Oh, and the surgeon’s technique was off. 1. open lesion. 2. oh, it’s bleeding like a stuck pig 3. let’s cut deeper, breaking up the loculations with the scalpel.

At this point, if this was a teaching hospital, I would hope the supervisor would step in. SWAB THE CYST and break up the loculations with something blunt, like a haemostat. Given how much blood there is I would not to the usual insert-and-open with the haemostat; I would try to use the blood to lubricate the expulsion of anything ready to come out by GENTLY expressing the gook.

When sharps yields blood it is time and past time to put down the scalpel and use blunt technique to evacuate so you can pack, sooner rather than later.

Nice video once the operator figured out how to focus, but the surgeon’s technique rates a solid “C.”

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