Gastroenterology (GI) Consultation Medical Transcription Sample Report

DATE OF CONSULTATION:  MM/DD/YYYY

CONSULTING PHYSICIAN:  John Doe, MD

REQUESTING PHYSICIAN:  Jane Doe, MD

REASON FOR CONSULTATION:  Abdominal pain with abnormal LFTs.

HISTORY OF PRESENT ILLNESS:  The patient is a (XX)-year-old woman who has a history of depression and is status post cholecystectomy about 2 years ago for gallstone disease, who was admitted to the hospital for pain in the right upper quadrant of the abdomen with nausea of 3 days’ duration.  Per the patient, she started experiencing severe crampy pain in the right upper quadrant of the abdomen, fairly constant pain grade, 8/10 in severity, radiating to the back and associated with nausea in the last 3 days.  She had no fever, no vomiting.  Her bowel movements have been regular, which are brown in color.  No history of blood in the stools.  No history of fever.  The patient on admission was found to have a white cell count of 15,400 with LFTs suggestive of cholestasis.  Her total bilirubin is 2.4, alkaline phosphatase 182, SGOT 423, and SGPT 1051.  Amylase and lipase otherwise are unremarkable.  An ultrasound of the abdomen is unremarkable.  CT scan of the abdomen and pelvis was done, which showed that the patient is status post cholecystectomy.  There is no biliary ductal dilatation seen.  No masses in the liver or in the pancreas.  The patient was now started on pain medications with intravenous hydration and Protonix and GI consult was placed for further evaluation.

PAST MEDICAL HISTORY:  Depression.

PAST SURGICAL HISTORY:  Laparoscopic cholecystectomy 2 years ago for gallstone disease.

MEDICATIONS AT HOME:  The patient takes Effexor and Depakote.

MEDICATIONS IN THE HOSPITAL:  The patient is on Protonix and IV fluids.  The home medications were discontinued.

ALLERGIES:  NKDA.

SOCIAL HISTORY:  The patient smoked at least 2 cigarettes a day for the last 2 years.  She drinks at least 2-3 beers every 2-4 weeks.  No history of injection drug use.

REVIEW OF SYSTEMS:  Negative for the systems.

PHYSICAL EXAMINATION:
GENERAL:  The patient is a (XX)-year-old woman who is alert and oriented x3.
VITAL SIGNS:  Temperature 97.6 degrees, heart rate 74, blood pressure 114/74, and respirations 18.
HEENT:  Pupils equal, round, reacting to light and accommodation.  Extraocular muscles are intact.  ENT normal.  There is no JVD.  There is no lymphadenopathy.  No thyromegaly.
NECK:  Supple.
HEART:  First and second heart sounds normally heard.  No third sound, no fourth sound, and no murmurs.
LUNGS:  Auscultation of the lungs show bilateral vesicular breath sounds.
ABDOMEN:  Examination of the abdomen shows a soft and scaphoid abdomen.  There is deep tenderness in the right upper quadrant of the abdomen.  The liver span is 12 cm.  It is tender.  There is no splenomegaly.  No ascites.  Normal peristaltic sounds are heard.
EXTREMITIES:  No edema, no rash.
NEUROLOGIC:  No focal or neurological deficit.

LABORATORY DATA:  The patient had her laboratories, which showed a white cell count of 15,400, hemoglobin 13.4, platelet count 329,000 with MCV 93.6.  Electrolyte panel showed sodium 137, potassium 4.6, bicarbonate 27, chloride 104, BUN 16, creatinine 0.7, glucose 99, serum albumin 4.4, total bilirubin 2.4, alkaline phosphatase 182, SGOT 423, and SGPT 1051, amylase 81, lipase 31.

Pregnancy test is negative.

Ultrasound of the abdomen shows no biliary ductal dilatation.  CT scan of the abdomen and the pelvis shows the patient is status post cholecystectomy.  No biliary dilatation.  No mass in the abdomen.

ASSESSMENT AND PLAN:
1.  Abdominal pain with cholestatic hepatitis, rule out viral hepatitis, autoimmune hepatitis, hemochromatosis, Wilson disease, alpha-1 antitrypsin deficiency, drug-induced hepatitis, ischemic hepatitis, retained stone in the common bile duct.  The patient is scheduled to have MRCP of the bile duct today.  Also, all the laboratories have been ordered which are pending at this time.  We are going to closely follow up with her laboratories and MRI of the abdomen, and further recommendations will be made thereafter.  The patient can be started on clear liquid diet at this time and the diet can be advanced as tolerated.  Monitor LFTs closely at this time.
2.  History of depression.  Hold all home medications at this time.

