Monday, June 30, 2014

Cervical LN Excision biopsy

Pre op instructions
NPO from 12.00 midnight on Sunday
PAC and follow orders
Informed Consent
Hiv HbsAg
Shift to OT on call
Inj Reflin 1 gm ATD iv full dose before shifting to OT
IVF as per Nephrologist from morning 8 am

OP
Mark skin crease incision first, then give local
15 blade incise
Diathermy cut
Platysma split longitudinally
Excise with diathermy
CLose with 3-0 monocryl
Platysma longitudinally, sc , skin subcuticular with internal 3 knot at start, aberdeen at end.



Post op instructions
Pt can have normal food.
Inj Reflin 1 gm iv bd
Tab Pan 40 od
Tab Ultracet sos
Inj Tramazac sos
W/F soakage, cn be mobilized
Inform sos

No comments:

Post a Comment