Here is a detailed transcription of both documents:
Image 2 (Front Page) - OPERATION NOTES
Hospital: HOLY HEART SUPER SPECIALITY & TRAUMA CENTRE
- 339, Vinay Nagar, Delhi Bypass Chowk, Rohtak - 124001
- Ph: +91 - 93067 17284, 93067 22176
- Email: holyhearttrauma@gmail.com
- NABH accredited
Patient Details (fields appear blank/not filled):
- Patient Name: (blank)
- UHID: (blank) | Regd. ID: (blank)
- Age: (blank) | Sex: (blank)
- D.O.A.: (blank) | Unit: (blank)
- Consultant: (blank)
OPERATION NOTES
(To be filled in by Surgeon)
-
Date of Surgery: (blank) | Start Time: (blank) | End Time: (blank)
-
Pre Operative Diagnosis: Olecranon fracture & Olecranon Spur / Elbow (right side, likely)
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Pre Operative Diagnosis (2nd line): Olecranon Spur excision & fracture excision
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Name of Procedure: Olecranon spur excision and fracture excision
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Type of Anaesthesia: Regional Block
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Surgeon: Dr. Vinit (likely "Dr. Vinit" or similar)
-
Assistants: (blank)
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Anaesthetist: (blank)
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Scrub Nurse: (blank)
-
Position: Lateral
Operative Notes:
"Parts cleaned and draped. Port incision. Olecranon spur excised and bursa/tendon moved/cleared. Stitches done."
(The exact wording of the operative notes is partially legible - the handwriting reads approximately:)
"Parts cleaned and draped. Port incision. Olecranon spur excised and bursa / Tendon done - moved/cleared. Stitches done."
- INCISION: (noted on the right side, details partially illegible)
Form Reference: HH/F33/OPERATIVEN/V3/24 and HH/F21/MR/V3/25
Image 1 (Back/Continuation Page) - Post-Operative Notes
Condition at the end of Surgery: Stable / Fair / Critical (one would be circled - not clearly visible)
Post-operative Orders / Instructions:
- Inj. Nulant (likely an injection - possibly Nulant or similar antibiotic/analgesic) 1-5 g/iv - stat
- Inj. Brufen (Ibuprofen injection) 1 mg (or similar dose)
- Inj. Sinoflan (possibly Diclofenac/Ketorolac or similar NSAID) 30 mg (or 3 g)
- Inj. Dilo (possibly Diclofenac) 30 mg (or similar)
Shift to: Recovery Room / Patient Room (with a checkmark/tick)
Surgeon's Signature is present at the bottom.
- Name of the Surgeon: (signed but name not printed)
- Regd. No.: (blank)
Summary
This is a surgical operation note from Holy Heart Super Speciality & Trauma Centre, Rohtak documenting:
- Diagnosis: Olecranon fracture with Olecranon spur (right elbow)
- Procedure: Olecranon spur excision + fracture excision
- Anaesthesia: Regional block
- Position: Lateral
- Operative finding: Parts cleaned and draped, incision made, spur excised, bursa/tendon cleared, closure done
- Post-op medications: IV injections (likely antibiotic + analgesics/NSAIDs)
- Disposition: Shifted to recovery/patient room