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[Expert Solution]: PROCEDURE PERFORMED: Left Partial…

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PROCEDURE PERFORMED: Left Partial Mastectomy for Margins, Needle Localization INDICATIONS FOR PROCEDURE: . I have discussed with the patient and her family the details of this condition, the treatment alternatives, the details of the procedure, the needs and benefits, the risks and potential complications, and the fact that there is no guarantee for success. They fully understand and wish to proceed with the surgery at this time. The probable consequences of declining recommended treatment were discussed with her. The patient fully understands and would like to proceed with surgery at this time. Discussed possible risks and complications associated with this surgery both in the office and morning of surgery. Informed surgical consent signed by the patient both in the office and on the morning of surgery, with no guarantees given. OPERATIVE PROCEDURE: Patient was brought into the operating room and placed on the operating table in the supine position. The patient underwent local mac anesthesia. An appropriate timeout was held and the patient was prepped and draped int the usual sterile fashion. The skin and subcutaneous tissue was anesthetized with a mixture of lidocaine and marcaine. The skin was sharply incised and dissection was carried down excising a core of tissue around the wire. Margins were marked with suture ( 2 long lateral, 2 short superior and 1 long 1 short medial). The specimen was sent first to mammography who confirmed proper removal then to pathology for permanent margins review. I removed a little more of the superior margin for permanent and marked margins as usual. Hemostasis was achieved with cautery. A clip Was not placed. Incisions were closed with 2 layers of vicryl and steristrips. Dressings were placed. The patient was taken to her preop room for discharge later the same day. The patient’s family was updated. Pathology is pending. ESTIMATED BLOOD LOSS: None COMPLICATIONS: None

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