DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Open Gastrostomy (Stamm)
ANAESTHETIC: General anaesthesia
ANTIBIOTICS: IV prophylaxis at induction
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
POSITION: Supine.
INDICATION:
Inability to maintain oral nutrition due to [pharyngeal / oesophageal obstruction or dysfunction — specify]. Open gastrostomy indicated as PEG not feasible or contraindicated [/ adjunct to concurrent abdominal procedure]. Pre-operative fluid and electrolyte optimisation performed. Coagulation corrected as required.