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Dr. Gordon's Operative Template


Dr. Gordon prefers this template and will reformat yours to look like this:

Plastic Surgery Operative Report

Name: XXXXXX
Date: XXXX
SSN: XXXX

Pre-operative diagnosis: XXXX

Post-operative diagnosis: XXX

Procedure: XXXXX

Attending Surgeon: Michael J.V. Gordon, M.D.

Resident Assistants: Jonathan Freedman, M.D.


Operative indications: XXXXXXXXXXXX

The risks and benefits of surgery were discussed with the patient including scar, infection, pain and bleeding. Injury to nearby structures and need for additional procedures were also discussed.


Operative description: The patient was marked in the pre-operative suite and brought to the operating room. The patient was transferred to the operating room table and secured with all bony prominences padded. SCDs were placed and general anesthesia was started. Pre-operative antibiotics were given and the patient was prepped and draped in sterile fashion.

XXXXXXXXXXXXXX

The patient was awakened from anesthesia and extubated without issue. The patient was brought to PACU and discharged home. All counts were correct. There were no complications. Dr. Gordon was present for the entirety of the procedure.
Implants: none

Complications: none

Findings: XXXXX

Blood loss: minimal

RESIDENT NAME
Plastic Surgery
Pager LAST FOUR

The carpal tunnel incision was closed with 5-0 vicryl deep dermals followed by 5-0 nylon simple interupted sutures. The cubital tunnel was closed with 5-0 vicryl sutures followed by 5-0 monocryl running subcuticular sutures.

resident/va_templates.1626353388.txt.gz · Last modified: 2021/07/15 08:49 by jonathan

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