Hillcrest Medical Skill Building Report 7
OPERATIVE REPORT
Patient Name: Olivia Carpenter DOB: 01/15 Sex: F Age: 40
Patient ID: 110901
Admitting Physician: Dr. Leon Medina, MD Internal Medicine
Date of Admission: 11/12/13
Date of Procedure: 11/13/13
Surgeon: Dr. Bernard Kester
Assistant: Jason Wagner PA-C
Preoperative Diagnosis: 1) History of breast intertriginous skin irritations. 2) Abdominal wall contour irregularities.
Postoperative Diagnosis: same.
Operative procedures: 1) Bilateral Reduction mammoplasty. 2) Abdominal wall/flank suction assisted lipoplasty
Anesthesia: Endotrachial with local tumescent. See op. note below.
Specimens removed: 1) Right breast 60 grams breast tissue to Pathology. 2) Left breast 68 grams breast tissue to Pathology.
IV Fluids: 2700mL crystalloid, 500ml hespan.
Blood Loss: 100mL.
Urine Output: 1200mL.
Complications: None.
Sponge Count: Verified. Corrected end of case.
Indications: The pleasant 40 year old female was seen and evaluated in the plastic surgery clinic. She had a significant weight loss via exercise. As a result, she had breastosis resulting in bilateral Intertriginous skin irritations. She never did require hospitalization or antibiotics, however the skin irritation was problematic. We discussed breast reduction/ mastopexy with the patient and she elected to proceed with small reduction with concomitant breast lift to minimize the skin irritation.
Further, patient is status post abdominoplasty in California many years ago. She continues to have slight contour irregularities between the abdominal skin and the super pubic skin transition area.
(Continued)
OPERATIVE REPORT
Patient Name: Olivia Carpenter DOB: 01/15 Sex: F Age: 40
Patient ID: 110901
Date of Procedure: 11/13/13
Page 2:
She also had bilateral abdomen/flank lipodystrophy, which we felt we could address with liposuction. Patient was seen one day prior to surgery and preoperative marking for reduction mammoplasty was
Patient Name: Olivia Carpenter DOB: 01/15 Sex: F Age: 40
Patient ID: 110901
Admitting Physician: Dr. Leon Medina, MD Internal Medicine
Date of Admission: 11/12/13
Date of Procedure: 11/13/13
Surgeon: Dr. Bernard Kester
Assistant: Jason Wagner PA-C
Preoperative Diagnosis: 1) History of breast intertriginous skin irritations. 2) Abdominal wall contour irregularities.
Postoperative Diagnosis: same.
Operative procedures: 1) Bilateral Reduction mammoplasty. 2) Abdominal wall/flank suction assisted lipoplasty
Anesthesia: Endotrachial with local tumescent. See op. note below.
Specimens removed: 1) Right breast 60 grams breast tissue to Pathology. 2) Left breast 68 grams breast tissue to Pathology.
IV Fluids: 2700mL crystalloid, 500ml hespan.
Blood Loss: 100mL.
Urine Output: 1200mL.
Complications: None.
Sponge Count: Verified. Corrected end of case.
Indications: The pleasant 40 year old female was seen and evaluated in the plastic surgery clinic. She had a significant weight loss via exercise. As a result, she had breastosis resulting in bilateral Intertriginous skin irritations. She never did require hospitalization or antibiotics, however the skin irritation was problematic. We discussed breast reduction/ mastopexy with the patient and she elected to proceed with small reduction with concomitant breast lift to minimize the skin irritation.
Further, patient is status post abdominoplasty in California many years ago. She continues to have slight contour irregularities between the abdominal skin and the super pubic skin transition area.
(Continued)
OPERATIVE REPORT
Patient Name: Olivia Carpenter DOB: 01/15 Sex: F Age: 40
Patient ID: 110901
Date of Procedure: 11/13/13
Page 2:
She also had bilateral abdomen/flank lipodystrophy, which we felt we could address with liposuction. Patient was seen one day prior to surgery and preoperative marking for reduction mammoplasty was