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Patient Information: Name: Linda Reynolds Age: 57 Height/Weight: 5'5", 175 lbs Medical History: Postmenopausal, Type 2 Diabetes, Hypertension (controlled with medication) Chief Complaint: Postmenopausal bleeding for the past two months, pelvic pressure Diagnosis: Suspected endometrial cancer based on abnormal endometrial biopsy results Scheduled Procedure: Total Abdominal Hysterectomy (TAH) with Bilateral Salpingo-Oophorectomy (BSO) Linda has been experiencing abnormal postmenopausal bleeding, and her diagnostic tests suggest endometrial cancer. The surgical team has scheduled a TAH with BSO to remove the uterus, fallopian tubes, and ovaries for further pathological evaluation. As the Certified Surgical Technologist (CST), you are responsible for preparing the sterile field, ensuring all necessary instruments and supplies are available, assisting throughout the procedure, and handling specimens properly for oncological evaluation.
1. Prior to prepping and draping the patient a foley catheter is inserted. Why? Who is responsible for inserting the foley catheter?
2. Which anatomical structures must be identified and ligated during a TAH? What is the common sequence used to ligate and dissect these structures?
3. Why is bilateral salpingo-oophorectomy (BSO) performed alongside a hysterectomy in suspected uterine cancer cases?
4. How is the specimen sent to pathology for evaluation?
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