PREOPERATIVE DIAGNOSIS: Retained abdominal sutures.
POSTOPERATIVE DIAGNOSIS: Same.
ATTENDING SURGEON: Dr. Elmer Fudd.
RESIDENT SURGEON: Dr. Daffy Duck.
ANESTHESIA: MAC.
ESTIMATED BLOOD LOSS: Minimal.
COMPLICATIONS: None. The patient tolerated the procedure well.
PROCEDURE PERFORMED: Removal of abdominal sutures.
DESCRIPTION OF PROCEDURE: The patient was brought to the operating room where she was placed comfortably supine on the operating table. She was then placed under the care of the anesthesiologist for monitored anesthesia. The abdomen was prepped and draped in the usual sterile fashion. A total of 4 cc of 1% lidocaine with 1:100,000 epinephrine was injected subcutaneously down the midline of the abdomen, over the previously-healed incision.
Using a #15 Bard-Parker surgical blade, six small incisions of approximately 1.5 cm in length were made over the previously-healed incision in the midline. Using hemostats, blunt dissection was performed in order to locate the abdominal sutures. In this manner, the sutures were located and subsequently removed from the abdomen. The incisions were then closed with a 4-0 Vicryl subcuticular suture. Steri-Strips were placed over the wounds, followed by placement of a bandage that was secured with tape.
The patient tolerated the procedure well. On being taken from the operating room, her vital signs were stable and she had spontaneous respirations.
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