Skin excision procedure

SKIN EXCISION PROCEDURE

Lesion:
  Location: 
  Dimensions (mm): 
  Pre-excision Diagnosis/es: 
  Features: 
  [-] pain
  [-] bleeding
  [-] irritation
  [-] infection

Informed consent:
Procedure, alternate treatment options, risks, and benefits were thoroughly explained to the patient and informed consent was obtained before the procedure started.

Procedure:
[+] Area prepped and draped.
[+] Local anaesthesia: Lidocaine ?% with??without adrenaline, ?mL.
  Incision (mm): 
    Shape: elliptical
    Dimensions ([?] x ?): 
    Depth: 
    Lesion margins (mm): 
  Haemostasis: 
  [+] pressure
  [-] electrocautery
  [-] silver nitrate
  Estimated blood loss (mL): 
  Wound closure: 3/0 nylon monofilament, interrupted sutures x ?
  Dressing: non-stick adhesive dressing applied.

Diagnostic investigations requested:
  Histology
  Laboratory: 
  Specimen(s): 
  Fixative: formalin.

Aftercare advice:
1. Keep area clean and dry.
2. Rest the area and avoid pressure or tension on the wound.
3. Apply cold packs for 20 minutes at a time for pain or swelling.

Next appointment:
-

Skin excision procedure

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