Part A: Answer anniversary of the afterward questions in one or two paragraphs.
1. Code the afterward accessible report.
Preoperative Diagnosis: Larboard abut bendable tissue mass
Postoperative Diagnosis: Larboard abut bendable tissues mass
Surgeon: John Doe, DO
Operations: Abatement of larboard abut bendable tissue accumulation with layered cease barometer 4 cm , with margins, above-mentioned to excision
Anesthesia: balance with 1% lidocaine with epinephrine and sodium bicarbonate
Operative Indications: this is a affable changeable who arise in with bendable tissue bane in the left
flank over what appeared to be a Spigelian Breach armpit as well. However, it was not reducible and did not arise to be constant with a hernia. Consequently, the procedure, risk, benefits, and another of abatement of this bane were discussed with the patient, and she accepted and admired to advance with the excision.
Operative Findings: Large bendable tissue bane barometer about 6 cm in greatest dimension
Operative procedure: The accommodating was brought into the operation allowance afterwards abreast accord was obtained. The accommodating again underwent balance with a antiseptic basic and drape. We again anesthetized with 1% lidocaine with epinephrine and sodium bicarbonate, fabricated a 4-cm incision, and acclimated aciculate anatomization to anatomize circumferentially about this bendable tissue lesion, actuality accurate to accomplish abiding that we were not entering any affectionate of breach sac accessory to Spigelian hernia. As we connected to anatomize circumferentially about it after aciculate dissection, it was acclaimed that it did go bottomward to a muscle, but no affirmation of breach was identified. The bane was excised in its absoluteness and electrocautery was acclimated to ascendancy hemostasis. We again anhydrous with acrid band-aid and bankrupt the subcutaneous tissue with 3-0 Vicryl disconnected and sutures. We again acclimated 4-0 Vicryl sutures to abutting the bark in a subcuticular fashion. Benzoin and Steri-Strips were again applied. Blood accident was minimal. The accommodating acceptable the action able-bodied and remained in abiding action throughout the procedure.
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