Myomectomy - Preparation for surgery

This is part of a video series within a learning module about myomectomy designed for OBGYN residents at St. Paul Hospital Millennium Medical College. This video features an interview with Dr. Malede Birara, Assistant Professor within the Department of Obstetrics and Gynaecology. The full learning moduled is available at http://open.umich.edu/education/med/oernetwork/med/ob-gyn/myomectomy/2013. The video and learning module are shared under a Creative Commons Attribution Non-Commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/. The video was filmed by Kathleen Omollo from University of Michigan.

If myomectomy is going to be decided for a woman

she needs to be prepared for the surgery

which includes keeping her NPO overnight

securing the IV line, catheterization, and preparing two units of cross matched blood and taking prophylactic antibiotics

and the patient is going to the operating theater and put on the table

then after the patient is put on general anesthesia,

the abdomen is going to be cleaned

cleansed with antiseptic solutions,

preferably with chlorhexidine or saline and povidone iodine

so the surgical site which is to be cleaned with antiseptic solutions includes the area of the between the

z sternum up to the mid thigh of the patient

then after cleansing with antiseptic solutions the next step is to drape in four quadrants

with sterile drapes

using these sterile drapes, or with the one single fenestrated drape

the abdomen is going to be draped

for this surgery an abdominal set and importantany ?? or cautery is needed to decrease ?hemostasis?

so after securing that all the needed materials are available,

then one can start the surgery