Transcriptions Exercise 2_ch10

OPERATIVE REPORT



PATIENT NAME: Jenel Bordelan

HOSPITAL NO.: 5049247

DATE OF PROCEDURE: May 15, ----

SURGEON: Dr. John C. Howard, M.D.

PREOPERATIVE DIAGNOSIS
By-lateral subdural hematomas.

POST OPERATIVE DIAGNOSIS
By-lateral subdural hematomas.

PROCEDURES:
By-lateral burr holes frontal and parietal for drainage of subdural hematomas.

ANESTHESIA
General Endotracheal.

ANESTHESIOLOGIST
Sean Swellow, M.D.


PROCEDURE IN DETAIL
The patient was brought into the operating room and after induction of general endotracheal anesthesia. The head was completely shaved, prepped and draped in the usual manner. An incision was made over the frontal areas approximately 3.0 cm from the midline on both sides. The incision was carried down through the scalp, rainy clips where applied for homeostasis, self retaining retractor were placed, burr holes has been made with common perforator. Bleeding from bone was then controlled with bone wax. The left flexed of bone where taken out with a curette and the dura underneath was coagulated in a cruciate fashion. The dura was open widely and copuis amount of all the crankcase colored blood should form. This was irrigated copiously on both side and blake 7millimitter drain where advance under the scalp and into this hole and to this subdural space. Both wounds where close then with zero vicruse who close the gailio layer and 30 nylon to close the skin. Zero form dressing where applied and both drain where secured with 20 silk The patient was recovered from anesthesia and taken to the recovery room in satisfactory condition.