Get Answer: Operative Report Preoperative Question Guide

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Original Question

Operative Report Preoperative Diagnosis: Carcinoma of the left breast. Postoperative Diagnosis: Carcinoma of the left breast. Procedure: Left mastectomy. Excision of needle localized left axillary lymph node. Left sentinel lymph node biopsy x3. Completion left axillary dissection. Details of Procedure: The patient was brought to the operating room, where general anesthesia was induced. The patient had an erector spinae block done for postop analgesia. 5 mL of isosulfan blue was injected into the periareolar dermis of the left breast after prepping it with Betadine. The left breast was then massaged for 5 minutes. The left breast, chest, and axilla were then prepped and draped in the usual sterile fashion. We did the node procedure first. The left axilla was examined transcutaneously with the NeoProbe, which was used as our Gamma counter. There was a radioactive site and it appeared to be where the previously positive node was located. a transaxillary incision was made centered on the entrance site of the localizing wire. We dissected down the wire to the underlying node, which was approximately 6 cm deep to the skin insertion site. The node was stained blue, it had an in situ count of 55. This node was excised along with the needle localizing wire and the count over the node after excision was 60. A specimen radiograph of the node was then done in the operating room, which demonstrated the clip, which had been placed at the time of her original biopsy to be present in

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