EndoSox00660074 Surgery Center 135 Broadway Schenectady NY 12144 Pax00740069ent Name Mary Smith Date of Birth Record Number Date Time of Procedure George Blue MD Referring Physician ID: 936270
Download Pdf The PPT/PDF document "Procedure Report" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Procedure Report Appendectomy EndoSo� Surgery Center 135 Broadway Schenectady, NY 12144 Pa�ent Name: Mary Smith Date of Birth: Record Number: Date / Time of Procedure: George Blue, MD Referring Physician: Frank Black, MD Surgeon: Debbie Doe, MD PROCEDURE PERFORMED: Appendectomy - laproscopic appendectomy INDICATIONS FOR EXAM: Acute abdominal pain with guarding in the right lower quadrant for 2 days PROCEDURE TECHNIQUE: was brought in the opera�on room in the supine posi�on. General anesthesia was administered with sa�sfac�on. A�er the rou�ne prep and drape on the abdomen, a low skin crease incision (Lanz) centered on the McBurney’s point was taken as favor of a be�er cosme�c result. The super�cial fascia was then incised and the three musculo-aponeuro�c layers of the abdominal wall were split along the line of the �bers. The peritoneum was then li�ed and opened and revealed pus/mucopurulent watery �uid; a swab of this is taken for microscopy and culture. The appendix was perforated and located digitally and delivered into the wound. Then, its blood supply in the meso-appendix was divided ligature was then �ed around the crushed area. A�er this prepara�on, the appendix was then excised. A “purse-string” suture is usually placed in the cecum near the appendix base, the appendix was inverted and the sutured �ed. As the appendix was perforated and gangrenous and pus was found, a thorough peritoneal toilet was area was gently swabbed with gauze to remove any adherent infected material, then 500 ml normal saline was applied for a thorough lavage. The peritonium, internal oblique and external oblique were each closed with three absorbable sutures. Drainage was not administered as there was no thick- walled abscess cavity. 2cm friable, in�amed mucosa in the appendix. Ac�ve bleeding noted, Biopsy obtained. Results POST SURGERY DIAGNOSIS: Acute appendici�s RECOMMENDATIONS: As per discharge instruc�ons. Cipro 500 mg x10 days. Clear liquid diet. Signature: _________________________________________________ Debbie Doe, MD CPT Code: 44970 Laparoscopy, surgical, appendectomy This procedure was electronically signed o� on: 5/18/2018, 08:56:49 AM By Debbie Doe, MD PHOTOREPORT ® by EndoSo� ®