HIT 220 12.5 Module 12 Assignment The wollowing documentation is from the inpatient hewith .e.o d of 5/ year old male patient. Prooperative viagrows: Chronic igut cal. chin nle. with necro. is of the bone. Po topcrativ Jaynosi : Some with c. Cise, is with acut. remp fator, failure and dis. eminated intravascular -oagulation (DIC) after admission. Procedure right below the knit amputation BKA; Description of Procedure: The patient was brought to the or erating room and place. supine on the operating room table. The patient was placed under general endotracheal anesthesia. A tourniquet was : laced on the right proximal thigh and the right lower e..tremit, was prepped and drap ed in a standard sterile fashion A below the knee amputation was carried out directly below the tibial o bercle with a posteriorly based flap. The skin and soft tissue were cut -harply to the bone alon ' the lice of the : kin incision. Once the soft tissue was incised the tibia and fibula were provisionall, cut with an oscillating saw and the remainder of the right lower extremity was re..oved and sent to pathology Net the tibia and fibula "vere dis-ectes out subperiosteally proximal to the anterior portion of the skin incision and recut with the orcillating saw. The anterior portion of the tibia war beveled again with the o-cillating -aw and s. oothed "with a .asp. The fibular cut was beveled in a lateral to m_dial direction while extending posteriorly. The nerves and blood -vessels were then addressed. The anter or tibial and posterior tibial arteries as well as the peroneal artery and attendant veins were suture ligated with #1 Vicryl suture. The anterior and posterior tibial nerve- and peroncal nerve were also identified pulled out of the would. cut short and allowed to ret. art back into the soft tissue In addition large vein- were identified and ligated. The tourniquet was then . eleased for a total tourniquet time of 3. minutes and minimal bleeding was encountered. Several smaller blueders were ligatod. There was some clotting observed which was important a" the blood clotting was of significant concern preceding this operation The wound was closed over a .wewium Hemovar drain with two liwwus with the ; osterior flay brought anturiorly. The fascia was closed using s-v monocyl suture in a simple buried fashion. Staples were placed at the level of the skin in the interest of time. After a sterile compressive dressing was placed and Hemovac drain extension and reservoir wert attached and activated. the patient was awoken from anesthesia and sent to the .. U in unchanged condition