Epigastric Hernia; Open Suture Repair
OPERATION: Epigastric Hernia Open Suture Repair PRE OP ASA: Antibiotics: BMI: Catheter: NA VTE Prophylaxis: Checked Patient position: Supine INTRA OP Incision/Access: Longitudinal incision over herniation in midline Findings: Epigastric hernia 2 cm defect with pre-peritoneal fat herniation Procedure: Herniations cleared all round Contains only pre-peritoneal fat (appears healthy), no bowel involvement Reduction of herniated …
Groin Abscess: Incision and Drainage
OPERATION: LEFT Groin abscess; Incision and drainage PRE OP ASA: Antibiotics: given at …. hrs/pre op. BMI: NA VTE Prophylaxis: confirmed Patient position: Supine with left hip externally rotated INTRA OP Incision/Access: Cruciate incision over most fluctuant area Findings: Left groin abscess about 3×3 cm Procedure: Femoral artery palpated; confirmed abscess well away from it …
Generic Template
OPERATION: Name of operative procedure PRE OP ASA: Antibiotics: BMI: Catheter: VTE Prophylaxis: Patient position: INTRA OP Incision/Access: Findings: Procedure: Closure: POST OP Observations Q4H Drain to be emptied/measured at 08:00 daily Post op bloods tomorrow Diet: Eat and Drink as tolerated LMWH at 18:00 hours
Laparoscopic Appendicectomy (with drain)
WHO Check list. Pre op: Checked had had Antibiotics (Co-Amoxiclav) within last 8 hours OR Given IV Antibiotics (Co-Amoxiclav) Findings: Inflammed Appendix with free fluid pelvis Incision: Open Hasson technique, Supraumbilical 10mm Hasson Blunt port, LIF 5mm and Suprapubic 5mm ports under direct vision. Procedure: Appendix dissected off mesoappendix. Clips to appendicular vessels. …
CHERIAN – the Systematic Registrar
My friend Cheri is a very efficient medical registrar in that he reviews patients with ease quickly and thoroughly. Being a surgical registrar myself, I have often wondered whether there were some simple systematic way of reviewing patients i.e when on call or on ward rounds. I find the following system adapted in part from …
The Pathology of Breast Cancer
When reporting on a breast carcinoma specimen, it is required that reporting be done giving information about several different aspects (1) . It is easy to be overwhelmed with the histopathology data. The mnemonic “STINGER.COM” is meant as an aide memoire regarding the key things to be reported on. Size in mm of index …
Bloodless Appendicectomy: Pararectal approach
A transverse incision is made with the lateral end of the incision at the junction of the upper 2/3 and lower 1/3 of the line joining the umbilicus and anterior superior iliac spine. Dissecting down through skin and superficial fascia reveals the aponeuroses of rectus abdominis muscle medially and oblique and transversus abdominis muscles laterally. …
