Laparotomy and Defunctioning Ileostomy
DATE AND TIME: [Date and time]
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Laparotomy and Defunctioning Ileostomy
CEPOD: Emergency
ANAESTHETIC: General anaesthesia
ANTIBIOTICS: [Drug and dose / Not indicated]
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
INDICATION: Management of suspected anastomotic leak
INCISION: Through existing wound.