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GYN surgery, doc says vascular cuff closed with angle SM

Posted By: MTx20 on 2009-02-02
In Reply to:

Subject: GYN surgery, doc says vascular cuff closed with angle SM


sutures using 0 Vicryl suture in a modified s/l "Talind" fashion....


TIA




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Right wrist "rest"--?? assuming AV fistula. 


ANESTHESIA:  @@Local with monitored anesthesia s/l--montra--garis bolus 20 cc. 


extremity was prepped and draped in a Pfannenstiel fashion.  The patient was given a low grade--?? of Ancef


The artery was then carefully dissected out proximally and distally and little side--?? branches were clipped to help obtain hemostasis ofr the anastomosis.  The


A pot--?? scissor was then used to form a hood.  It had been marked with a marking pen prior to division 


Markable--?? dogs were used to obtain control of the artery proximally and distally. 


Th vein was sewn to the arteries using a 6-0 pulling suture in a circumferential--?? fashuion. 


The wound was enclosed in layers using a 3-0 Vicryl suture in the subcutaneous layer in a running fashion and a 4-0 Vicryl running subventricular--?? closure. 


The patient was brought out and monitored in anesthesia care--?? and taken to the recovery room in stable condition. 


Sponge, needle, and instrument counts were reported to be correct at the end of the case--??.   


 


 


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