jerseygirl20
Networker
Groin/scrotal biopsy, CO2 laser ablation of lesions. pathology came back as condyloma acuinatum- 078.11
Gross Findings and Description of Procedure:
PROCEDURE: After appropriate identification of the patient by myself in the preoperative holding area the patient was brought back to the Operating Room. After appropriate anesthetic was given the patient was placed in the supine position and prepped and draped in a sterile fashion. A time-out was called confirming the patient, procedure and position. At this time, local was administered and a biopsy of the patient?s groin lesion was performed utilizing a #15 blade. These were assumed to be condylomata. They are verrucous lesions and as such laser ablation was then performed with a CO2 laser of these large extensive patches lining the inside of the patient?s groin. This was completed two or three times with a moist Ray-Tec utilized to wipe the burnt fragments off and burn the base again utilizing the CO2 laser. This was performed three times and once a good fresh base was visualized and once all of the lesions were fulgurated, attention was paid to the patient?s left side where, once again, this was performed with multiple passes of the CO2 laser and wiping with a wet Ray-Tec of the burn fragments. Once this was completed, Bacitracin ointment was placed on the patient?s wounds. He was awoken from anesthesia and transferred to PACU in stable condition.
Gross Findings and Description of Procedure:
PROCEDURE: After appropriate identification of the patient by myself in the preoperative holding area the patient was brought back to the Operating Room. After appropriate anesthetic was given the patient was placed in the supine position and prepped and draped in a sterile fashion. A time-out was called confirming the patient, procedure and position. At this time, local was administered and a biopsy of the patient?s groin lesion was performed utilizing a #15 blade. These were assumed to be condylomata. They are verrucous lesions and as such laser ablation was then performed with a CO2 laser of these large extensive patches lining the inside of the patient?s groin. This was completed two or three times with a moist Ray-Tec utilized to wipe the burnt fragments off and burn the base again utilizing the CO2 laser. This was performed three times and once a good fresh base was visualized and once all of the lesions were fulgurated, attention was paid to the patient?s left side where, once again, this was performed with multiple passes of the CO2 laser and wiping with a wet Ray-Tec of the burn fragments. Once this was completed, Bacitracin ointment was placed on the patient?s wounds. He was awoken from anesthesia and transferred to PACU in stable condition.