Find errors in this passage: Report #4 Operative Report (10 errors in this repor

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Find errors in this passage:

Report #4        Operative Report (10 errors in this report)

Case History:   This 18-year-old Asian patient presented with a history of idiopathic thrombocytopenic purpura and preterm breech pregnancy. Plans were made to proceed with a primary low transverse cesarean section.

Operative Report:   The patient was taken to the recovery room and placed on the operating table in the supine position. Adequate general endotracheal anesthesia was administered by the urologist. The patient was sterilely prepped and draped. An incision was made sharply through the skin and subcutaneous tissues with a knife. The fascia was identified and incised with a knife. The visceral peritoneum overlying the lower urethrine segment was incised sharply with the sissors. A low transverse uterine incision was made. The male infant was delivered from a breech position without trauma. The patient’s nose and mouth bulb were suctioned. The umbilical cord was clamped and cut. The infant was then transferred to the care of the pediatricians who subsequently assigned an Apgar of 23 at one minute. Intravenous antibiotics were administered. The placenta was delivered. The urethra was brought onto the abdominal surface and the endometrial surface was cleaned with moist lap sponges. The uterine incision was closed with a running lock stitch.   A small arterial bleeder was noted at the left lateral aspect and this was controlled with a figure-of-eight suture. Hemostasis was noted to be excellent. The uterus was then returned to the cavity. The fasia and peritoneum were closed with two sutures. The skin was closed with surgical staples. A asterile dressing was applied to the cleansed wound and the vaginal vault was cleared of all blood clots. The man was then extubated in the operating room and taken to the recovery room in stable condition.

Explanation / Answer

The patient was taken to the recovery room and placed on the operating table in the supine position. Adequate general endotracheal anesthesia was administered by the urologist. The patient was sterilely prepped and draped. An incision was made sharply through the skin and subcutaneous tissues with a knife. The fascia was identified and incised with a knife. The visceral peritoneum overlying the lower urethrine segment was incised sharply with the sissors. A low transverse uterine incision was made. The male infant was delivered from a breech position without trauma. The patient’s nose and mouth bulb were suctioned. The umbilical cord was clamped and cut. The infant was then transferred to the care of the pediatricians who subsequently assigned an Apgar of 23 at one minute. Intravenous antibiotics were administered. The placenta was delivered. The urethra was brought onto the abdominal surface and the endometrial surface was cleaned with moist lap sponges. The uterine incision was closed with a running lock stitch.   A small arterial bleeder was noted at the left lateral aspect and this was controlled with a figure-of-eight suture. Hemostasis was noted to be excellent. The uterus was then returned to the cavity. The fasia and peritoneum were closed with two sutures. The skin was closed with surgical staples. A asterile dressing was applied to the cleansed wound and the vaginal vault was cleared of all blood clots. The man was then extubated in the operating room and taken to the recovery room in stable condition.

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