PREOPERATIVE DIAGNOSIS:
Torsed epiploic appendage
POSTOPERATIVE DIAGNOSIS:
Same
PROCEDURE PERFORMED:
Laparoscopic resection of torsed epiploic appendage
ANESTHESIA:
General endotracheal supplemented with 0.5% Naropin local.
INTRAVENOUS FLUIDS:
Please see anesthesia record
BLOOD LOSS:
Minimal for my portion of the procedure.
SPECIMENS:
Torsed epiploic appendage
COMPLICATIONS:
None.
OPERATIVE FINDINGS:
There was a firm, fatty mass that had a somewhat necrotic appearance attached to the uterus and adnexa from the antimesenteric side of the sigmoid colon. This seemed consistent with a torsed epiploic appendage.
INDICATIONS FOR PROCEDURE:
is a 50 y.o.-year-old female who was taken to the operating room by Dr. xxx for a laparoscopic hysterectomy. During her dissection, a firm mass from the antimesenteric border of the sigmoid colon was found attached to the right ovary and uterus. I was called intra-operatively, with the case in progress, to evaluate this mass.
PROCEDURE IN DETAIL:
The patient was taken to the operating room by xxx . A firm, fatty mass from the antimesenteric border of the sigmoid colon was found attached to the right ovary and uterus. It had a somewhat mottled appearance. Given this lesion, I was asked to consult intraoperatively. Once scrubbed in, this mass-like lesion appeared to be most consisted with a torsed epiploic appendage. Given its firm consistency and somewhat mottled appearance, I felt that the mass should be removed. I used the trocars already placed by Dr.xxx to complete resection of the mass. The base of the mass was divided with a 60 mm white load EndoGIA stapler, taking care to avoid the wall of the sigmoid colon. The specimen was then placed in the cul-de-sac, to be extracted per the vagina during the extraction of the uterus. Care of the patient was returned to Dr. xxx after verifying hemostasis at the suture line.
Torsed epiploic appendage
POSTOPERATIVE DIAGNOSIS:
Same
PROCEDURE PERFORMED:
Laparoscopic resection of torsed epiploic appendage
ANESTHESIA:
General endotracheal supplemented with 0.5% Naropin local.
INTRAVENOUS FLUIDS:
Please see anesthesia record
BLOOD LOSS:
Minimal for my portion of the procedure.
SPECIMENS:
Torsed epiploic appendage
COMPLICATIONS:
None.
OPERATIVE FINDINGS:
There was a firm, fatty mass that had a somewhat necrotic appearance attached to the uterus and adnexa from the antimesenteric side of the sigmoid colon. This seemed consistent with a torsed epiploic appendage.
INDICATIONS FOR PROCEDURE:
is a 50 y.o.-year-old female who was taken to the operating room by Dr. xxx for a laparoscopic hysterectomy. During her dissection, a firm mass from the antimesenteric border of the sigmoid colon was found attached to the right ovary and uterus. I was called intra-operatively, with the case in progress, to evaluate this mass.
PROCEDURE IN DETAIL:
The patient was taken to the operating room by xxx . A firm, fatty mass from the antimesenteric border of the sigmoid colon was found attached to the right ovary and uterus. It had a somewhat mottled appearance. Given this lesion, I was asked to consult intraoperatively. Once scrubbed in, this mass-like lesion appeared to be most consisted with a torsed epiploic appendage. Given its firm consistency and somewhat mottled appearance, I felt that the mass should be removed. I used the trocars already placed by Dr.xxx to complete resection of the mass. The base of the mass was divided with a 60 mm white load EndoGIA stapler, taking care to avoid the wall of the sigmoid colon. The specimen was then placed in the cul-de-sac, to be extracted per the vagina during the extraction of the uterus. Care of the patient was returned to Dr. xxx after verifying hemostasis at the suture line.