Operative Report Richard Cates
OPERATIVE REPORT
Patient Name: Richard Cates
Patient ID: 002876 DOB: 02/02 Age: 53 Sex: M
Date of Admission: 01/25/2012
Date of Procedure: 01/26/2012
Admitting Physician: Bernard Kester, MD
Surgeon: Bernard Kester, MD
Assistant: Jimmy Dale Jett, RN, Circulating Nurse
Preoperative Diagnosis: Prostate Cancer.
Postoperative Diagnosis: Prostate Cancer.
Operative Procedure: Laparoscopic radical prostatectomy.
Anesthesia: General endotracheal by Dr. Carl Erickson Avalon.
Specimen Removed: Prostate.
IV Fluids: See Nurses Notes.
Estimated Blood Loss: 600mL.
Blood Transfusions: None.
Urine Output: See Nurses Notes.
Complications: None.
INDICATIONS: This is a 53 year old Caucasian male with recently diagnosed localized …show more content…
He was prepped and draped in the usual sterile fashion. A rectal catheter was placed prior to draping the patient and a Foley catheter was placed on the field using a septic technique. A midline infraumbilical incision approximately 2cm in length was made. The section was carried down to level of the fascia, which was incised in the midline. The space of Retzius was developed bluntly with the index finger and then the peritoneum was swept cephalad to allow pararectal 12mm trocar placement bilaterally. These were placed and the balloon trocar was placed in the midline incision. Subsequently under lapascropic vision, the space was developed such that the pubis was identified. The …show more content…
The orifices were under direct vision during this reconstruction. With the newly reconstructed bladder neck approximately 24 French in size, the anastomosis was started using a double armed 2-0 Monocryl stitch. The posterior line was completed and the final Foley catheter was then positioned. This was the number 22 French Foley catheter. Finally the anterior row of the anastomosis was completed in running fashion. Lapra-Ty sutures were used to secure the stitches. The Foley balloon was inflated with 15mL of sterile water and the catheter in bladder were irrigated well with no leak identified. A drain was placed exiting from the right lateral 5mm trocar site. It was stitched and placed at the level of the skin.
All trocars were removed under direct vision. No bleeding was seen from the trocar sites. Midline incision was closed with a Vicryl stitch at the level of the fascia. The skin was approximated for all trocar sites with the skin staples. Sterile dressings were
Patient Name: Richard Cates
Patient ID: 002876 DOB: 02/02 Age: 53 Sex: M
Date of Admission: 01/25/2012
Date of Procedure: 01/26/2012
Admitting Physician: Bernard Kester, MD
Surgeon: Bernard Kester, MD
Assistant: Jimmy Dale Jett, RN, Circulating Nurse
Preoperative Diagnosis: Prostate Cancer.
Postoperative Diagnosis: Prostate Cancer.
Operative Procedure: Laparoscopic radical prostatectomy.
Anesthesia: General endotracheal by Dr. Carl Erickson Avalon.
Specimen Removed: Prostate.
IV Fluids: See Nurses Notes.
Estimated Blood Loss: 600mL.
Blood Transfusions: None.
Urine Output: See Nurses Notes.
Complications: None.
INDICATIONS: This is a 53 year old Caucasian male with recently diagnosed localized …show more content…
He was prepped and draped in the usual sterile fashion. A rectal catheter was placed prior to draping the patient and a Foley catheter was placed on the field using a septic technique. A midline infraumbilical incision approximately 2cm in length was made. The section was carried down to level of the fascia, which was incised in the midline. The space of Retzius was developed bluntly with the index finger and then the peritoneum was swept cephalad to allow pararectal 12mm trocar placement bilaterally. These were placed and the balloon trocar was placed in the midline incision. Subsequently under lapascropic vision, the space was developed such that the pubis was identified. The …show more content…
The orifices were under direct vision during this reconstruction. With the newly reconstructed bladder neck approximately 24 French in size, the anastomosis was started using a double armed 2-0 Monocryl stitch. The posterior line was completed and the final Foley catheter was then positioned. This was the number 22 French Foley catheter. Finally the anterior row of the anastomosis was completed in running fashion. Lapra-Ty sutures were used to secure the stitches. The Foley balloon was inflated with 15mL of sterile water and the catheter in bladder were irrigated well with no leak identified. A drain was placed exiting from the right lateral 5mm trocar site. It was stitched and placed at the level of the skin.
All trocars were removed under direct vision. No bleeding was seen from the trocar sites. Midline incision was closed with a Vicryl stitch at the level of the fascia. The skin was approximated for all trocar sites with the skin staples. Sterile dressings were