Operation Notes

[tableIPPatientInfo]

Date of Surgery

:

[SurgDate]

[Head Surgeon]

[Surgeon]

[Head Assistants]

[Assistants]

[Head Scrub]

[Scrub]

[Head Circulating]

[Circulating]

[Head Anesthesiologist]

[Anesthesiologist]

Start Time	:	[Start Time]	End Time	:	[End Time]

Duration of Tourniquet	:	[Duration]
Start Torniquet	:	[Start Torniquet]	End Torniquet	:	[End Torniquet]

[Head PreOperativeDiag]

[PreOperativeDiag]

[Head PostOperativeDiag]

[PostOperativeDiag]

[Head TypeAnaesthesia]

[TypeAnaesthesia]

[Head OTTable]

[OTTable]

[Head Position]

[Position]

[Head IntraOperative]

[IntraOperative]

[Head Approach/Incision]

[Approach/Incision]

Blood Transfusion
Estimated Blood Loss	:	[Estimated Blood Loss]
No of Units Transfused	:	[NoofUnitsTransfused]
Blood Group	:	[Bloodgroup]

Sent For : Biopsy :

[Biopsy]

Frozen Section :

[Frozen]

Culture and Sensitivity :

[Culture]

[Head OperativeProcedure]

[OperativeProcedure]

[Head Procedure Description]

[Procedure Description]

[Head Course During Surgery]

[Course During Surgery]

[Head Operative Findings]

[Operative Findings]

[Head Specimens] [Specimen]

[Head Gutters]

[Gutters]

[Head ACL/PCL]

[ACL/PCL]

[Head LateralMeniscus]

[LateralMeniscus]

Loose Bodies

[Loose Bodies]

Fat Pad Excision	:	[FatPad]
Klebish Pateloplasty	:	[Klebish]
Patellar Resurfacement	:	[Patellar]
Lateral Release	:	[LateralRelease]

[Head Dressings]

[Dressings]

Drain Type

:

[Drain Type]

No of Drains

:

[No of Drains]

Sutured to Skin

:

[SuturedtoSkin]

[Head WoundDescr]

[WoundDescr]

[Head Implants]

[Implants]

Sponge&Instrument Check

: [Sponge&Instrument]

Sponge Count	: [Sponge Count]
Sponge count by Whom	: [Whom]

[Head PostOperativeRecover]

[PostOperativeRecover]

Transferred To :

[TransferedTo]

[Head Remarks]

[Remarks]

[Head PostOperativeOrders]

[PostOperativeOrders]

[OperImages]

[PreparedBy]	Signature of Surgeon