DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Wide Local Excision (WLE) of Breast Lesion
ANAESTHETIC: General / local anaesthesia
ANTIBIOTICS: [Drug and dose / Not indicated]
POSITION: Supine, arm on the operative side extended on an arm board.
VTE PROPHYLAXIS: TED stockings, intermittent pneumatic compression, warming blanket.
INDICATION:
Breast carcinoma [/ benign lesion requiring excision] at [location, quadrant]. [Core biopsy / cytology confirmed]. Lesion [palpable / wire-guided localisation performed for impalpable lesion]. Breast conservation planned — excision volume less than 20% of breast volume. [Oncoplastic techniques not required.] Contralateral breast normal on preoperative imaging.