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Iris Orbuch, MD 

(Endometriosis)

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Notes from Surgeon:  These patients all have chronic pain.  They are given valium in pre-op and hydrated with IV fluids as well.  They have all had bowel preps so they tend to be fluid deficient.  

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Pre-op: surgeon starts gabapentin and vaginal valium/baclofen cream a month or two before surgery

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Intraop: 

  1. OG tube always because ports are high

  2. IV poles as far back towards Anesthesiologist as possible - Robotic Case

  3. Use a cushioned face mask

  4. Have methylene Blue 5mg ready to give at beginning of case - this is for the visualization of the Ureter

  5. Pain control: NO TORADOL

  6. Requests TAP Block from anesthesiologist at end of case

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