Case Study Of Operative Report: Deanna Martinez

OPERATIVE REPORT

Patient Name: Deanna Martinez

Patient ID: 117232

Date of Surgery: 05/27/----

Admitting Physician: Sheila Goodman, MD, Neurosurgery

Surgeon: Sheila Goodman, MD

Assistant: Markus LeRoy Johnson, PA-C

Preoperative Diagnosis: Lateral recess syndrome at L5-S1, right.

Postoperative Diagnosis: Herniated disk at L5-S1, right.

Operative Procedure: Lumbar laminectomy and excision of disk at L5-S1 on the right.

Anesthesia: General endotracheal plus Marcaine with epinephrine.

Specimen Removed: Lumbar disk tissue.

IV Fluids: 1500 mL crystalloid.

Estimated Blood Loss: Minimal.

Urine Output: 500 mL clear urine.

Complications: None.

PROCEDURE IN DETAIL: Proper informed consent obtained, operative