ESTIMATED BLOOD LOSS:
TUBES AND DRAINS:
INDICATIONS FOR PROCEDURE: The patient is a year old male who has a history of . discussed the options with the who agreed to have a Prior to the procedure today, the patient's history and physical was reviewed. Informed consent was obtained and all questions were satisfactorily answered. The risks and benefits of the procedure including were discussed, acknowledged and communicated understanding of these risks and wished to proceed with the procedure.
OPERATIVE DETAIL: The patient was transferred to the operating room and placed on continuous pulse oximetry and cardiac monitoring by anesthesia. IV antibiotics were administered. IV sedation and general anesthetic were administered. The patient was in the supine position and prepped and draped in the normal sterile fashion with foreskin retracted and prepped until significant resistance met. Time out was performed confirming patient, procedure, side, all in the room agreed. SCDs were on and functioning. The patient's foreskin was retracted fully and cleaned of any debris and sterilized with iodine and all adhesions were taken down. The distal incision line was marked about half a centimeter proximal to the glans corona. The proximal incision line was marked, being careful to mark to remove all redundant skin without removing too much skin. Both lines were incised using a number scalpel blade, freeing up the subcutaneous attachments of the prepuce skin. Using Bovie electrocautery and scizzors the foreskin was dissected free circumferentially and then using electrocautery with smooth pickups to obtain hemostasis. Excellent hemostasis was obtained. The inner and outer circumcision incisions were then aligned making sure there was no penile torsion. was used to close the circumcision incision in an interrupted fashion. All iodine and blood was washed from the patient. There was excellent hemostasis. The needle, sponge and instrument count were correct. . The patient was awakened by anesthesia and transferred to PACU in stable condition. Patient tolerated the procedure well. Please note that was present throughout the entire length of the procedure.
PLAN: The patient will be after meeting anesthesia criteria. Patient was given given prescriptions for The understands if there is any nausea, vomiting, fever, chills or develops gross hematuria, persistent or new pain or symptoms to come back to the Emergency Room for evaluation by urologic surgery.Patient will follow up with Dr. in