIME STARTED: TIME FINISHED:

SURGEON: ASSISTANT SURGEON:
SCRUB NURSE: CIRCULATING NURSE: BABY OUT:
ANESTHESIOLOGIST: ANESTHESIA/TIME:

SPECIMEN REMOVED (DESCRIPTION):

FINDINGS/REMARKS:

TECHNIQUE OF OEPRATION:
Patient on supine position under _______ anesthesia. Asepsis and antisepsis technique. Urinary bladder catheterization. Sterile draping___________
Vertical midline hypogastric incision is made from skin and carried down to peritoneum exposing a gravid uterus. Bladder recfractor applied.
Uterovesicular flap is seperated. Curvilinear/transverse incision is made at lower uterine segment/body of uterus. Delivary of a____________baby
_________ in presentation. Doubly cord clamped and cut in between. Delivery of placenta. Manual evacuation of uterine contents. Closure of uterus
in _____________ layers. First layer using _____________ , second layer using ______________ and 3rd layer using ______________.
Inspection and evacuation of blood clots along abdominal gutter and adjacent organs. Anatomical closure of abdomen after complete and correct
count of sponges, instruments and needles. Closure of peritoneum using _______________ suture fascia using _____________ suture. Subcutaneous
layer using _____________ suture and skin using _______________ suture. Provide lodine paint over operative wound. Sterile and compressed top
dressing. Evacuation of blood per vagina. Antisepsis. Patient tolerated the procedure well.

O.R NURSE SURGEON