PREOPERATIVE DIAGNOSIS: Brain tumor/meningioma.
POSTOPERATIVE DIAGNOSIS: Brain tumor/meningioma.
NAME OF PROCEDURE: Bicoronal craniotomy for resection of tumor.
SURGEON: John Doe, MD
ANESTHESIA: General endotracheal anesthesia.
ESTIMATED BLOOD LOSS: 100 mL.
COMPLICATIONS: There were no complications during the case.
INDICATIONS FOR THE PROCEDURE: The patient is a (XX)-year-old female with incidental brain lesion discovered on MRI consistent with the appearance of meningioma. Decision was made to take the patient for surgical intervention. For further details, please consult the patient’s chart.
DESCRIPTION OF PROCEDURE: We met with the patient in the holding unit. All questions and concerns were addressed. Following that, the patient was taken to the operating theater, given preoperative antibiotics, and after adequate general anesthesia was achieved by the anesthesia team, the patient was placed supine on the operating table.
The head was placed in a 3-point Mayfield head holder and all pressure points were examined and padded. The head was then prepped and draped in the usual sterile surgical fashion. Incision was made behind the hairline in bicoronal fashion and was carried down through the subcutaneous tissues.
The flap was reflected forward and the craniotomy flap was turned using a high-speed drill without complications past the midline. The tumor was then localized using ultrasound and tack-up stitches were placed circumferentially. The dura was opened in a C-shaped fashion with the base at the superior sagittal sinus and the tumor was then elevated and removed in a meticulous microsurgical fashion utilizing intraoperative microscope without complications.
Meticulous hemostasis was achieved using Avitene and patties and the wound was irrigated using copious amount of saline irrigation. The dura was closed using interrupted 4-0 Nurolon stitches and tack-up stitches were placed through the flap which was reapproximated using cranial clamps.
The incision was closed using interrupted Vicryl stitches and dry sterile dressing was applied. The patient was extubated in the operating room and transferred in a stable condition to the recovery room. There were no complications during the case.
