Case No: Major Scrub 3

Name of Student: Salazar, Nica Sharmaine C.

Year/Section & RLE: 3NUR8 RLE4

Name of Patient: Mason, Heath Joven Lo Age: 1 Sex: M Civil Status: single
Date of Admission: 10/20/17 Time Started & Ended: 4:10-5:45 PM
Date of Surgery: 10/21/17
Bed #: 3079 Hospital No: 17-100000093917 Admission No: 17J00674

Surgeon: Dr. David Bolong Anesthesiologist: Dr. Paraiso

Assistant Surgeon: Dra. Lipana Scrub Nurse: Kristina A. Tan, RN
Circulating Nurse: Marvin R. Buenviaje, RN

Chief Complaint: Hypospadias

Rationale/Definition: Hypospadias is a congenital disorder of the urethra where the urethra is not located at the tip of the
penis, but at the ventral side.

Post-Operative Diagnosis: Hypospadias

Rationale/Definition: Hypospadias is a congenital disorder of the urethra where the urethra is not located at the tip of the
penis, but at the ventral side

Complete Surgical Procedure: Hypospadias Repair

Definition: a surgery to correct a defect in the opening of the penis that is present at birth
Type of Anesthesia: General Anesthesia
Specific Technique: General Endotracheal Anesthesia
Skin preparation/ Assistance done:
Items used to Administer Anesthesia: General Anesthetic Machine
Main Anesthetic Agent: Sevoflurane
Mechanism of Action: Sevoflurane potentially acts as allosteric modulator of the GABA Receptor
Other Medications:
Rocorium
Mechanism of Action:
Rocuronium produces neuromuscular blockade by competing with acetylcholine for cholinergic receptors at the motor end
plate g.

Position: Lithotomy
Equipment used for Positioning: donut; Stirrups; safety belt
Incision: vertical (scrotum- skin layer)
Skin Preparation: from the buttocks to penis (posterior-anterior)
Disinfectant Used: Betadine
Draping: Laparotomy sheets; small towel sheets
Sutures and needles

TISSUE LAYER NEEDLE NAME OF SUTURING

SUTURE USED TECHNIQUE
Subcutaneous Taper Softsilk 2O simple interrupted
layer Micropoint/ Vicryl 7O simple interrupted
Skin spatula Vicryl 7O simple interrupted
skin Tapered Prolene 5O simple interrupted
Tapered

INSTRUMENTS

CLAMPING RETRACTING GRASPING CUTTING OTHERS

Towel clips Castroviejo/ Needle Straight mayo Kidney basin
Mosquito holder Metzembaum Medicine cup
Kelly fine Adson forceps Curved mayo Bowl
Scalpel (knife 24ths
handle+ blade) Two-thirds
cherries