Importance of Planning for Unexpected Intraoperative Events
Document Type
Conference Proceeding - Restricted Access
Publication Date
10-10-2021
Abstract
A 32-year-old G2P1102 female with history of two prior c-sections was scheduled for a one-hour long diagnostic hysteroscopy and IUD removal due to dyspareunia. Pre-op TVUS and abdominal X-ray demonstrated a misaligned IUD without complete confirmation of intrauterine location. After an uneventful induction and LMA placement, failure to locate IUD led to intraoperative conversion to a diagnostic laparoscopy that included a meticulous search of the abdomen and pelvis. An additional 4 hours of operative time was spent releasing the IUD from densely adherent omentum. We discuss management strategies for unforeseen intraoperative events and changes to the original surgical plan.A 32-year-old G2P1102 female with history of two prior c-sections was scheduled for a one-hour long diagnostic hysteroscopy and IUD removal due to dyspareunia. Pre-op TVUS and abdominal X-ray demonstrated a misaligned IUD without complete confirmation of intrauterine location. After an uneventful induction and LMA placement, failure to locate IUD led to intraoperative conversion to a diagnostic laparoscopy that included a meticulous search of the abdomen and pelvis. An additional 4 hours of operative time was spent releasing the IUD from densely adherent omentum. We discuss management strategies for unforeseen intraoperative events and changes to the original surgical plan.A 32-year-old G2P1102 female with history of two prior c-sections was scheduled for a one-hour long diagnostic hysteroscopy and IUD removal due to dyspareunia. Pre-op TVUS and abdominal X-ray demonstrated a misaligned IUD without complete confirmation of intrauterine location. After an uneventful induction and LMA placement, failure to locate IUD led to intraoperative conversion to a diagnostic laparoscopy that included a meticulous search of the abdomen and pelvis. An additional 4 hours of operative time was spent releasing the IUD from densely adherent omentum. We discuss management strategies for unforeseen intraoperative events and changes to the original surgical plan.A 32-year-old G2P1102 female with history of two prior c-sections was scheduled for a one-hour long diagnostic hysteroscopy and IUD removal due to dyspareunia. Pre-op TVUS and abdominal X-ray demonstrated a misaligned IUD without complete confirmation of intrauterine location. After an uneventful induction and LMA placement, failure to locate IUD led to intraoperative conversion to a diagnostic laparoscopy that included a meticulous search of the abdomen and pelvis. An additional 4 hours of operative time was spent releasing the IUD from densely adherent omentum. We discuss management strategies for unforeseen intraoperative events and changes to the original surgical plan.A 32-year-old G2P1102 female with history of two prior c-sections was scheduled for a one-hour long diagnostic hysteroscopy and IUD removal due to dyspareunia. Pre-op TVUS and abdominal X-ray demonstrated a misaligned IUD without complete confirmation of intrauterine location. After an uneventful induction and LMA placement, failure to locate IUD led to intraoperative conversion to a diagnostic laparoscopy that included a meticulous search of the abdomen and pelvis. An additional 4 hours of operative time was spent releasing the IUD from densely adherent omentum. We discuss management strategies for unforeseen intraoperative events and changes to the original surgical plan.A 32-year-old G2P1102 female with history of two prior c-sections was scheduled for a one-hour long diagnostic hysteroscopy and IUD removal due to dyspareunia. Pre-op TVUS and abdominal X-ray demonstrated a misaligned IUD without complete confirmation of intrauterine location. After an uneventful induction and LMA placement, failure to locate IUD led to intraoperative conversion to a diagnostic laparoscopy that included a meticulous search of the abdomen and pelvis. An additional 4 hours of operative time was spent releasing the IUD from densely adherent omentum. We discuss management strategies for unforeseen intraoperative events and changes to the original surgical plan.A 32-year-old G2P1102 female with history of two prior c-sections was scheduled for a one-hour long diagnostic hysteroscopy and IUD removal due to dyspareunia. Pre-op TVUS and abdominal X-ray demonstrated a misaligned IUD without complete confirmation of intrauterine location. After an uneventful induction and LMA placement, failure to locate IUD led to intraoperative conversion to a diagnostic laparoscopy that included a meticulous search of the abdomen and pelvis. An additional 4 hours of operative time was spent releasing the IUD from densely adherent omentum. We discuss management strategies for unforeseen intraoperative events and changes to the original surgical plan.
Recommended Citation
Ford E, Al-Attar NC, Soto RG. Importance of planning for unexpected intraoperative events. Paper presented at: The American Society of Anesthesiology Annual Meeting; 2021 Oct 8-12; San Diego, CA. Available at: https://www.abstractsonline.com/pp8/#!/9323/presentation/4770
Comments
American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.