Operation note templates
A small library of interactive form-builders for personal operative documentation. Each template emits a Markdown note structured to RCS Good Surgical Practice 2014 and MCNZ standards. No patient data is stored or transmitted; everything runs in your browser.
Templates only — verify before pasting. No patient data is stored or transmitted. You remain the author of, and responsible for, the operation note.
General
A bare operation-note skeleton for any procedure without a dedicated template — the RCS Good Surgical Practice section spine, standard consent wording with switchable risk groups, prophylaxis lines, implant and specimen records, and a generic post-op plan.
Skin and soft tissue
Excisions, biopsies, and reconstructions of cutaneous and subcutaneous lesions — benign and malignant.
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Skin lesion excision
Excision of one or more benign or malignant cutaneous lesions on a single patient. Closure morphs per lesion: direct / FTSG / STSG / local flap / secondary intention.
Indication · Per-lesion pathology and margin · Site-driven skin prep · Per-lesion closure procedure and skin suture · Secondary-intention dressing regimen · Per-lesion specimen orientation · Closure-specific post-op plan split per lesion when aftercare differs, removals and follow-up
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Melanoma wide local excision + SLNB
Wide local excision of biopsy-proven cutaneous melanoma with sentinel lymph node biopsy. Margin matrix per ANZ Melanoma Guidelines (Sladden 2018) / SCNZ 4th Edition.
Histology · AJCC 8 pT · Configurable margin matrix · Site-driven skin prep · Lymphoscintigraphy · Patent blue + gamma probe · WLE · Surveillance plan
Hand surgery
Acute hand surgery — trauma (laceration / fracture / tendon / nerve, one accident covered by one note) and infection (PFT / deep space / septic arthritis), almost always ACC-funded — plus elective nerve decompression, trigger finger and De Quervain release, ganglion excision, Dupuytren fasciectomy and needle fasciotomy, and thumb-base joint replacement.
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Hand trauma
One trauma event, multiple structures damaged. Check the boxes for the structures injured (laceration / fracture / flexor / extensor / nerve); the output composes a single coherent note in anatomic order with a most-restrictive-wins post-op plan.
Mechanism · Per-structure findings + repair steps · Splint chosen by deepest repair · Hand therapy timeline · ACC claim
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Hand infection drainage
Surgical drainage of hand-space infection. Type toggle: pyogenic flexor tenosynovitis / deep palmar space / septic arthritis.
Diagnosis · Type-specific approach · Cultures · Lavage · Splint · IV antibiotic plan · Re-look plan
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Open carpal tunnel release
Elective open division of the transverse carpal ligament for carpal tunnel syndrome. Anaesthetic toggle: local + tourniquet / WALANT / supraclavicular block / GA with selectable local mix; closure toggle drives the post-op plan.
Diagnosis with NCS + conservative history · Consent · Anaesthetic-specific position line · Six-step ligament division · Variant-aware findings · Closure-specific post-op plan
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Trapeziometacarpal joint replacement (Touch® prosthesis)
Elective cementless dual-mobility total joint replacement of the thumb carpometacarpal joint for Eaton–Littler stage II–III osteoarthritis. Implant record with lot numbers; anaesthetic, capsule, MCP-joint and immobilisation toggles; closure drives the post-op plan.
Staged diagnosis with conservative history · Consent with implant-specific risks · Antibiotic + VTE prophylaxis line · Thirteen-step implantation with fluoroscopic checks · Implant record (REF / LOT / UDI) · Radiation record · Immobilisation-specific post-op plan
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Trigger finger release
Elective open A1 pulley release for trigger finger or thumb, one or more digits in one sitting. Anaesthetic toggle: local + tourniquet / WALANT with selectable local mix; forced-choice findings; closure, dressing, hand-therapy and follow-up toggles drive the post-op plan.
Per-digit diagnosis with Quinnell grade and conservative history · Consent · Anaesthetic-specific position line · Per-digit five-step release with thumb, A2-edge, tenosynovectomy and FDS-slip variants · Forced-choice findings · Specimens · Closure-specific post-op plan
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First extensor compartment release
Elective open release of the first extensor compartment for De Quervain tenosynovitis. Anaesthetic toggle: local + tourniquet / WALANT / GA with selectable local mix; incision and retinacular-opening toggles; forced-choice findings with the splint following tendon stability; closure toggle drives the post-op plan.
Diagnosis with WHAT test, ultrasound, injection and pregnancy lines · Consent · Anaesthetic-specific position line · Eight-step release with EPB subcompartment search · Forced-choice findings · Specimens · Splint- and closure-specific post-op plan
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Excision of ganglion
Elective open excision of a dorsal or volar wrist ganglion, a mucous (digital myxoid) cyst or a flexor sheath (seed) ganglion. Site toggle drives the indication, consent, steps, findings and post-op plan; anaesthetic toggle (local + tourniquet / WALANT / GA at the wrist, digital WALANT or GA on the finger); forced-choice findings with histology following the content.
Site-specific indication with aspiration and imaging lines · Site-specific consent · Anaesthetic-specific position line · Site-specific steps (PIN neurectomy, capsular repair, mucous joint and skin options) · Forced-choice findings · Specimens · Splint- and closure-specific post-op plan
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Dupuytren's contracture: limited fasciectomy and needle fasciotomy
Elective limited fasciectomy or percutaneous needle fasciotomy for Dupuytren's contracture, one or more rays in one sitting. Procedure toggle drives the anaesthetic, consent, steps, findings and post-op plan; anaesthetic toggle for fasciectomy (block / local + tourniquet / WALANT / GA); forced-choice incision, closure method and neurovascular and goniometry findings.
Per-ray diagnosis with goniometry, diathesis and anticoagulant lines · Procedure-specific consent · Anaesthetic-specific position line · Fasciectomy steps (dermofasciectomy, PIP release, graft and drain options) or needle-fasciotomy portal steps · Forced-choice per-ray findings · Specimens · Closure- and suture-specific post-op plan with the recurrence baseline
Free flap reconstruction
Microvascular tissue transfer for complex composite defects after trauma or oncologic resection.