PD cath removal
Date of Surgery -
Preop Diagnosis -
Postop Diagnosis -
Surgeon - Dr. Luk/Dr. Dan Tran
Assistant Surgeon -
Anesthesia -
Blood Loss - Minimal
Complication - None
Findings -
Specimens -
Indication-
Procedure Performed- PD catheter removal
Patient no longer needs the PD catheter. Presents today for removal.
Patient was seen in the preop holding area. Preop antibiotic was given. Consent was signed.
The proposed procedure was discussed with the patient along with alternatives. All risks and benefits were explained to the patient and he/she agreed to the procedure.
Risks and benefits were discussed with the patient in the patient agrees to go to surgery.
In the operating room, the patient was placed supine on the operating table. General anesthesia was applied.
The patient was prepped and draped in the usual fashion.
The catheter was prepped into the field.
Curved hemostat was used to hold on to 1 end of the catheter while gentle retraction was used to pull the catheter to expose the superficial cuff. A counter incision was performed close to the access site of the catheter to help expose the cuff.
Cautery was used to free up the cuff from the surrounding tissue attachment.
Once this was achieved. Then additional tension was used to pull up the 2nd cuff so that it is exposed.
Cautery was then used to free up the attachment similar to the 1st cuff.
This then allowed the catheter to be completely free and the entire catheter was removed in whole and intact.
The wound was irrigated. Hemostasis was obtained using electrocautery.
Local anesthetic was applied to the incisions to help with postoperative pain.
At the end of the case, counts were carried out. Instrument, sponge, and needle counts were completed and reported to me as correct.
The fascia was closed using prolene or vicryl sutures
The skin incisions were closed using skin staples.
The patient tolerated procedure well, was transferred to recovery room in stable and satisfactory condition