Thank you for allowing us to participate in the patient's care.

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Removal of Foot Neoplasm Operative Sample Report

DATE OF OPERATION:  MM/DD/YYYY  

PREOPERATIVE DIAGNOSIS:  Left foot neoplasm.

POSTOPERATIVE DIAGNOSIS:  Left foot neoplasm.

OPERATION PERFORMED:  Removal of left foot neoplasm.

SURGEON:  John Doe, DPM 

ASSISTANT:  Jane Doe, DPM

ANESTHESIA:  MAC with local consisting of 10 mL of 2% lidocaine plain and 0.5% Marcaine plain injected in a 1:1 mixture fashion, injected in a posterior tibial block and ankle block fashion.

PATHOLOGY:  Left foot neoplasm, sent for pathological analysis.

HEMOSTASIS:  Left pneumatic ankle tourniquet inflated to 250 mmHg.

ESTIMATED BLOOD LOSS:  Less than 5 mL.

MATERIALS:  None.

INJECTABLES:  10 mL of 1% lidocaine plain.

COMPLICATIONS:  None.  

DESCRIPTION OF OPERATION:  Under mild IV sedation, the patient was wheeled into the operating room and placed on the operating table in supine position.  A well-padded left pneumatic ankle tourniquet was placed about the patient's left ankle.  Before the ankle tourniquet was placed, the above-mentioned local anesthetic cocktail was injected into the left foot to achieve local anesthesia.  The foot was then scrubbed, prepped and draped in the usual aseptic manner.  The leg was elevated, and utilizing an Esmarch bandage, the left lower extremity was exsanguinated.  The tourniquet was inflated and the surgery began.

Attention was then directed to the medial aspect of the patient's left arch where, overlying approximately the left navicular tuberosity, the soft tissue mass was palpated and outlined to be approximately 1.5 cm in diameter, circular in nature.  Utilizing a #15 blade, an incision was made overlying the soft tissue mass in a lazy-S fashion, extending dorsal to plantar approximately 4 cm in length.  Utilizing sharp dissection, the incision was then deepened down to the fascial layer and the skin was undermined distally and proximally from its fascial attachments.  Care was taken to carefully retract all vital neurovascular structures.  All bleeders were cauterized or ligated as necessary.

Once down to the fascial layer, a yellowish-appearing soft tissue mass consistent with the fascial surroundings was palpated and noticed to be well encapsulated and circumscribed from its neighboring fascial attachments.  Utilizing a dissecting scissor, this soft tissue mass was dissected out of its fascial attachments and removed from the foot in toto.  During this dissection, the patient was noted to have a mild sensation response to the area and the additional local anesthetic, as mentioned earlier, was injected into the area.  All visible and palpable mass was removed from the left foot and was set aside for pathological analysis.  Once the mass was removed, the underlying muscle belly was visible.  The area was inspected for any more visual and palpable presence of soft tissue mass and there was none.  

The area was then copiously flushed with normal sterile saline.  The subcutaneous tissues were closed with 4-0 Vicryl and the skin was closed with 4-0 Prolene in a simple interrupted suture fashion.  The incision was dressed with Betadine-soaked Adaptic, 4 x 4's, Kling, Kerlix, and an Ace bandage.  The tourniquet was deflated and prompt hyperemic response was noted to the left lower extremity.  The patient was then sent to recovery.

Frontal Craniectomy and Cranioplasty Operative Sample Report

DATE OF OPERATION:  MM/DD/YYYY

PREOPERATIVE DIAGNOSIS:  Left frontal calvarial-based mass.

POSTOPERATIVE DIAGNOSIS:  Left frontal calvarial-based mass.

OPERATIONS PERFORMED:
1.  Left frontal craniectomy, resection of calvarial based mass.
2.  Cranioplasty, 4.5 x 6.5 cm, with titanium mesh, repair calvarial defect.
3.  Stealth neuronavigation, frameless stereotactic, preoperative planning and volumetric resection.

SURGEON:  John Doe, MD

ASSISTANT:  Jane Doe, MD

ANESTHESIA:  General.

