http://www.mtdesk.com/reports_pulmonary.shtml#carend

OPERATIVE PROCEDURE: RIGHT CAROTID ARTERY ENDARTERECTOMY

The patient was placed supine on the operating table. The right neck was prepped and draped in the usual sterile fashion.

An oblique incision paralleling the sternocleidomastoid was made on the right side of the neck. Following this, the incision was carried down to the muscle with electrocautery. The sternocleidomastoid muscle was retracted. The internal jugular vein was identified, as was the right carotid artery. The right common carotid artery, the right external carotid artery and the right internal carotid artery were each isolated with vessel loops as was the first branch of the external carotid artery. The hypoglossal nerve was noted and gently retracted.

The right carotid bulb and the internal carotid artery were noted to have plaque within them by palpation. The external carotid artery was clamped as was the first branch of the external carotid artery. The common carotid artery was also clamped.

Following this, incision is made on the anterior surface of the carotid bulb, distally to the internal carotid artery, thus exposing the plaque which was removed with the Freer dissector. Following removal of the plaque, the shunt was then placed; a Pruitt shunt was used, the first catheter entering the internal carotid artery and the second catheter entering the common carotid artery, thus establishing the shunt after release of the respective clamps.

Following this, the carotid artery was then reapproximated using 6-0 Prolene suture, starting at the proximal end and the distal end, meeting in the center. Prior to tying the sutures centrally, the clamps were released and good blood flow was noted. After noting good blood flow, the sutures were tied.

The wound was then irrigated with sterile normal saline solution, and then Surgicel was placed over the anterior aspect of the carotid artery. Hemostasis was achieved with electrocautery and silk suture ties. The platysma was reapproximated with running Vicryl suture. Prior to this, a Jackson-Pratt drain was placed over the carotid artery, exiting distally and secured to the skin with a silk suture. The skin was reapproximated with staples.

http://www.mtdesk.com/ops.shtml
This is a good site for examples of operative reports.

I hope this helps :wink:

sample sent
Kim, thanks so much for sample! I do participate on the sister site to mtdesk, mtchat, and have often viewed the former for samples. It was down Monday but see both sites are up and running. Again thanks much!!
David