|
Date of Surgery
|
|
|
Days Post Op
|
Post Op Period
|
|
Normal Exam
|
|
|
Patient Issues:
|
|
|
Pain
|
Swelling
|
|
Bruising
|
Satisfaction
|
|
Comments:
|
Examination
|
|
Incision
• • •
|
Umbilicus
• • •
|
|
Bruising
• • •
|
Discharge
• • •
|
|
Seroma
• • •
|
Seroma Aspiration
|
|
Plan
|
Routine Plan
|
|
Instructions Given
• • •
|
Incision Care
• • •
|
|
Restrictions
• • •
|
Comments:
|
|
Follow Up
|
Follow Up Period
|
