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OPERATIVE REPORT Preoperative Diagnosis: Tenosynovitis, left extensor pollicis longus tendon Post operative Diagnosis: Tenosynovitis, left extensor pollicis longus tendon Procedure(s) Performed: Extensor pollicis longus tenosynovectomy The patient was brought to the main operating room and positioned supine. The left upper extremity was prepped and draped in the usual fashion. A linear longitudinal incision was made along the course of the extensor pollicis longus tendon, and subcutaneous tissue was carefully spread. A small retractor was placed. I then opened the sheath of the EPL, noting a mildly proliferative ganglion cyst in this location. It did not appear to be grossly pathologic, such as seen with rheumatoid arthritis. It was carefully peeled off of the tendon with small tenotomy scissors. The tourniquet was inflated during this portion of the procedure for better visualization. The tendon itself underlying it was in excellent condition. I then closed the subcutaneous tissue with 2-0 Vicryl sutures and completed closure with 4-0 nylon. A sterile compression bandage was applied. The tourniquet was deflated. Signed Surgeon Signature Responses 25111 25111 25112-LT 25112-LT 25120 25120 25111-LT 25111-LT Skip to navigation

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