DATE OF OPERATION: MM/DD/YYYY
PREOPERATIVE DIAGNOSIS: Redundant foreskin with glanular adhesions.
POSTOPERATIVE DIAGNOSIS: Redundant foreskin with glanular adhesions.
OPERATION PERFORMED: Circumcision.
SURGEON: John Doe, MD
ANESTHESIA: General.
INDICATION FOR OPERATION: This (XX)-month-old male has redundant foreskin. He has developed adhesions to his glans penis. His parents requested a circumcision be done.
DESCRIPTION OF OPERATION: The patient was taken to the operating room. Following induction of satisfactory general anesthesia; the genitalia were prepped and draped in the usual fashion. A penile block was then done using a 50% mixture of 1% lidocaine and 0.25% Marcaine. Glanular adhesions were taken down by blunt dissection. The penis was then reprepped with Betadine solution. Redundant foreskin was excised leaving a 4 mm strip of subcoronal mucosa. Bleeding points were controlled with electrocoagulation. The cut margin of penile skin was approximated to the mucosa with multiple interrupted 5-0 chromic sutures. A small sterile dressing was applied to the penis. The patient tolerated the operative procedure well and was taken to the recovery room in good condition.
Sample #2
DATE OF OPERATION: MM/DD/YYYY
PREOPERATIVE DIAGNOSIS: Phimosis.
POSTOPERATIVE DIAGNOSIS: Phimosis.
OPERATION PERFORMED: Circumcision.
SURGEON: John Doe, MD
ANESTHESIA: General anesthesia with LMA.
DESCRIPTION OF OPERATION: Under general anesthesia with LMA, the patient was put in supine position. External genitalia was prepped with Betadine and draped in standard fashion. Marcaine 0.25% plain was infiltrated at the base of the penis for the penile block. The foreskin was retracted all the way to the corona enlarging the region between the foreskin and the glans. The glans was prepped with Betadine and the foreskin retracted. Dorsal and ventral splits were made in the foreskin. A circular incision was made in the foreskin at the level of the corona to join the dorsal and ventral splits. This way the foreskin was excised and removed. Hemostasis was established with electrocoagulation. The skin edges were approximated with #4-0 chromic catgut suture. A sterile dressing was applied. The patient tolerated the procedure well and was brought to the recovery room in stable condition.
Sample #3
DATE OF PROCEDURE: MM/DD/YYYY
PREOPERATIVE DIAGNOSIS: Phimosis.
POSTOPERATIVE DIAGNOSIS: Phimosis.
OPERATION PERFORMED: Circumcision.
ANESTHESIA: General and caudal.
DESCRIPTION OF PROCEDURE: The patient was brought to the operating room and general anesthesia was administered. He was turned and caudal block was placed. Following this, he was repositioned supine. The very tight phimotic ring was stretched and preputial adhesions were taken down. He was then prepped and draped in the usual sterile manner. A 5-0 Prolene traction suture was placed into the glans. A circumferential incision was marked along the inner preputial skin leaving a mucosal collar. This was then incised with the 15 blade. A similar incision was marked along the external preputial skin and incised in similar manner. Sleeve resection was performed with electrocautery. After obtaining meticulous hemostasis, the skin edges were approximated using interrupted 5-0 chromic sutures. A frenulum was reconfigured to release the tethering on the meatus and these edges were approximated with 5-0 chromic as well. At the end of the procedure, there was excellent hemostasis and approximation of the skin edges. The traction suture was removed and pressure held until there was no bleeding from the glans. Bacitracin ointment was placed along all the suture lines. The patient was then awakened and brought to the recovery room. The patient tolerated the procedure well. There were no intraoperative complications. All counts were correct at the end of the case.
