DATE OF PROCEDURE: MM/DD/YYYY
PREOPERATIVE DIAGNOSIS: Hidradenitis of the mons pubis and bilateral groins.
POSTOPERATIVE DIAGNOSIS: Hidradenitis of the mons pubis and bilateral groins.
PROCEDURES PERFORMED:
1. Excision of hidradenitis of both groins and mons pubis.
2. Bilateral gracilis flaps for reconstruction.
SURGEON: John Doe, MD
ASSISTANT: Jane Doe, MD
ANESTHESIA: General.
DRAINS: Blake drain.
COMPLICATIONS: None.
INDICATIONS FOR PROCEDURE: The patient is a (XX)-year-old female who presents for excision of hidradenitis of both groins and mons pubis and bilateral gracilis flaps for reconstruction. The patient was made aware of the nature of the surgery and the risks and benefits associated with it.
DESCRIPTION OF PROCEDURE: After informed consent was obtained, the patient was taken to the operating room. General endotracheal anesthesia was performed without difficulty. Antithrombotic devices were put on both lower extremities, and the patient’s entire abdomen and both thighs were prepped and draped in a sterile fashion.
An incision was made on the inner thighs. First, the entire mons pubis and upper groin areas were excised down through the entire hidradenitis, which involved the entire mons pubis area. That was totally excised down into the subcutaneous tissue as well as the groin to remove the hidradenitis. Incisions were made then in the posterior aspect of the medial thighs. The gracilis muscle was identified, and an ellipse of skin was taken with the gracilis and a myocutaneous flap with the gracilis muscle was then elevated and swung into the groin on the left side. On the right side, it was used for the upper groin and to recreate the mons pubis. The #19 Blake drains were placed in both thighs.
The incisions in the thighs were closed in layers using 3-0 Vicryl in the deep and a 4-0 Monocryl subcuticular. The flaps were sewn in using 3-0 Vicryl in the deep and 4-0 Monocryl subcuticular. The #19 Blake drain was placed underneath each flap and secured with 2-0 silk. The patient tolerated the procedure well and left the operating room extubated, in good condition, with no apparent immediate complications noted.
