Procedure:
Sharp excisional debridement of muscle 13 x 4 cm ?11043 11046 x2
Primary closure of fasciotomy sites 13 x 4 cm and 10 x 2 cm ?
Findings:
Nonviable muscle on the lateral aspect of the fasciotomy site and this was sharply debrided down to bleeding healthy muscle.

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Procedure Details:
The patient was operating room placed in supine position. Gen. anesthesia was induced. The right lower extremity was prepped and draped in the usual sterile fashion. A timeout was performed verifying correct patient and procedure. The previous fasciotomy sites were explored and on the lateral incision the muscle was noted to be dark and dusky. This was sharply excised with some bumps his back to healthy bleeding muscle. Total muscle debrided measured approximately 13 x 4 cm. The medial fasciotomy site was explored and the muscle viable. Both wounds irrigated copiously. Hemostasis was achieved. The wounds were then closed with interrupted deep dermal absorbable suture and the skin was closed with staples and interrupted nylon sutures. Skin edges came together without any tension. Incisions were then dressed. At this point the procedure was ended.
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Instrument, sponge, and needle counts were correct prior to closure and at the conclusion of the case. The patient tolerated the procedure well and was transferred to the PACU in stable condition.