Pre-op Diagnosis Abd wall cellulitis Abscess, Cellulitis , Right Thigh Abscess, Thigh, Left Abscess, Thigh, Right. Amputation, Halux, Left, Asthma Cancer Breast Right Cancer, Breast, Left. Cholecystitis, Cholelithiasis Cholestatic Jaundice improving Chronic Cholecystitis Chronic Renal Failure Colon Cancer Coronary Artery disease Diarrhea with dehydration Foreign Body Leg Left Fungemia Ganglion, Wrist, Right Gangrenous Cholecystitis Gastrointestinal Bleeding Active Hepatitis Hypovolemia with positional hypotension, severe Inguinal Hernia, Left Internal hernia with Volvulous Jaundice Morbid Obesity Osteomyelitis, Halux, Left Perforated Viscous Persistent Diarrhea and Nausea Persistent GE Reflux Pneumothorax Prolapsed hemorrhoids Rectal cance Rectal Cancer Recurrent Diverticulitis Recurrent Incarcerated Incisional Hernia Renal failure Respiratory failure Right Femoral Hernia S/P Incision and Drainage of Perirectal abscess S/P Lap Cholecystectomy S/P Lap Doudenal Fistula repair S/P Lap Roux-En-Y Gastric bypass S/P Laparoscopic AP resection with colostomy S/P Laparoscopic Incarcerated Incisional Hernia S/P Low Anterior Resection with diverting Ileostom Sepsis Small Bowel Obstruction Splenic laceration Syncope Appendicitis Appendicitis, Ruptured Pain, Abdomenal, Left Lower Quadrant Endometriosis Pilonidal Cyst Lipoma, subfascial Biliary Dyskinesia Stab Wound heft Chest Mammogram, Abnormal Fistula, Anal Liver Laceration Infected Abdomenal Wall Hematoma

1.None Atrial Fibrillation Renal Fail Acute Coronary Art Dis Congest Hrt Fail COPD Renal Fail Chron Cirrhosis MI Asthma Sepsis UTI Pneumonia Pain Chronic 1.None Atrial Fibrillation Renal Fail Acute Coronary Art Dis Congest Hrt Fail COPD Renal Fail Chron Cirrhosis MI Asthma Sepsis UTI Pneumonia Pain Chronic 1.None Atrial Fibrillation Renal Fail Acute Coronary Art Dis Congest Hrt Fail COPD Renal Fail Chron Cirrhosis MI Asthma Sepsis UTI Pneumonia Pain Chronic

Post-Op Diagnosis: Abd wall cellulitis Abscess, Cellulitis , Right Thigh Abscess, Thigh, Left Abscess, Thigh, Right. Amputation, Halux, Left, Asthma Cancer Breast Right Cancer, Breast, Left. Cholecystitis, Cholelithiasis Cholestatic Jaundice improving Chronic Cholecystitis Chronic Renal Failure Colon Cancer Coronary Artery disease Diarrhea with dehydration Foreign Body Leg Left Fungemia Ganglion, Wrist, Right Gangrenous Cholecystitis Gastrointestinal Bleeding Active Hepatitis Hypovolemia with positional hypotension, severe Inguinal Hernia, Left Internal hernia with Volvulous Jaundice Morbid Obesity Osteomyelitis, Halux, Left Perforated Viscous Persistent Diarrhea and Nausea Persistent GE Reflux Pneumothorax Prolapsed hemorrhoids Rectal cance Rectal Cancer Recurrent Diverticulitis Recurrent Incarcerated Incisional Hernia Renal failure Respiratory failure Right Femoral Hernia S/P Incision and Drainage of Perirectal abscess S/P Lap Cholecystectomy S/P Lap Doudenal Fistula repair S/P Lap Roux-En-Y Gastric bypass S/P Laparoscopic AP resection with colostomy S/P Laparoscopic Incarcerated Incisional Hernia S/P Low Anterior Resection with diverting Ileostom Sepsis Small Bowel Obstruction Splenic laceration Syncope Appendicitis Appendicitis, Ruptured Pain, Abdomenal, Left Lower Quadrant Endometriosis Pilonidal Cyst Lipoma, subfascial Biliary Dyskinesia Stab Wound heft Chest Mammogram, Abnormal Fistula, Anal Liver Laceration Infected Abdomenal Wall Hematoma Abd wall cellulitis Abscess, Cellulitis , Right Thigh Abscess, Thigh, Left Abscess, Thigh, Right. Amputation, Halux, Left, Asthma Cancer Breast Right Cancer, Breast, Left. Cholecystitis, Cholelithiasis Cholestatic Jaundice improving Chronic Cholecystitis Chronic Renal Failure Colon Cancer Coronary Artery disease Diarrhea with dehydration Foreign Body Leg Left Fungemia Ganglion, Wrist, Right Gangrenous Cholecystitis Gastrointestinal Bleeding Active Hepatitis Hypovolemia with positional hypotension, severe Inguinal Hernia, Left Internal hernia with Volvulous Jaundice Morbid Obesity Osteomyelitis, Halux, Left Perforated Viscous Persistent Diarrhea and Nausea Persistent GE Reflux Pneumothorax Prolapsed hemorrhoids Rectal cance Rectal Cancer Recurrent Diverticulitis Recurrent Incarcerated Incisional Hernia Renal failure Respiratory failure Right Femoral Hernia S/P Incision and Drainage of Perirectal abscess S/P Lap Cholecystectomy S/P Lap Doudenal Fistula repair S/P Lap Roux-En-Y Gastric bypass S/P Laparoscopic AP resection with colostomy S/P Laparoscopic Incarcerated Incisional Hernia S/P Low Anterior Resection with diverting Ileostom Sepsis Small Bowel Obstruction Splenic laceration Syncope Appendicitis Appendicitis, Ruptured Pain, Abdomenal, Left Lower Quadrant Endometriosis Pilonidal Cyst Lipoma, subfascial Biliary Dyskinesia Stab Wound heft Chest Mammogram, Abnormal Fistula, Anal Liver Laceration Infected Abdomenal Wall Hematoma

