Theatre Report (Vascular Surgery)

Clinician Specialty: Vascular Surgeon Patient: John Smith Date of Procedure: 1 November 2024 Location: Operating Theatre 3, St. Jude's Hospital Procedure: Right Femoral-Popliteal Bypass Graft Heparin Administered: 5000 units IV Assistants: Dr. Sarah Jones, Nurse Emily White Anaesthetist: Dr. Thomas Kelly Anaesthesia: General anaesthesia THEATRE NOTES Patient supine on operating table, right leg externally rotated, prepped, draped Standard groin incision to access common femoral artery Tunnel created medially to bypass occluded segment Distal anastomosis performed to popliteal artery Arteriogram Performed * Pre-intervention arteriogram: * Right superficial femoral artery (SFA) completely occluded mid-thigh * Patent profunda femoris artery * Popliteal artery patent with good run-off to tibial vessels Intervention * Skin incision, dissection to expose common femoral artery * Isolation of vessels, administration of heparin * Arteriotomy performed in common femoral artery * Saphenous vein harvested from ipsilateral leg * Proximal anastomosis of graft to common femoral artery * Tunnel creation to popliteal fossa * Distal anastomosis of graft to popliteal artery * Flow checked, no leaks identified * Wound closure in layers