DESCRIPTION OF OPERATION:  After informed consent was obtained, the patient was taken to the operating room where she was placed in the supine position upon the operating table, and all pressure points were padded. Adequate general anesthesia was induced and maintained with a combination of intravenous and inhalational agents. The patient's head was secured in a Mayfield 3-pin head holder. The head and neck were secured to the operating table using the Mayfield articulated arm. All connections were secured. Stealth neuronavigation frameless stereotactic was registered using surface fiducial markers, and accuracy at the operative site found to be acceptable, with less than 1 mm error. The scalp was clipped and shaved and a Sutar-type bicoronal incision scribed down to the skin with gentian violet behind the hairline per the patient's request. The scalp was prepared with DuraPrep solution and draped in the usual sterile manner with an iodine-impregnated adhesive sheet placed over all areas of exposed skin.  Intravenous cephazolin was administered for perioperative prophylactic antibiotic coverage.

The scalp incision was infiltrated with 1% lidocaine with 1:100,000 units epinephrine. The skin incision was created and carried to calvarium sharply. The temporalis fascia was not violated on either side, and subperiosteal dissection was utilized to elevate the soft tissue flap. The inferior left frontal/supraorbital region on the left was fully exposed. The patient's globes were protected with protective goggles. The soft tissue flap was protected with a saline moist and 4 x 4 gauze sponge and reflected over 4 x 4 fluffs and gently retracted with fish hooks. The stealth neuronavigation station was utilized to identify the margins of the calvarial mass, and this was marked down to the skull with sterile marking pen. A small trephine was created with B1 Midas Rex drill bit to the dura. The dura was separated from the inner table of the calvarium. The calvarial mass was resected with approximately 0.5 to 1 cm margins of healthy bone circumferentially. The calvarial-based mass was found to extend over the orbital roof. Using Midas Rex high-speed air drill and an AMA dissecting tool, the calvarial mass was resected. The mass itself was found to be within the diploe. The calvarium was debrided back to healthy-appearing bone and a gross total tumor resection was achieved. The confines of the orbit were not entered at any time. The frontal sinus likewise was not entered. Once the mass had been resected, attention was turned to reparative cranioplasty. A 4.5 x 6.5 cm sheet of titanium mesh was custom molded to conform to the patient's calvarium. It was secured to the bony margins using Synthes cranial screws sunk flush to the mesh.

The wound was irrigated with copious normal saline irrigant bacitracin solution. Meticulous hemostasis achieved. The galea aponeurotica was closed with 2-0 Vicryl simple interrupted inverted suture and the skin with 3-0 monofilament nylon running suture. The sterile dressings were applied over the wound. The operative drapes were taken down and the Mayfield 3-pin head holder removed. A partial-thickness laceration was noted posterior to the left parietal pin. This was cleansed with Betadine and sutured primarily with 3-0 monofilament nylon. The sterile dressing was applied here as well. General anesthesia was reversed and endotracheal tube withdrawn. The patient was subsequently transferred to postanesthesia care unit for postoperative monitoring. Estimated blood loss was 100 mL, none replaced. Sponge and needle count was correct x2. The patient tolerated the surgical procedure well and was returned to the recovery room in stable condition, neurologically intact.

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Neonatal / Infant Discharge Summary Sample Report / Example

DATE OF ADMISSION:  MM/DD/YYYY

DATE OF DISCHARGE:  MM/DD/YYYY

HISTORY OF PRESENT ILLNESS:  The infant is a (XX) weeks' gestation, large-for-gestational-age male.  Birth weight was 9 pounds 7 ounces.  OB is Dr. Doe.  The baby was born on MM/DD/YYYY at 8:18 a.m. via primary cesarean section for macrosomia.  The baby initially was breech, but before birth flipped to cephalic position.  The prenatal labs were negative.  Mother is (XX) years old, gravida 2, para 0-0-1-0, O negative, and serology negative.  Mother had normal pregnancy.  Rupture of membranes was at the delivery.  Apgars were 8 and 9.  There was one loose nuchal cord around the neck after birth.  The infant started to have retractions, grunting, flaring, and increased work of breathing.  He also looked pale and required oxygen to stay pink.  The infant was admitted to neonatal intensive care unit at that point and was put on 40% oxyhood.  ABG and chest x-ray were done.

