OPERATION: EXCISON OF BACK MASS,2CM SIZE; EXCISION OF UPPER BACK MASS;5MM SIZE

AND EXCISION OF LEFT CHEST MASS; 1CM SIZE

PROCEDURE:
THE PATIENT WAS PLACED ON THE OPERATING ROOM TABLE IN A SUPINE POSITION AND
RECEIVED SATISFACTORY INTRAVENOUS SEDATION AND PREOPERATIVE INTRAVENOUS
ANTIBIOTICS.A TIME OUT WAS DONE.
WE PROCEEDED WITH THE EXCISON OF THE LEFT ANTERIOR CHEST MASS FIRST.THE LEFT
ANTERIOR CHEST AREA WAS PREPPED AND DRAPED IN THE USUAL STERILE FASHION.LOCAL
ANESTHESIA WAS ADMINISTERED FOR TRANSVERSE INCISION DIRECTLY OVER THE MASS
WHICH APPEARED TO BE A CYST.AN INCISION WAS MADE TO ALSO INCLUDE REMOVAL OF AN
APPARENT SKIN PUNCTUM FOR THIS CYST AND EXCISION WAS DONE WITH SCAPEL AND ALSO
SHARP DISSECTION WITH METZENBAUM SCISSORS.HEMOSTASIS WAS SATISFACTORY.THE
LEFT CHEST MASS WAS ABOUT 1CM SIZE.THE SPECIMEN WAS SENT TO THE
PATHOLOGY.CLOSURE WAS SONE USING 4-0 MONOCRYL SUBCUTICULAR
SKINCLOSURE.STERI-STRIP,GAZE AND OPSITE DRESSING APPLIED.
THE PATIENT WAS PLACED IN RIGHT LATERAL DECUBITUS POSITION WITH APPROPRIATE
SHOULDER ROLL,BACK MASSES WERE LOCATED SOMEWHAT MIDLINE AND IN THE UPPER
BACK REGION.THE UPPER BACK REGION WAS PREPPED AND DRAPED IN THE USUAL STERILE
FASHION.THERE WERE TWO MASSES ON THE BACK.THE SMALLER UPPER BACK MASS WAS
ABOUT 5MM IN SIZE AND LOCAL ANESTHESIA WAS ADMINISTERED.TRANSVERSE INCISION WAS
MADE AND THIS MASS INCLUDING APPARENT SKIN PUNCTUM WAS REMOVED AND SENT TO
PATHOLOGY.CLOSURE WAS DONE USING 4-0 MONOCRYL SUBCUTICULAR SKIN CLOSURE.
THE LARGER BACK MASS WAS ABOUT 2CM IN SIZE.LOCAL ANESTHESIA WAS ADMINISTERED
AND VERTICAL ELLIPTICAL INCISION WAS MADE TO ALSO INCLUDE APPARENT SKIN
PUNCTUM.THIS MASS WAS EXCISED AND SENT TO PATHOLOGY.CLOSURE WAS DONE USING
MULTIPLE 4-0 MONOCRYL IN SUBCUTANEOUS CLOSURE AND ALSO IN SUBCUTICULAR SKIN
CLOSURE.STERI STRIPS,GAUZE ANS OPSITE DRESSING APPLIED.