Procedure: Circular stapled hemorrhoidopexy diagnostic Laparoscopy Repair of internal hernia Excision of Ganglion cyst Exploration Leg Left Removal of Foriegn body Carm Incision and drainage perirectal abscess Incision Drainage Debridement Extensive abscess Insertion JP Drain, Thigh, Right Lap. Incisional Hernia recurrent incarcerated mesh Laparoscopic Abdomenoperoneal resection Laparoscopic Adhesiolysis and release of SBO Laparoscopic Appendectomy Laparoscopic Cholecystectomy Laparoscopic Left Inguinal Hernia Repair Laparoscopic Right Femoral hernia repair Laparoscopic Roux-En-Y Gastric bypass Laparoscopic Sigmoid Colectomy Laproscopic Nissen Fundoplication Mastectomy parital and Sentinel Node Biopsy, Left Appendectomy, Ruptured, Laparoscopic Diagnostic Laparoscopy Excision Pilonidal Cyst Portacath, Subclavian, left, removal Lipoma, Subfascial, right, flank, excision Breast Biopsy, Mammogram Localization, left Fistulotomy Removal of Seton Circular stapled hemorrhoidopexy diagnostic Laparoscopy Repair of internal hernia Excision of Ganglion cyst Exploration Leg Left Removal of Foriegn body Carm Incision and drainage perirectal abscess Incision Drainage Debridement Extensive abscess Insertion JP Drain, Thigh, Right Lap. Incisional Hernia recurrent incarcerated mesh Laparoscopic Abdomenoperoneal resection Laparoscopic Adhesiolysis and release of SBO Laparoscopic Appendectomy Laparoscopic Cholecystectomy Laparoscopic Left Inguinal Hernia Repair Laparoscopic Right Femoral hernia repair Laparoscopic Roux-En-Y Gastric bypass Laparoscopic Sigmoid Colectomy Laproscopic Nissen Fundoplication Mastectomy parital and Sentinel Node Biopsy, Left Appendectomy, Ruptured, Laparoscopic Diagnostic Laparoscopy Excision Pilonidal Cyst Portacath, Subclavian, left, removal Lipoma, Subfascial, right, flank, excision Breast Biopsy, Mammogram Localization, left Fistulotomy Removal of Seton

