Preparation and Position:Sign in; who checklist completed, GA, supine, prepped and drapedIncision and Approach:Vertical midline scrotal incision to gain access to both hemiscrotum OR left and right transverse hemi- scrotal incisionsFindings: ……… degrees torsion of the testis Left side (torted):Procedure:Dissection through scrotal layers with bipolar diathermy. Reactive hydrocele upon opening, testis delivered. Testis torted …… […]
Testicular Torsion Repair Read More »
INCISION:Longitudinal incision over herniation in midlineFINDINGS:ParaUmbilical hernia 1cm defect with pre-peritoneal fat herniation.Contained only pre-peritoneal fat appearing healthy, no bowel involvement.PROCEDURE:Herniations cleared all round.Excess herniated fat suture transfixed.Ensured adequate clearance of fascia all around.CLOSURE:No 1 Ethilon interrupted fascial sutures closing hernial defect.Subcutaneous tissue approximated with 2.0 Vicryl.3.0 Monocryl Subcuticular sutures to skin.Dressings applied
Paraumbilical Hernia Open Suture Repair Read More »
INCISION:Longitudinal incision over herniation in midlineFINDINGS:Paraumbilical hernia approx. 3cm 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:Ventra Patch Mesh (Parietex) applied – securedNo 1 Ethilon interrupted fascial sutures closing hernial defect.Subcutaneous tissue approximated with 2.0 Vicryl.3.0 Monocryl Subcuticular
Paraumbilcal Hernia Open Mesh Repair (Ventral Patch) Read More »
INCISION:Elliptical incision excising unhealthy tissue overlying abscess FINDINGS:Ischiorectal Abscess … O’Clock measuring … x … cm PROCEDURE:Examination under Anaesthesia Rectum – no internal opening identifiedPus sent for C&SDe-roofing of abscess cavity with removal of unhealthy skinPus evacuated – CurettageHemostasisWash with salinePacked with SorBact CLOSURE:Dressings applied
Examination under Anaesthesia (EUA) Rectum + Incision and drainage Ischiorectal Abscess Read More »
INCISION:Ellipitical incision Pilonidal area including sinusesFINDINGS:Large abscess cavity with about 50 ml pusPROCEDURE:Pus for c&SLoculations disrupted using gloved fingerSlough evacuated – CurettageHemostasisWash with saline & betadinePacked with SorBactCLOSURE:Dressings applied Pressure dressingPOST OPERATIVE INSTRUCTIONS:Observations Q4HHome later today all being wellDiet: Eat and Drink as toleratedPressure dressing to stay for 24-48 hoursAlternate day dressings; starting day after
Pilonidal abscess Incision and Drainage Read More »
INCISION:Transverse incision over most fluctuant areaFINDINGS:Large Sebaceous abscess 10 x 10 cmPROCEDURE:Pus evacuated – CurettageHemostasisWash with salinePacked with SorBactCLOSURE:Dressings appliedPressure dressing
Incision and Drainage Sebaceous Abscess Read More »
INCISION: Medial 2/3 of line joining ASIS and Pubic Tubercle FINDINGS: Large indirect inguinoscrotal hernia containing bowelPROCEDURE: Dissected down to and through External Oblique AponeurosisHernial sac identifiedHerniation reducedSac suture transfixedDeep ring tightenedSoft mesh 10x15cm cut to sizeSecured with Tacs and suturesNew superficial ring createdHemostasis ensuredCLOSURE: Subcutaneous 2.0 vicryl suturesClips to skinPOST OPERATIVE INSTRUCTIONS:Observations Q4HDiet: Eat and
Inguinal Hernia Open Mesh Repair Read More »
INCISION: EllipticalFINDINGS: Moderately large sebaceous cystPROCEDURE: Cyst excisedHemostasis ensuredSaline washCLOSURE: 3.0 Monocryl interrupted simple suturesOpsite sprayP/O OPERATIVE INSTRUCTIONSHome later today all being wellTo keep area dry
Excision Sebaceous cyst scalp Read More »
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 applied
Groin Abscess: Incision and Drainage Read More »