06-26-95
KO, KANG WEI
2492702
PREOPERATIVE DIAGNOSIS: STATUS POST EXCISION OF EXTENSIVE HEMANGIOMA OF THE LEFT POSTERIOR THIGH AND CALF, WITH SPLIT-THICKNESS SKIN GRAFT.
POSTOPERATIVE DIAGNOSIS: SAME.
OPERATION:
- DRESSING CHANGE LEFT LEG.
- REMOVAL OF SURGICAL STAPLES.
- RANGE OF MOTION LEFT LEG.
CONSULTANT:
ASSISTANT:
ANESTHESIA: INTRAVENOUS SEDATION.
ANESTHESIOLOGIST:
INDICATIONS:
The patient is status post excision of a large hemangioma which required extensive grafting. The patient has numerous surgical staples which could not be removed without undue pain as an office procedure. The patient's knee is getting stiff, and he requires closed manipulation of the knee.
PROCEDURE:
The patient was taken to the operating room where successful intravenous sedation was achieved. The dressing on the left leg was changed, and there was 100% take of the graft. There were small areas of hypertrophic granulation tissue, and these were cauterized with silver nitrate.
The surgical staples were then removed, and Bacitracin was applied. The left hip, knee and ankle were then vigorously manipulated, and full range of motion was achieved. A sterile dressing was applied. The patient transported to the recovery room, having tolerated the procedure well.
LLOYD HOFFMAN, M.D.
T:8700 J:87001 D:06/27/95 T:06/29/95 RR/FJP NY087001.629