ksb0211
Guest
Any thoughts on this one?? Thanks.
This is the op report....
PREOPERATIVE DIAGNOSIS
Puncture wound, right upper extremity. Rule out fasciitis.
POSTOPERATIVE DIAGNOSIS
Puncture wound, right upper extremity with no deep infection identified.
PROCEDURE/OPERATION
Exploration, right upper extremity.
DESCRIPTION OF PROCEDURE
The patient was taken to the operating room. After induction of adequate anesthesia, the patient was prepped with Betadine and draped sterilely.
The longitudinal incision was made in the right upper extremity laterally with a #15 blade. The puncture wound extended down to the humerus. The bone was significantly exposed. No significant necrotic muscle or fascia was identified. The muscle was somewhat tightened. The fascia was incised in a longitudinal fashion along the triceps muscle. Hemostasis was achieved with electrocautery. The wound was packed open with 3-0 nylon vertical mattress sutures in the skin allowing a relatively loose closure. The patient tolerated the procedure. Estimated blood loss was perhaps 30 mL. The patient was taken to the recovery room in stable condition.
This is the op report....
PREOPERATIVE DIAGNOSIS
Puncture wound, right upper extremity. Rule out fasciitis.
POSTOPERATIVE DIAGNOSIS
Puncture wound, right upper extremity with no deep infection identified.
PROCEDURE/OPERATION
Exploration, right upper extremity.
DESCRIPTION OF PROCEDURE
The patient was taken to the operating room. After induction of adequate anesthesia, the patient was prepped with Betadine and draped sterilely.
The longitudinal incision was made in the right upper extremity laterally with a #15 blade. The puncture wound extended down to the humerus. The bone was significantly exposed. No significant necrotic muscle or fascia was identified. The muscle was somewhat tightened. The fascia was incised in a longitudinal fashion along the triceps muscle. Hemostasis was achieved with electrocautery. The wound was packed open with 3-0 nylon vertical mattress sutures in the skin allowing a relatively loose closure. The patient tolerated the procedure. Estimated blood loss was perhaps 30 mL. The patient was taken to the recovery room in stable condition.