Circular stapled hemorrhoidopexy diagnostic Laparoscopy Repair of internal hernia Excision of Ganglion cyst Exploration Leg Left Removal of Foriegn body Carm Incision and drainage perirectal abscess Incision Drainage Debridement Extensive abscess Insertion JP Drain, Thigh, Right Lap. Incisional Hernia recurrent incarcerated mesh Laparoscopic Abdomenoperoneal resection Laparoscopic Adhesiolysis and release of SBO Laparoscopic Appendectomy Laparoscopic Cholecystectomy Laparoscopic Left Inguinal Hernia Repair Laparoscopic Right Femoral hernia repair Laparoscopic Roux-En-Y Gastric bypass Laparoscopic Sigmoid Colectomy Laproscopic Nissen Fundoplication Mastectomy parital and Sentinel Node Biopsy, Left Appendectomy, Ruptured, Laparoscopic Diagnostic Laparoscopy Excision Pilonidal Cyst Portacath, Subclavian, left, removal Lipoma, Subfascial, right, flank, excision Breast Biopsy, Mammogram Localization, left Fistulotomy Removal of Seton Circular stapled hemorrhoidopexy diagnostic Laparoscopy Repair of internal hernia Excision of Ganglion cyst Exploration Leg Left Removal of Foriegn body Carm Incision and drainage perirectal abscess Incision Drainage Debridement Extensive abscess Insertion JP Drain, Thigh, Right Lap. Incisional Hernia recurrent incarcerated mesh Laparoscopic Abdomenoperoneal resection Laparoscopic Adhesiolysis and release of SBO Laparoscopic Appendectomy Laparoscopic Cholecystectomy Laparoscopic Left Inguinal Hernia Repair Laparoscopic Right Femoral hernia repair Laparoscopic Roux-En-Y Gastric bypass Laparoscopic Sigmoid Colectomy Laproscopic Nissen Fundoplication Mastectomy parital and Sentinel Node Biopsy, Left Appendectomy, Ruptured, Laparoscopic Diagnostic Laparoscopy Excision Pilonidal Cyst Portacath, Subclavian, left, removal Lipoma, Subfascial, right, flank, excision Breast Biopsy, Mammogram Localization, left Fistulotomy Removal of Seton

Findings: Adhesions Cholecystitis None Breast mass Fistula, Anal Adhesions Cholecystitis None Breast mass Fistula, Anal

Adhesions Cholecystitis None Breast mass Fistula, Anal Adhesions Cholecystitis None Breast mass Fistula, Anal

Specimen:  Colon Sigmoid Gallbladder Appendix, Ruptured Hemorrhoids Lipoma None Breast mass Fistula, Anal Colon Sigmoid Gallbladder Appendix, Ruptured Hemorrhoids Lipoma None Breast mass Fistula, Anal \

Colon Sigmoid Gallbladder Appendix, Ruptured Hemorrhoids Lipoma None Breast mass Fistula, Anal Colon Sigmoid Gallbladder Appendix, Ruptured Hemorrhoids Lipoma None Breast mass Fistula, Anal

Surgeon: K.Borhanian A.Espinal K.Borhanian A.Espinal

Assistant: Hall, Wendy Richardson, Sil B.Townsend Teri Batemen Tony Carroll Natasha McCullough Irma Sisk Michelle Flynn Jennifer Hutchins Wes Martin Connie Kennerty Stacy Medlin Hall, Wendy Richardson, Sil B.Townsend Teri Batemen Tony Carroll Natasha McCullough Irma Sisk Michelle Flynn Jennifer Hutchins Wes Martin Connie Kennerty Stacy Medlin

Anesthesia: Local MAC 2% Lido. General endotracheal Spinal Local MAC 2% Lido. General endotracheal Spinal

EBL: 0 50 150 200 250 300 350 400 500 600 700 800 900 1000 1200 1400 1600 1800 2000 2250 2500 2750 3000 3250 3500 3750 4000 4500 5000 6000 7000 8000 9000 10000 Fluids: 0 50 150 200 250 300 350 400 500 600 700 800 900 1000 1200 1400 1600 1800 2000 2250 2500 2750 3000 3250 3500 3750 4000 4500 5000 6000 7000 8000 9000 10000 Blood 0 50 150 200 250 300 350 400 500 600 700 800 900 1000 1200 1400 1600 1800 2000 2250 2500 2750 3000 3250 3500 3750 4000 4500 5000 6000 7000 8000 9000 10000

Complication: None

Follow up Appt: None 2 days 3 days 5 days 7 days 10 days 2 wks 3 wks

Activity: Bed Rest with bathroom privilege OOB Ad Lib OOB as soon as possible As Tolerated