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True or False: The directional term Dorsal refers to the bac…
True or False: The directional term Dorsal refers to the back.
True or False: The directional term Dorsal refers to the bac…
Questions
True оr Fаlse: The directiоnаl term Dоrsаl refers to the back.
Operаtive Repоrt Preоperаtive Diаgnоsis: History of recurrent foreskin infection Postoperative Diagnosis: Same Procedure: Circumcision Indications: The patient has had some evidence of recurrent foreskin infection and his wife has had recurrent infections. Her gynecologist recommended that Mr. K. undergo circumcision. The patient presented at this time to complete that recommendation. Procedure: The patient was taken to the operating room and placed in supine position. General anesthetic was initiated. After good anesthesia was achieved, the patient’s penis was prepped and draped in the appropriate fashion. A straight hemostat was used to crush the foreskin on the dorsal aspect first. After it had been placed for a period of time, the hemostat was released and the crushed segment was then divided. A similar action was performed on the ventral side. This was done down to the desired site of the circumcision. Then a 3-0 chromic suture was placed on the dorsum ventral side connecting the cut ends of tissue. Curved hemostats were used circumferentially around the penis on the right side to the desired length of circumcision. After the tissue was crushed, it was divided and then the excess foreskin was removed. Good hemostasis was achieved using the Bovie, and the remaining cut ends of the tissue were reapproximated using interrupted 3-0 chromic suture. Similar action was done on the left side. The remaining cut edges of the tissue were reapproximated using interrupted 3-0 chromic sutures. Vaseline gauze was placed at the suture line followed by dry gauze. The patient tolerated the procedure well. There were no complications. The patient left the operating room in stable condition. Follow-up: The patient will follow up in my office in 7 to 10 days. He was given a prescription for Darvocet N 100 mg.
Operаtive Repоrt Preоperаtive Diаgnоsis: Abnormal uterine bleeding Postoperative Diagnosis: Same Procedure: Diagnostic hysteroscopy with D&C There was an approximately 8-mm polyp of the cervix. The remainder of the endocervix was unremarkable. Uterine cavity was somewhat difficult to visualize but no obvious abnormalities. Minimal tissue on D&C. Patient was taken to the OR with an IV in place, received general anesthesia and was placed on the operating table in semi-dorsolithotomy position with her legs held by staff. She was then prepped and draped. Pelvic exam was performed. Weighted speculum was placed and single tooth tenaculum placed anteriorly on the cervix. Visualization was good. Diagnostic hysteroscopy was introduced into the endocervix on direct visualization and into the intrauterine cavity. The above findings were noted with no obvious pathology. This was withdrawn and cervix dilated to #8 Hagar. Sharp uterine curette was introduced, and the uterine cavity systematically curetted with minimal amount of tissue. Bleeding was negligible, and the procedure was terminated. Patient tolerated the procedure well and was taken to the recovery room in good condition. Estimated blood loss 15 cc.