DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Wide Local Excision of Breast Lump
ANAESTHETIC: General anaesthesia
ANTIBIOTICS: [Drug and dose / Not indicated]
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
POSITION: Supine with ipsilateral arm abducted
INDICATION:
[Breast carcinoma / indeterminate lesion]. Preoperative imaging: USS / mammogram [results]. [Wire-guided / radio-guided / SAVI Scout localisation performed if impalpable].