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ding was phrine al mattress sutures of were applied. The patient the operating room in good condition. LATER INDICATED: Benign tissue. 7. OPERATIVE REPORT PREOPERATIVE DIAGNOSIS: Lipoma left posterior axillary fold. POSTOPERATIVE DIAGNOSIS: Same. muscle. SURGICAL FINDINGS: 6 cm diameter lipoma attached to latissimus dorsi fold. PROCEDURE PERFORMED: Excision of lipoma left posterior axillary ANESTHESIA: General endotracheal anesthesia with 5 cc 1% Xylocaine with 1: 100,000 epinephrine injected along the incision line. COMPLICATIONS: None. SPONGE AND NEEDLE COUNT: Correct. DRAINS: One #10 Jackson-Pratt. DESCRIPTION OF PROCEDURE: The patient’s posterior arm was prepped with Betadine scrub and solution and draped in the routine sterile fashion. About 5 cc of 1% Xylocaine with 1: 100,000 epinephrine were injected along the incision line. Dissection was carried down to the site of the lipomatous mass, which was dissected free of the skin and dissected free of the muscle using sharp dissection with very little bleeding. Bleeding was electrocoagulated. Because of the size of the pocket, we inserted a drain and brought it out through a separate stab wound incision using a #10 Jackson- Pratt drain. The wound was then closed, effectively closing the dead space with interrupted 2-0 Monocryl, subcuticular 3-0 Monocryl, and a few twists of 4-0 Prolene. Dressing consisted of Kerlix fluffs, Elastoplast, a clavicle strap, and a sling. The patient tolerated the procedure well and left the area in good condition. PATHOLOGY REPORT LATER INDICATED: See Report 60.
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