Extended Right Hemicolectomy

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 mid-clavicular line.PROCEDURE:
The colon was mobilized and the cecum, ascending colon and proximal 2/3 of the transverse colon were identified.
The white line of Toldt was dissected and the vessels supplying the involved segment were divided with a harmonic scalpel.
The colon was transected with a linear stapler and the specimen was removed.
The remaining colonic stump was oversewn with a linear stapler and an end-to-end anastomosis was performed using a linear stapler.
The regional lymph nodes were dissected and sent for pathologic examination. Estimated blood loss: 150ml
Suction irrigation was carried out.
Hemostasis was ensured.
The ports were removed under direct vision.

FINDINGS:

CLOSURE:
No.1 PDS box stitch to fascia for primary port site.
3.0 monocryl subcuticular sutures.
Interrupted sutures to skin.
Dressings applied.
POST OPERATIVE INSTRUCTIONS:
Observations Q4H
Post op bloods tomorrow (ddmmyy)
Diet: Eat and Drink as tolerated
LMWH at 18:00 hours