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Philippine History

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CEBU (VELEZ) GENERAL HOSPITAL
Cebu Institute of Medicine
Cebu city

RECORD OF OPERATION

Hospital No.: 14-56992 Out-Patient Date: 09/11/14

NAME: Basmayor, Benigna AGE: 78 SEX: F
PRE-OPERATIVE DIAGNOSIS: End Stage Renal Disease 2º to Hypertensive Nephropathy
SURGEON: Dr. Requerdo Baclig 1ST ASSIST: PGI Dionson
2ND ASSIST: SIIC Lagon NURSE: Mae Celeste Gallega
ANESTHESIA STARTED: 9:10AM ANESTHETIC: Xylocaine 2%
OPERATION STARTED: 9:10AM OPERATION ENDED: 10:20AM

OPERATIVE FINDING: End Stage Renal Disease 2º to Hypertensive Nephropathy
OPERATIVE DIAGNOSIS: End Stage Renal Disease 2º to Hypertensive Nephropathy
OPERATIVE TECHNIQUE: AVF Creation, Left Cubital Area (3682)

• Patient was placed in a supine position with arms extended at the side. • Left arm was cleansed with Povidone-Iodine solution and sterile drapes were placed accordingly to expose only the operative site. • Local anesthesia using Xylocaine 2% was infiltrated. • A 6cm longitudinal incision was made at the ventral aspect at the proximal 1/3 of the forearm. • Proximal radial artery was located and tagged for easier location and small veins near the artery were cut. • Local anesthesia was then introduced inside the operative site. • Cephalic vein was located and was dilated using dilators of increasing caliber until 3.5 and the distal part of the vein was cut to ensure the durability of the anastomosis. • Operative site was cleansed with NSS. • A small incision was made on the radial artery where the vein was anastomosed using a 3-0 Prolene suture. • A thrill was palpated proximal to the AVF to check for patency. • The longitudinal incision was then closed by using 3-0 Prolene suture in a simple uninterrupted manner. • Operative site was then cleansed with NSS and Povidone-Iodine solution and covered with sterile OS and wrapped with elastic bandage. Operation was then terminated.

________________________ ________________________ Dr. Requerdo Baclig Armando S. Lagon Jr. SURGEON SIIC

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