Posterior neck mass

Considerations

Preparation

Procedure

Sample operative report

Findings:

- *** posterior neck *** cm fatty tumor in the subcutaneous plane

- Performed complete excisional biopsy via *** cm horizontal neck crease incision, layered closure to obliterate wound dead space, *** Penrose drain placement

Procedure in Detail:

PARC of procedure was explained to patient in ASU who agreed to proceed. Patient was brought into the room and laid on the OR table. Time out was performed with all OR staff.

GETA was applied. The *** cm incision was marked, oriented in an inferior horizontal neck crease. After cleaning the skin, local anesthesia was applied; 15 ml of 1% Lidocaine with 1:100,000 Epinephrine was injected. Sterile prep and drape completed.

Incision made with 15 blade scalpel through the dermis. Dissection in the immediate subcutaneous plane was completed over the mass. The dissection was continued around the mass, which appeared fatty with an *** indiscrete capsule, taking care to avoid surrounding normal subcutaneous fat and deep muscle.  The mass, which measured ~ *** cm in its widest dimension was removed in its entirety. Once removed, the mass was sent to Pathology as a permanent specimen. Irrigation completed. Hemostasis maintained with Bovie and Bipolar.

Wound closure with 3-0 Polysorb deep buried suture in the deep muscle and connected with deep dermal layer to approximate the dermis. A single 1/2 inch Penrose drain was placed exiting from the central incision, secured with 3-0 Prolene. The epidermis approximated with 5-0 Fast.  Skin cleansed and Fluff dressing applied, secured with Foam tape for light compression.  

Anesthesia discontinued; Patient awoken. Count correct. Patient moved to PACU in stable condition.

Post-op

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