Post-Op Note

SAPPA HEMI


Date:
Surgeon: Dr. Hammer DPM
Assistant: Tommy  Bahamas R1

Pre-Op Diagnosis: Open Ankle Fracture
Post-Op Diagnosis:

Procedure:

Anesthesia:

Hemostasis:

Estimated Blood Loss (EBL): minimal <5cc

Material: hardware, screws, plates, fiber wire

Complications: NONE

Indication: A 32-year-old Male patient sustained Right ankle fracture with tenting of lateral malleolus requiring urgent OR for deformity

General Statement:

“The patient tolerated the anesthesia and the procedure well, with no complications. Left the operating room with vital signs stable. Vascular status of the Right foot showed immediate hyperemia to the digits upon deflation of Right thigh tourniquet.”

Resident_________________________________

Attending_______________________________