Laserscope GreenLight HPS, Operator'S Manual

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OPERATIVE RECORD TEMPLATE
The operative record must be customized for each individual patient
treatment. The document must not be used as a preprinted
operative record.
PATIENT’S NAME AND DATE OF TREATMENT.
_____________________________anesthesia for the procedure was jointly
selected by the patient and his anesthesiologist. The patient was taken to the
operating room, placed in the dorsal lithotomy position and prepped and
draped in the usual sterile manner. The prostate size was estimated to be
_____ g during previous examination.
A ___Fr continuous-flow cystoscope was connected to saline solution
irrigation and inserted into the bladder without difficulty in the usual fashion.
A preliminary cystoscopic examination was performed during which the
ureteral orifices, bladder neck and verumontanum were identified. The
GreenLight HPS™ laser was set at ___watts. The GreenLight HPS BPH™ laser
fiber was introduced through the working channel of the cystoscope. The
median lobe was identified and it was vaporized down to capsular fibers. The
bladder neck was then vaporized as far laterally as possible to open up the
prostatic urethra. The median lobe was vaporized from the bladder neck to
the verumontanum. The left and right lateral lobes were vaporized from the
bladder neck to the verumontanum,. Vaporization was continued until the
capsular fibers were visualized or until the lateral lobes were adequately
vaporized. The proximal adenoma was vaporized first, then the scope was
withdrawn to the verumontanum and the most distal adenoma was
vaporized, always ensuring that the verumontanum was well isolated. By
serially vaporizing the obstructing tissue, a wide open prostatic urethral
channel was created. A total of _______ joules were used during the
procedure.
During the procedure, any bleeding vessels were effectively controlled. At the
end of the procedure, the bladder neck, ureteral orifices, and verumontanum
were again inspected, and found to be intact, and without evidence of
incidental laser beam damage. The bladder was filled with saline solution
irrigation, and the continuous flow cystoscope was removed. External
pressure was applied to the dome of the bladder to ascertain the quality of
the urinary stream. A strong urine flow was achieved, with minimal evidence
of bleeding. A ___Fr (5cc) Foley catheter to straight drainage was inserted.
The patient was transferred to the PACU (Perianesthesia Care Unit) in good
condition.