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PRE OPERATIVEWHO check:ASA:Antibiotics:BMI:Patient position:Urinary catheter:VTE prophylaxis: INCISION: Cruciate incision over most fluctuant areaFINDINGS: Left/Right groin abscess … x … cmPROCEDURE:Femoral artery palpated; confirmed abscess well away from itPus sent for C&SDeroofing of abscess cavity with removal of unhealthy skinPus evacuated – CurettageHemostasisWash with salinePacked with SorBact/SorbsanCLOSURE:Dressings appliedPOST OPERATIVE INSTRUCTIONS:Observations Q4HPost op bloods tomorrowDiet: Eat and …

Groin Abscess: Incision and Drainage Read More »

Operation: Indication:Date: CEPOD: Surgeon:Assistant:Anaesthetist: Anaesthetic: ASA Grade: WHO Checklist: Antibiotics: Urinary Catheter:Patient Position: INCISION:Longitudinal incision over herniation in midlineFINDINGS: Epigastric hernia …cm defect with pre-peritoneal fat herniation.Contained only pre-peritoneal fat appearing healthy, no bowel involvement.PROCEDURE: Herniations cleared all round.Reduction of herniated fat.Ensured adequate clearance of fascia all around.CLOSURE:No 1 Ethilon interrupted fascial sutures closing hernial …

Epigastric Hernia – Open Suture Repair Read More »

Operation: Indication:Date: CEPOD: Surgeon:Assistant:Anaesthetist: Anaesthetic: ASA Grade: WHO Checklist: Antibiotics: Urinary Catheter:Patient Position: INCISION: A single midline incision was made in the perineum.PROCEDURE:The prolapsed rectum was identified and mobilized.The rectal mucosa was resected leaving a cuff of at least 1-2cm of rectal wall remaining.The rectal cuff was then sutured to the sacral promontory using a …

Delorme’s operation Read More »

Operation: Indication:Date: CEPOD: Surgeon:Assistant:Anaesthetist: Anaesthetic: ASA Grade: WHO Checklist: Antibiotics: Urinary Catheter:Patient Position: INCISION: Primary port put in by open Hasson technique using blunt Hasson port.Secondary ports put in with direct visualisation.Five ports were used: one 12mm port in the umbilicus, and four 5mm ports in the left upper quadrant, right upper quadrant, left mid-clavicular …

Hiatus Hernia Repair (Laparoscopic) Read More »

Operation: Indication:Date: CEPOD: Surgeon:Assistant:Anaesthetist: Anaesthetic: ASA Grade: WHO Checklist: Antibiotics: Urinary Catheter:Patient Position: INCISION: Primary port put in by open Hasson technique using blunt Hasson port.Secondary ports put in with direct visualisation.Five ports were used: one 12mm port in the umbilicus, and four 5mm ports in the left upper quadrant, right upper quadrant, left mid-clavicular …

Laparoscopic Nissen (Laparoscopic) Read More »

Operation: Date: CEPOD: Surgeon:Assistant:Anaesthetist: Anaesthetic: ASA Grade: WHO Checklist: Antibiotics: Urinary Catheter:Patient Position: INCISION: Primary port put in by open Hasson technique using blunt Hasson port.Secondary ports put in with direct visualisation.Five ports were used: one 12mm port in the umbilicus, and four 5mm ports in the left lower quadrant, right lower quadrant, left mid-clavicular …

AbdominoPerineal Resection of the rectum APER (Laparoscopic) Read More »

Operation: Date: CEPOD: Surgeon:Assistant:Anaesthetist: Anaesthetic: ASA Grade: WHO Checklist: Antibiotics: Urinary Catheter:Patient Position: INCISION: Primary port put in by open Hasson technique using blunt Hasson port.Secondary ports put in with direct visualisation.Four ports were used: one 12mm port in the umbilicus, and three 5mm ports in the right lower quadrant, right mid-clavicular line and left …

Extended Right Hemicolectomy (Laparoscopic) Read More »

Operation: Date: CEPOD: Surgeon:Assistant:Anaesthetist: Anaesthetic: ASA Grade: WHO Checklist: Antibiotics: Urinary Catheter:Patient Position: INCISION: Primary port put in by open Hasson technique using blunt Hasson portSecondary ports under direct visualisationFour ports were used: one 12mm port in the umbilicus, and three 5mm ports in the left lower quadrant, right lower quadrant, and left mid-clavicular line.PROCEDURE:The …

Sigmoid Colectomy (Laparoscopic) Read More »

Operation: Date: CEPOD: Surgeon:Assistant:Anaesthetist: Anaesthetic: ASA Grade: WHO Checklist: Antibiotics: Urinary Catheter:Patient Position: INCISION: Primary port put in by open Hasson technique using blunt Hasson portSecondary ports under direct visualisationA 12mm port was placed in the umbilicus and three 5mm ports were placed in the left lower quadrant, right lower quadrant, and left mid-clavicular line. …

Anterior Resection of the Rectum (Laparoscopic) Read More »

Operation: Date: CEPOD: Surgeon:Assistant:Anaesthetist: Anaesthetic: ASA Grade: WHO Checklist: Antibiotics: Urinary Catheter:Patient Position: INCISION:Ports: One 10mm open Hasson technique using blunt Hasson portThree 5mm ports under direct visualisation, of which two in RUQ and one in RIFFINDINGS:PROCEDURE:Prep and drape in sterile fashion.The patient was placed in the lithotomy position and general anesthesia was induced.A four-port …

Right Hemicolectomy 2 (Laparoscopic) Read More »