Operative Note Report Sample:
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|DATE OF SURGERY:||09/05/10|
|SURGEON:||Harry Richard, M.D.|
|ASSISTANT:||Pamela Walker, D.P.M|
DESCRIPTION OF OPERATION: The patient was placed on the operative table in the dorsal lithotomy position. Under general anesthesia, after prepping and draping in the usual sterile fashion, the bladder was emptied with a straight catheter. A bimanual pelvic examination revealed the patient had a normal exocervix, the uterus was enlarged about 10 cm. A wire speculum was placed in the posterior wall of the vagina. A tenaculum was grasped onto the lip of the cervix, after emptying the bladder with a straight catheter. The endometrial cavity was measured to 10 cm. We performed dilatation with Hegar #9. We then proceeded to explore the endometrial cavity obtaining a few fragments. Immediately after that, the endometrial cavity was explored with the curette #1 obtaining a sample of tissue. After being sure no excessive bleeding had occurred, we removed the tenaculum and speculum. We sent the patient to the Recovery Room in satisfactory condition.