Left Ring Trigger Finger Release Medical Transcription Operative Sample

OPERATION IN DETAIL:  The patient was brought to the operating room and laid supine on the operating room table. Ten mL of a mixture of Marcaine and lidocaine was injected at the level of the distal flexion crease in line with the ring finger. Next, a tourniquet was placed on his left forearm. The left upper extremity was prepped and draped in the usual sterile fashion. An Esmarch bandage was used to exsanguinate the left upper extremity, and the tourniquet was inflated to 250 mmHg. Next, a transverse incision approximately 2 cm in length was made just distal to the distal flexion crease, in the palm, in line with the ring finger. Dissection was carried down through the subcutaneous fat down to the level of the tendon sheath. The A1 pulley was identified and incised with a 15 blade. After incision of the A1 pulley, the finger was taken through a full range of motion. No further triggering was noted. There was no further locking. The patient was asked to actively flex and extend his fingers, and he did not note any catching or locking. The wound was then thoroughly irrigated with normal saline. The tourniquet was deflated. The skin was closed with 5-0 nylon suture in horizontal mattress fashion. Sterile dressings were applied. The patient was then transferred back onto a stretcher and taken to Same Day Surgery.

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