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Original Question
LOCATION: Inpatient, Hospital PATIENT: Erik Moti SURGEON: Gary Sanchez, MD PREOPERATIVE DIAGNOSIS: Residual plexiform fibrous histiocytic tumor of the left costovertebral angle area POSTOPERATIVE DIAGNOSIS: Residual plexiform fibrous histiocytic tumor of left costovertebral angle area PROCEDURE PERFORMED: Excision of plexiform fibrous histiocytic tumor of left costovertebral angle and evacuation of hematoma, left costovertebral angle ANESTHESIA: General endotracheal with approximately 20 cc (cubic centimeter) of tumescent solution prepared by adding to 1 L of Ringer’s lactate, 25 cc 2% Xylocaine, 1 cc of 1:100,000 epinephrine, and 3 cc of 8.4% sodium bicarbonate. ESTIMATED BLOOD LOSS: Negligible SURGICAL FINDINGS: There was a 50-cc hematoma beginning to organize in the area of the left costovertebral angle in the subcutaneous space on top of the latissimus dorsi muscle. DESCRIPTION OF PROCEDURE: The patient was intubated and turned in the prone position. The area of the left costovertebral angle was prepped with Betadine scrub and solution and draped in a routine sterile fashion. An incision was made 2 cm (centimeter) and carried down to the fascia of the muscle, where a hematoma was entered and drained. The skin portion of that lesion was removed, and the fascia and a portion of the muscle of the
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