- PREOP
Antibiotics
Catheter
- INTRAOP
Findings:
Incision:
SupraUmbilical Open Hasson 10 mm.
10 mm epigastric, 5mm right Sub costal and 5mm right lumbar under direct vision.
Procedure:
Correct identification of anatomical structures.
Cystic duct and artery identified and dissected.
Critical view achieved. Hem-O-loks applied.
Cholecystectomy performed in standard fashion.
Hemostasis and biliostasis ascertained in surgical bed.
Washout with Normal Saline. Suction irrigation.
No. 20 F drain put in right subphrenic area.
Counting of Surgical Instruments and textiles informed as correct.
Gall Bladder brought out using BERT bag umbilical port.
Closure:
No 1 PDS box stitch to fascia Umbilical and Epigastric port.
3.0 monocryl subcuticular sutures to skin.
Dressings.
- POST OP INSTRUCTIONS:
- Regular observations
- Bloods tomorrow
- Eat and Drink
- Drain to be emptied daily at 08:00 hours
