Transcription of Patient Name: Daniel Hayes DOB: 8/10/19XX MRN# 6358719 ...
1 Patient name : Daniel Hayes DOB: 8/10/19XX MRN# 6358719 attending physician : john carter , MDDate of Surgery: 5/20/20 XXOperative ReportPREOPERATIVE DIAGNOSIS: Internal and external DIAGNOSIS: Internal and external PERFORMED: Internal and external SURGEON: Dr. J. CarterFIRST ASSISTANT: Dr. Mark GreenSECOND ASSISTANT: _____[ name ].ANESTHESIA: General FOR PROCEDURE: Mr. Hayes is a 53-year-old male with a history of internal and external hemorrhoids which had continued to bleed despite normal conser-vative measures including sitz baths and increased fiber. He had undergone one attempt at banding without success. For this reason, it was decided that he would be best served with elective OF PROCEDURE: Having obtained informed consent, the Patient was taken to the operating room and placed on the operating table in the supine position. Following induction of general endotracheal anesthesia without complications, the Patient was positioned in the dorsal lithotomy position, and his perirectal and perineal area were prepped and draped in the usual sterile Patient s anus and rectum were dilated until they could admit 3 fingers easily.
2 Next, an anal retractor was placed in the anal canal. Three large clusters of combined internal and external hemorrhoids were noted at the 12 o clock, 3 o clock, and 6 o clock positions. Each cluster was first grasped using a set of Allis forceps. They were then divided and removed using a GIA stapler. Hemostasis was ensured using Bovie electrocautery. The rectum was then packed using Gelfoam which had been soaked in Marcaine containing epinephrineThe Patient was awakened, extubated, and taken to the postanesthesia care unit in satisfactory condition. He tolerated the procedure well, and there were no complications. Dr. Green was present and scrubbed throughout the duration of this procedure.
