DATE OF OPERATION: MM/DD/YYYY
PREOPERATIVE DIAGNOSIS: Hidradenitis, left shoulder.
POSTOPERATIVE DIAGNOSIS: Hidradenitis, left shoulder.
OPERATION PERFORMED: Excision, hidradenitis, shoulder.
SURGEON: John Doe, MD
ANESTHESIA: 1% plain Carbocaine.
DESCRIPTION OF OPERATION: After the patient was appropriately prepped and draped in suitable condition on the operating table, in right lateral position, the incision line was marked with a marking pen and then 1% lidocaine with some epinephrine was infiltrated. After testing for loss of sensation and pain, an elliptical incision was made, which was carried through the skin and subcutaneous tissue down to the deep fascia. The area was grabbed with the help of hemostat and sharply excised. Skin hooks were used to retract the skin while the lump was being excised. Minor oozing was encountered, which was easily controlled by coagulating those bleeders with Bovie. Once the lump along with normal tissue was excised, the area was irrigated and then the wound was closed in two layers using 3-0 Vicryl for deeper and 4-0 for the skin. Steri-Strips were applied. Dry sterile dressing was applied. The patient was sent to the recovery room in good condition.
DATE OF OPERATION: MM/DD/YYYY
PREOPERATIVE DIAGNOSIS: Hidradenitis, left axilla.
POSTOPERATIVE DIAGNOSIS: Hidradenitis, left axilla.
OPERATION PERFORMED: Excision, hidradenitis, left axilla.
SURGEON: John Doe, MD
ANESTHESIA: General.
DESCRIPTION OF OPERATION: After the patient was appropriately prepped and draped with suitable general anesthesia, an elliptical incision was made in the left axilla encircling the area of the old hidradenitis. The incision was carried through the skin and subcutaneous tissue down to the deep fascia. One edge of the ellipse was picked up with a hemostat, and the area was sharply excised down to the subcutaneous tissue, encircling the subcutaneous sweat glands. Minimal oozing was encountered, which was controlled by coagulating those bleeders with the Bovie. Once the area was completely excised, it was irrigated, and after making sure of complete hemostasis, the wound was approximated in two layers using 3-0 interrupted Vicryl suture for the deeper layer and 4-0 subcuticular suture for the skin. Steri-Strips were applied. Dry sterile dressings were applied, and the patient was sent to the recovery room in good condition.