PHYSICAL EXAMINATION:  On admission showed grunting, retracting, and increased work of breathing.  Respiratory rate was in the 70s-80s per minute while not grunting.  Oxygen saturations were stable on 40% oxyhood.  Heart had regular rate and rhythm, no murmurs.  Pulses were normal.  Abdomen was soft.  No hepatosplenomegaly.  Lungs had bilateral rales.  Genitourinary exam showed normal male, testes descended bilaterally.

ADMISSION DIAGNOSES:
1.  A 38 weeks' gestation, large-for-gestational-age male.
2.  Transient tachypnea of newborn, rule out sepsis due to respiratory distress.  Rule out hypoglycemia secondary to macrosomia.

PLAN ON ADMISSION:  The infant was kept n.p.o.  Septic workup was done.  IV antibiotics were started.  The infant was placed on pulse oximetry and hypoglycemia protocol was followed.  ABG and chest x-ray were done.  Parents were told regarding the sick status of the infant and management in the ICU.

HOSPITAL COURSE:
1.  Transient tachypnea of newborn.  Respiratory rate did improve and the infant was weaned to room air gradually with normal O2 saturations.  Chest x-ray was consistent with TTN.  Blood gas was normal.
2.  Rule out sepsis.  Workup was done secondary to respiratory distress.  Workup remained negative.  Infant was on ampicillin and gentamicin until 72-hour negative culture, after which the antibiotics were stopped and the problem resolved.
3.  Rule out congenital heart disease.  The infant had positive heart murmur on MM/DD/YYYY and then continued to have soft murmur at the left lower sternal border.  Echocardiogram was consistent with small patent ductus arteriosus, small patent foramen ovale, and the rest of the anatomy was normal, so the infant is just being observed for that.
4.  Hypoglycemia, which was secondary to large for gestational age.  The infant was on hypoglycemia protocol.
5.  Hyperbilirubinemia.  The infant is icteric.  The baby is stooling well and voiding, so it will be observed clinically.
6.  Fluid, electrolytes, and nutrition.  Initially, the infant was n.p.o., on IV fluids, and then was started on feeds and advanced to full feeds without any problem.

On MM/DD/YYYY, the infant was in stable condition.  Vital signs were stable.  Heart had regular rate and rhythm, no murmur.  Pulses were normal.  Abdomen was soft.  No hepatosplenomegaly.  Neurological exam showed grossly good tone.  Genitourinary exam showed normal male.  Circumcision was done.

DISCHARGE DIAGNOSES:
1.  A 38 weeks' large-for-gestational-age male.
2.  Transient tachypnea of newborn, resolved.
3.  Sepsis, ruled out.
4.  Hyperbilirubinemia, stable.
5.  Hypoglycemia, ruled out.
6.  Congenital heart disease, ruled out.

CONDITION ON DISCHARGE:  Stable.

PLAN ON DISCHARGE:  Follow up with Dr. Doe in 1 week.

Shoulder Surgery Operative Sample Report / Transcription Example

DATE OF OPERATION:  MM/DD/YYYY

PREOPERATIVE DIAGNOSIS:  Labrum tear of the right shoulder with articular-sided rotator cuff tear.

POSTOPERATIVE DIAGNOSIS:  Labrum tear of the right shoulder with articular-sided rotator cuff tear.

OPERATION PERFORMED:
1.  Right shoulder arthroscopy with repair of anterior and posterior labrum using 4 Mitek Lupine suture anchors and repair of articular-sided rotator cuff tear.
2.  Subacromial decompression.
3.  Insertion of a pain pump.

SURGEON:  John Doe, MD 

ASSISTANT:  Jane Doe, MD

ANESTHESIA:  General with interscalene block.

IV FLUIDS:  1800 mL.

ESTIMATED BLOOD LOSS:  Minimal.

COMPLICATIONS:  None.

SPECIMENS:  None.

DESCRIPTION OF OPERATION:  The patient was seen in the preoperative holding area and the correct operative site was identified. He was given interscalene block by Anesthesia. The patient was then transported to the operative suite, placed supine on the operating table, and given general anesthetic without difficulty. He was then placed into the left lateral decubitus position and an axillary roll was applied. The right upper extremity was suspended with 10 pounds in the T-bar suspension unit. The right shoulder was prepped with DuraPrep solution and draped in the usual sterile manner. The posterior portal was established. The arthroscope was placed into the joint. The patient had grade 3 and 4 chondromalacia of the glenoid. There was cartilage damage down to bone on the posterior glenoid. There was grade 3 chondromalacia of the articular humeral head. There was obvious evidence for large amount of labral tearing from posterior to superior to anterior. Biceps tendon itself was intact. There was articular surface rotator cuff partial tearing noted, which was extensive. Posterior capsular insertion was intact. Axillary recess was normal. Inferior glenoid labrum and inferior-posterior glenoid labrum was intact. The labrum did appear to be torn from the 9 o'clock position superiorly and the anterior portion of the labrum was torn off the bone to approximately at 3 o'clock position. Subscapularis tendon was intact.

