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OPSX38AndelLucinda

MCCG240 Case Scenario OPSX38 Andel, Lucinda.html[10/21/2021 10:55:47 AM]

Outpatient Surgery

Patient Case Number: OPSX38-Andel, Lucinda

Patient Name: Lucinda Andel DOB: 05-20-62 Sex: F

Date of Service: 11-2-XX Surgeon: Michael Singleton, MD

Pre-Operative Diagnosis Metastatic primary peritoneal cancer

Post-Operative Diagnosis Metastatic primary peritoneal cancer

Procedure Performed: Insertion of single-lumen Infusaport

Anesthesia: General Complications: None

Description of Procedure:

After successful induction of general anesthesia, the patient was placed in a steep Trendelenburg position. The neck and the chest wall was prepped and draped in the usual sterile fashion. An infraclavicular subclavian puncture was then made to access the subclavian vein. The catheter was inserted into the right atrium via the subclavian vein. The position of the catheter was checked. The dilator introducer assembly was inserted over the guidewire into the right atrium. The introducer was removed. The catheter was inserted into the right atrium. Through the introducer, the introducer set was peeled away. A transverse incision was then made on the anterior chest wall. Subcutaneous tissue was incised. The reservoir of the Infusaport was then placed in the subcutaneous space. This was sutured in place. The catheter was then tunneled subcutaneously to the site of the reservoir. The catheter was pulled such that the tip of the catheter was located in the right atrium. The catheter was then connected to the reservoir with the help of a small plastic screw meant for the above purpose. The reservoir was sutured in place. The patient tolerated the procedure well. A 3-0 Vicryl sutures were used to approximate the subcutaneous tissues. The skin was approximated with 3-0 Vicryl subcuticular sutures. The patient tolerated the procedure well and was transferred to the recovery room under satisfactory condition.

Electronically Signed By: Michael Singleton, MD

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