Procedures //

Laceration Repair by Alexandra Dyer, MD: Anesthesia: 1% lidocaine locally Location: [XOXOXO] Tendon/Joint/Nerves: No injury Foreign body: None detected after copious irrigation and exploration Technique: Simple Interrupted Sutures Complexity: No subcutaneous sutures/mucosal repair/edge excision Post Closure Length: [XOXOXO] cm Patient's bleeding was easily controlled in the department and there is no indication of anemia. No evidence of compartment syndrome, neurologic injury, vascular injury, open joint, tendon laceration, or foreign body. Patient is appropriate for outpatient follow up. 48 hour wound check. Scar minimization instructions given PROCEDURE NOTE: LACERATION REPAIR Indication: Laceration Operator: _ Indications, risks, and benefits explained to patient and verbal informed consent obtained. Laceration location & length: _ Anesthesia was performed with 1% lidocaine with epinephrine. The wound was irrigated with _cc of NS under pressure. The patient was prepped and draped in usual fashion. Repair type: _ Simple: repair involving routine debridement & decontamination, simple one layer closure, superficial tissues, sutures/staples/tissue adhesives, total length of several repairs in same code category. _ Intermediate: closure of contaminated single layer wound, layer closure (e.g. SQ tissue, superficial fascia), removal foreign material (e.g. gravel, glass), routine debridement & decontamination, simple exploration nerves/blood vessels/tendons in wound. _ Complex: creation of defect for repair such as scar removal, debridement complicated wounds/avulsions, more complicated than layered closure, simple exploration nerves/vessels/tendons in wound or vessel ligation in wound, undermining/stents/retention sutures. Number and type of sutures placed: _



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