An anterior-superior portal was established. The labrum was probed to confirm the presence of a tear. The glenoid was then prepared for repair. A combination of a tissue elevator, arthroscopic rasp, and an arthroscopic shaver were used to decorticate the medial glenoid from 9 o'clock to 3 o'clock position. Two Mitek Lupine suture anchors were placed posteriorly in the glenoid and anterior to the biceps tendon. These anchors were placed approximately at the 9 o'clock, 11 o'clock, 1 o'clock, and 3 o'clock positions. The labrum was looped with a single stitch and arthroscopic knot was tied, and the labrum was attached firmly to bone using standard technique. When that was complete, the inner surface rotator cuff tear was debrided. A partial articular-sided tear was noted. There was delamination of the undersurface with retraction. It was noted that this needed to be repaired. Using a spinal needle for guidance, the insertion of the supraspinatus on the greater tuberosity was located. The shaver was used to decorticate the bone just medial to the area of the suture anchor placement.

An arthroscopic shaver was utilized to make a small hole in the rotator cuff distally. A 5 mm titanium corkscrew anchor was placed into the greater tuberosity. The arthroscope was placed into the subacromial space, and subacromial decompression and debridement was performed just prior to placement of this anchor to help with visualization of the sutures. A straight bur, deep penetrator was then used to penetrate the superior portion of the rotator cuff, grab the inferior retractor portion and grasped the sutures from the suture anchor. This was done twice creating a mattress-type stitch. It was tied superiorly while watching the joint. Good approximation of the inferior portion of the rotator cuff tear to the greater tuberosity was seen. When that was completed, the final repair was visualized from the superior surface and that was found to be tied tightly down to the cuff tissue at the greater tuberosity. Under direct visualization, an angiocatheter was placed into the subacromial space.

All instruments were removed. Excess fluid and debris were removed. Portal sites were closed with nylon sutures. Marcaine 0.25% with epinephrine was bolused into the angiocatheter and the pain pump catheter was then placed through the angiocatheter. The pain pump was assembled and attached to the skin. A sterile dressing was applied. An ABD pad was placed over the dressing. The right upper extremity was placed into an UltraSling. The patient was returned to the supine position and general anesthetic was reversed without difficulty. The patient was transferred supine to the operative gurney and transported to the postanesthesia care unit in stable condition.

Sample Colonoscopy Transcribed Procedure Report / Transcription Example

DATE OF PROCEDURE:  MM/DD/YYYY

REFERRING PHYSICIAN:  Jane Doe, MD

ENDOSCOPIST:  John Doe, MD

PROCEDURE PERFORMED:  Colonoscopy and biopsy.

INDICATIONS:  The patient is a pleasant (XX)-year-old male who was apparently diagnosed with autoimmune hepatitis and treated with Imuran and prednisone, who has had problems with chronic diarrhea.  He has had stool studies which have been negative and has between 6 and 8 bowel movements per day.

A physical examination done prior to the procedure was normal.

MEDICATIONS:  Fentanyl 150 mcg and Versed 8 mg intravenously given throughout the procedure.

INSTRUMENT:  CF-180AL.

COMPLICATIONS:  None.

DESCRIPTION OF PROCEDURE:  Informed consent was obtained from the patient after the risks and benefits of the procedure were carefully explained, which included but were not limited to bleeding, infection, perforation and allergic reaction to the medications, as well as the possibility of polyps being missed within the colon.

The colonoscope was passed through the rectum, all the way towards the cecum, which was identified by the presence of the appendiceal orifice and ileocecal valve.  This was done without difficulty and the bowel prep was good.  The ileocecal valve was intubated.  The distal 12 to 14 cm of the terminal ileum was examined.  The colonoscope was then slowly withdrawn and a careful examination of the mucosa was performed with withdrawal time exceeding 7 minutes.  There was evidence of a diffuse colitis seen from the rectum all the way towards the cecum with decreased mucosal vascularity, diffuse erythema with multiple ulcers seen throughout the colon.  There was loss of a normal haustral fold seen within the colon.  Evaluation of the examination of the terminal ileum revealed marked erythema with punctate ulcer seen within the terminal ileum.

