The lateral attachments were freed up using electrocautery. A Bookwalter retractor was then placed on the operating room table and used for retraction throughout the procedure.Īttention was then turned to the sigmoid colon. The right colon, transverse colon, and descending colon were palpated and felt to be grossly normal as well. The left lobe and right lobe of the liver were palpated and felt to be normal. NG tube was felt to be in adequate position.
The abdominal cavity was then explored, beginning with the stomach and duodenum. The preperitoneal fat and peritoneum were then incised along the length of the incision. Small incision was made in the peritoneal cavity.
Preperitoneal fat was incised using electrocautery. The incision was carried down through the dermis, subcutaneous fat, and linea alba using electrocautery. Incision was made from symphysis pubis to umbilicus, midline. The patient’s perineal area was prepped as well.Īttention was then turned to the patient’s lower abdomen. Using the aseptic technique, a central line was subsequently placed by Anesthesia, as well as insertion of NG tube.
The patient’s abdomen was then shaved, prepped, and draped. The balloon was then deflated and the Foley was removed out of the rectum. The rectum was then irrigated out with sterile water and Betadine solution until clear. A rectal washout was then performed by inserting a 22-French Foley catheter inserted in the patient’s rectum. A Foley catheter was inserted using the aseptic technique. The patient’s legs were placed up in Allen stirrups. General endotracheal anesthesia was performed. OPERATION: Abdominoperineal resection with prominent left lower quadrant colostomy.ĭESCRIPTION OF OPERATION: The patient was taken to the operating room, placed on the operating room table in supine position. Colorectal Surgery Medical Transcription Operative Sample ReportsĬolorectal Surgery Medical Transcription Operative Sample Report #1
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