DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Varicose Vein Surgery — High Tie, Stripping and Multiple Avulsions of Long Saphenous Vein
ANAESTHETIC: General / spinal / local anaesthesia
ANTIBIOTICS: [Drug and dose / Not indicated]
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
POSITION: Supine, Trendelenburg. Groin and entire leg prepared. Varicosities marked pre-operatively with patient standing.
INDICATION:
Symptomatic varicose veins with [aching / swelling / itching / lipodermatosclerosis / venous eczema / venous ulcer]. Duplex USS: saphenofemoral junction incompetence with reflux in long saphenous vein. [Endothermal ablation not suitable / patient preference for open surgery per NICE guidelines].