Biopsies were obtained from the terminal ileum and placed in jar #1.  Biopsies were obtained randomly from the colon and placed in jar #2.  Retroflexion was not performed due to the diffuse severe colitis seen within the rectum.

ASSESSMENT:
Diffuse ileocolitis highly suggestive with presence of Crohn's disease.

RECOMMENDATIONS:
1.  Follow up results of the biopsies.
2.  Obtain an IBD-7 serological study, ANA, and anti-liver-kidney microsomal antibody along with a CBC and CMP.
3.  Begin prednisone 40 mg p.o. daily and taper for 1 week and taper over the next 2 weeks.
4.  Begin Pentasa 500 mg 2 tablets p.o. t.i.d.
5.  Follow up in clinic.
6.  Obtain a small bowel follow-through.

Right Orchidopexy / Orchiectomy Medical Transcription Sample

DATE OF OPERATION:  MM/DD/YYYY

PREOPERATIVE DIAGNOSIS:  History of testicular torsion. 

POSTOPERATIVE DIAGNOSIS:  History of testicular torsion. 

OPERATIONS PERFORMED: 
1.  Midline scrotal mass excision. 
2.  Left orchiectomy. 
3.  Left testicular implantation. 
4.  Right orchidopexy. 

SURGEON:  John Doe, MD

ASSISTANT:  Jane Doe, MD 

IV FLUIDS:  Normal saline, 1 liter. 

ESTIMATED BLOOD LOSS:  Ten mL. 

COMPLICATIONS:  None. 

DESCRIPTION OF OPERATION:  After risks and benefits were explained and informed consent signed, the patient was taken back to the operative suite where he was placed in the supine position. The patient’s genitals were prepped and draped in the sterile fashion. Following this, using a 15 blade scalpel, the midline scrotal mass that was seen on palpation was excised. This was a very small, roughly 0.6 cm in size, circular hard mass that was sent for pathology, which was consistent with a sebaceous cyst. Attention was then turned to the patient's left inguinal area. A subinguinal incision using a 15 blade scalpel, roughly 2 cm in size, was made. The skin was excised, and using Adson pickups and electrocautery, I excised to the Camper's and Scarpa's fascia down to the level of the external oblique finding the external ring with the spermatic cord. We dissected around the spermatic cord using Metzenbaum scissors, as well as DeBakey forceps and a right angle. After excising around the spermatic cord, the spermatic cord was then withdrawn and the left testicle was brought through the incision site onto the patient's lower abdomen. Using Kelly clamps, this area was clamped off, and using electrocautery, we excised and allowed for hemostasis at the spermatic cord site. Using 4-0 chromic, we tied off all areas of venous bleeding and attention was turned to his spermatic cord. We used Metzenbaum scissors to dissect free his left testicle and then using first a 2-0 Vicryl tie as well as 2-0 stick-tie, we ensured hemostasis was obtained at the remaining spermatic cord.

We then turned our attention to ensure that hemostasis was obtained using electrocautery, and then using testicular implant, we cleansed the area with antibiotic solution. His testicular implant was inflated and all bubbles were removed. This was then sutured down to the scrotal wall using Allis forceps to bring this area of the scrotal wall to the surface of the incision site. Using a 5-0 chromic, this was then attached ensuring that this suture had gone through the patient's skin. The surgical implant was then reinserted through the scrotum and positioned correctly. For closure of the incision site, the external spermatic fascia was closed using interrupted 3-0 chromic with Camper's and Scarpa's fascia reapproximated using the same interrupted 3-0 chromic. The area was then cleansed with wet and dry. For closure of the skin, a 4-0 running Monocryl was used. This was then covered with Dermabond for closure. For the patient's midline scrotal incision, this was used for his right orchidopexy. This was accomplished using dissection using blunt forceps as well as hemostat to ensure that the patient's hydrocele sac was reapproximated. This was stitched and approximated to the dartos fascia using interrupted 5-0 PDS. Three stitches were placed to ensure that orchidopexy would take and then the skin was closed using a running 4-0 Monocryl. This was then closed and covered with Dermabond. The patient was then awoken from anesthetic and transferred back to PACU. While in the PACU, all questions were answered.

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