PATIENT NAME: Monsanto Kato

MEDICAL RECORD NO.: 555-3990

DATE OF OPERATION: 04/29/2016

OPERATIVE REPORT

PREOPERATIVE DIAGNOSIS
Melanoma of left inner thigh.

POSTOPERATIVE DIAGNOSIS
Melanoma of left inner thigh.

OPERATION
Superficial left groin deception

SURGEON
Sabrina Scott, MD

ASSISTANT
Keith Duterand

ANESTHESIA
General endotracheal anesthesia.

DRAINS
110 mL JP drain.

SPECIMENS
None.

COMPLICATIONS
None.

ESTIMATED BLOOD LOSS

40 cc

IV FLUIDS
None

INDICATIONS FOR PROCEDURE

Mr. Kato is a 69-year-old male with a history of melanoma of the left inner thigh. The patient has
undergone wide excision of the melanoma and Sentinel node biopsy last year. Pathology
revealed the focus of melanoma in the Sentinel nodes. Due to these results, the patient is a
OPERATIVE REPORT
PATIENT NAME: Monsanto Kato
MEDICAL RECORD NO.: 555-3990
PAGE 2

candidate for superficial groin deception. The risk and benefits of the procedure were discussed
and explained to the patient. The patient understood this and consented to proceed with surgery.

PROCEDURE
The patient was taken to the operating room and placed on the operating room table in the supine
position. After adequate general anesthesia, the patient's left groin was prepped and draped in the
usual sterile fashion.

First incision parallel to the inguinal crease would need several finger breast below the inguinal
crease that is overlying the area of the prior incision. He is been carried down to the
subcutaneous tissue using pottery. Xperia skin flap was raised all the way down to the inguinal
ligament. We then continued the section at the lateral portion of the pectoral muscle, all the way
down to the actual spasm of the muscle. Xperia skin flap with then also raised. Incision was then
carried down inferiorly through the subcutaneous tissues to the level of the adductor fashion.

We then proceeded to elevator specimen beginning again at the lateral border of the Sartorius
muscle and proceeding towards the femoral sheath. Care with taking the fear of the femoral
nerve and lateral femoral cutaneous nerve. The section proceeded in this matter until the
saphenofemoral junction was reached. Saphenous vein was ligated and overture using a 5.0
Prolene stitch. The tissue overlying femoral triangle have been able to be retracted medially. This
issue has been dissected free using cautery. The patient was marked with a silk suture, one short
stitch marking the superior margin and one long stitch marking the lateral margin.The patient
was spent in its entirety to pathology.

We then focused on the remaining defects, the area was irrigated with normal saline and an
adequate hemostasis was achieved. The Sartorius muscle was detached as superiorly as possible
and transposed over the stand-on vessel. The muscles was insutured into the inguinal ligament
using 2.0 vertical suture and interupted horizontal mattress fashion. A 10 mL JP drain was place
into the growing room and brought out at the lateral aspect of the leg. The subcutaneous tissues
within approximated using 3.0 chromic suture interrupted fashion. The skin was approximated
with staples. Dressing was then applied. The patient tolerated procedure well and post-
operatively went to the recovery room.

Electronically signed by Sabrina Scott, MD

SS/CA

D: 04/25/2016
T: 04/29/2016