8/11/2019 Op Note Ganglion Removal

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PREOPERATIVE DIAGNOSIS: Soft tissue mass dorsolateral ***foot.

POSTOPERATIVE DIAGNOSIS: Soft tissue mass dorsolateral ***foot.

PROCEDURE: Soft tissue mass exisio!" ***foot.

SURGEON#S$: ***

ASSISTANT: ***

ANEST%ESIA: &oal 'it( mo!itored a!est(esia are.

PAT%O&OG): Soft tissue mass se!t.

ICRO+IO&OG): No!e.

%EOSTASIS: P!eumati a!,le tour!i-uet a!d +oie.

ESTIATED +&OOD &OSS: i!imal.

IN/ECTA+&ES: No!e.

ATERIA&S: !o!e

DRESSING: Sta!dard.

COP&ICATIONS: No!e.

PROCEDURE IN DETAI&: T(e 0atie!t reeied ***12 of A!ef 0reo0eratiel3 a!d u!der mild

sedatio! 'as 4rou2(t to t(e o0erati!2 room a!d 0laed su0i!e o! t(e o0erati!2 ta4le. A sur2ial

time5out 'as ta,e! i! '(i( t(e 0atie!t" t(e sur2ial site a!d t(e 0roedure 'ere erified. A

 0!eumati a!,le tour!i-uet 'as 0laed oer 0added 6e4ril arou!d t(e *** a!,le. 7ollo'i!2i!trae!ous sedatio! loal a!est(eti 'as i!filtrated arou!d t(e 0atie!t8s soft tissue mass usi!2 19

m& of 1:1 mixture of ; lidoai!e 0lai! a!d 9.<; arai!e 0lai!. T(e ***foot a!d a!,le 'ere

t(e! sru44ed" 0re00ed a!d dra0ed i! t(e usual ase0ti ma!!er. A! Esmar( 4a!da2e 'as utili=ed

a!d t(e ***lo'er extremit3 'as exsa!2ui!ated a!d t(e tour!i-uet 'as i!flated.

Atte!tio! 'as direted to t(e dorsolateral as0et of t(e ***midfoot '(ere a lo!2itudi!al s,i!

i!isio! 'as made oer t(e soft tissue mass. O!e t(e i!isio! 'as dee0e!ed a fluid filled sa

'as !oted. Usi!2 4lu!t dissetio! t(e soft tissue mass 'as isolated a!d remoed. All

!euroasular strutures 'ere ide!tified a!d retrated out of sur2ial field. T(ere 'as *** stal,5

li,e struture ide!tified" ***'(i( 'as ut a!d auteri=ed. T(e soft tissue mass 'as se!t to

 0at(olo23 for exami!atio!.

 T(e 'ou!d 'as irri2ated 'it( o0ious amou!ts of !ormal sali!e a!d losed i! a la3er5435la3er

fas(io! usi!2 a ru!!i!2 su4utiular suture te(!i-ue for s,i! losure.

T(e i!isio! 'as t(e! dressed 'it( +etadi!e soa,ed Ada0ti" 2au=e fluffs" >li!2 a!d Co4a!. T(e

tour!i-uet 'as deflated a!d a 0rom0t (30eremi res0o!se 'as !oted to all di2its of t(e ***foot.

T(e 0atie!t tolerated t(e 0roedure a!d a!est(esia 'ell. *** 'as tra!sferred to t(e reoer3 room

8/11/2019 Op Note Ganglion Removal

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'it( ital si2!s sta4le a!d asular status i!tat to t(e ***lo'er extremit3. 7ollo'i!2 a 0eriod of

 0osto0eratie mo!itori!2 *** 'ill 4e dis(ar2ed (ome 'it( t(e follo'i!2 0osto0eratie

i!strutio!s:

1. >ee0 ***foot eleated '(e! at rest.

. Aoid exessie am4ulatio! oer t(e !ext seeral da3s.

?. Use sur2ial s(oe for all 'ei2(t4eari!2 atiities.

@. Retur! to li!i for 0osto0eratie follo'u0 'it( ***.

<. Call li!i if a!3 0ro4lems arise.