DATE OF PROCEDURE: MM/DD/YYYY
PREOPERATIVE DIAGNOSIS: Bilateral cervical lymphadenopathy.
POSTOPERATIVE DIAGNOSIS: Bilateral cervical lymphadenopathy.
PROCEDURE PERFORMED: Incisional biopsy, left supraclavicular mass.
SURGEON: John Doe, MD
INDICATIONS FOR PROCEDURE: The patient is a (XX)-year-old female with a history of bilateral cervical lymphadenopathy with evidence of diffuse systemic lymphadenopathy on PET scan who presents for incisional biopsy for the left supraclavicular lymphadenopathy.
DESCRIPTION OF PROCEDURE: The patient was brought to the operating room, and an appropriate plane of anesthesia was obtained using general endotracheal intubation. The head of the bed was turned and 2.5 mL of lidocaine, 1% with 1:100,000 epinephrine, was injected along a skin fold overlying the mass. The area was prepped and draped in the usual sterile fashion.
A 3 cm incision was made through the platysma layer. Small cervical flaps were elevated.
Blunt and sharp dissection was carried down the palpable free border of the matted lymphadenopathy until the capsule of the lymph nodes was identified.
Further blunt and sharp dissection was carried through to provide better exposure of this area.
Two samples were then excised from the large lymph node, one sent for frozen section and one for permanent specimen.
Meticulous hemostasis was obtained.
The wound was closed in layered fashion with 3-0 deep Vicryls for the subcutaneous and platysma layers and a running 5-0 Monocryl for the skin. Dermabond was applied. No immediate complications.
The patient tolerated the procedure well and was transported to the PACU in stable condition.
