SURGICAL OP REPORT # 31
DIAGNOSIS:Second and third finger burn scar contracture.POSTOPERATIVE DIAGNOSIS: Same.
PROCEDURE:Z-plasty to the left second and third fingers, 6 cm for each z-plasty.
INDICATIONS:The patient developed burn scar contractures which were restricting his hand range of motion. The procedure is indicated to improve the range of motion of the hand.
PROCEDURE:The patient was brought into the operating room, placed in supine position and general anesthesia was induced. The left upper extremity was prepped and draped in the usual sterile fashion. A tourniquet was placed on the left upper extremity and inflated to 300 mmHg. Two Z- plasties were performed, 1 on the medial aspect of the middle finger and the second on the lateral aspect of the second finger. Each Z- plasty was approximately 6 cm total in length. The skin was subsequently undermined and the flaps rotated. The skin was closed with 5-0 interrupted nylon sutures. The skin appeared viable at the conclusion of the case. Sterile dressings were applied. The patient tolerated the procedure well.The patient was returned to the recovery room in stable condition.
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