DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Sentinel Lymph Node Biopsy (Breast)
ANAESTHETIC: General anaesthesia [may be combined with WLE or mastectomy]
ANTIBIOTICS: [Drug and dose / Not indicated]
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
POSITION: Supine with ipsilateral arm abducted
INDICATION:
Early breast cancer, clinically and radiologically node-negative axilla. Sentinel node identification planned with [isotope / blue dye / combined technique].