SOLVED332

Inpatient OP Note Patient Name: Sheena Normandy DOB: 11-29-59 Sex: F Date of Admission: 06-07-XX Surgeon: Lana Peterson, MD Pre-Operative Diagnosis: Rectal cancer Post-Operative Diagnosis: Rectal cancer Procedure Performed: Placement of right cephalic vein MediPort Anesthesia: Moderate sedation Complications: None Indication for Procedure: The patient is a 59-year-old female with stage IV rectal cancer who presents for placement of a MediPort for palliative chemotherapy. All risks, benefits and alternatives to procedure were discussed in detail with the patient prior to proceeding and informed consent was obtained. Description of Procedure: The patient was brought to the operating theater, placed in a supine position on the operating table and administered the IV sedation by the department of anesthesia. She was prepped and draped in sterile surgical fashion over bilateral chest and axilla. The right deltopectoral groove was identified and marked and a horizontal incision was planned distal to the clavicle on the chest wall including the deltopectoral groove. The skin incision was created and taken down to the level of the muscular fascia. The deltopectoral groove was identified. The cephalic vein was identified and isolated. Proximal and distal suture was placed and a small venotomy was made. The catheter tip was inserted
SCIENCE
HEALTH SCIENCE
NURSING

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