SURGICAL TECHNOLOGY PROGRAM Operative Summary Case Form STUDENT Andrea Acosta DATE_ 10/03/22 HOSPITAL PMHD Week# 3 PROCEDURE Laparoscopic Cholecystectomy ROTATION #_1 CIRCLE ROLE 1" scrub 2" scrub Circulator DIRECTIONS: PLEASE COMPLETE- ALL BLANK SPACES WILL BE DEDUCTED Procedure and Brief Overview: Minimally invasive Endoscopic excision if the Gallbladder ALL DRUGS / SOLUTIONS USED IN THE CASE: 0.5% marcaine plain 0.9% saline 1000mL for Endoflow irrigator 0.9% saline irrigation 1000mL Have Floseal and Surgicel available in room ANESTHESIA TYPE: General anesthesia DRAPES USED: Sticky towels, 3/4 sheet and a laparotomy sheet INSTRUMENT TRAY: Laparoscopic instrument tray TIES: 0 Vicryl tie SUTURE TYPE: N/A NUMBER COUNTS PERFORMED (please identify which phase of surgery) First count performed is opening counts, and last count performed at closing suture YOUR PERSONAL GOALS FOR THE CASE: Learn the mayo setup for this case PATIENT POSITION: Supine SPECIMEN: HOW WAS IT SENT? Sterile cup with formalin SKIN PREPARATION SITE: you may draw a torso Using Chloraprep begin at the midline and extend from level of the axilla to the pubic symphysis and down to the table at the sides. INCISION: The Veress needle or an open cut-down approach are used to establish the pneumoperitoneum, which involves four trocars: an umbilical 10-mm trocar, a 10-mm trocar in the midline, and two 5-mm trocars in the axilla. SPECIAL EQUIPMENT: Scope: 5mm 0° and 30° Storz HD camerallight Storz HD Video Tower Bovie, suction, cautery coat 30/ foot pedal SPECIALITY INSTRUMENTS: Disposable endo shears, EndoPouch, plume away smoke evac, 10 mm clip, 12 mm trocar, Endo Close, Weck STAPLING DEVICES: N/A DRESSINGS AND DRAINS: Dermabond STRENGTHS DURING THE CASE: Knew what the procedure was about CHALLENGES DURING THE CASE: Knowing the laparoscopic instrumentation tray
