|
Disclaimer: FOR TEST AND EXAMPLE PURPOSES ONLY! These web pages are not
intended to be used as a source of information on on healthcare or medicines.
The web pages are not kept up to date and are for demonstration purposes only.
For up-to-date information on a medicine, please consult www.ema.europa.eu/medicines
or the package leaflet of your medicine. For up-to-date information on other
healthcare topics, please consult the relevant reliable sources or an healthcare
expert, such as a physician etc.
|
BACK TO LIST |
Hospital Discharge Report
|
|
|
|||||||||||||||||||||
Synthesis
Voluntary surgical sterilization, procedure completed
Hospital course note
Dear colleague, I am writing to inform you regarding our mutual patient, an 85-year-old
female, who was admitted on 09/03/1972 at her own explicit request for voluntary surgical
sterilization. Prior to the procedure, a thorough preoperative assessment was conducted,
including clinical examination, routine laboratory workup, and anaesthetic evaluation,
all of which confirmed her fitness for surgery. The patient was counselled extensively
regarding the permanent and irreversible nature of the procedure, and informed consent
was duly obtained. Bilateral tubal ligation was performed without intraoperative or
postoperative complications. Recovery was uneventful, and the patient was discharged
home on 10/03/1972 in good general condition. No further gynaecological follow-up
is specifically indicated, though routine primary care monitoring remains appropriate
given her age. Please do not hesitate to contact me should you require any further
information.
Diagnosis at Discharge
| Sterilization admitted | 10-Mar-1972 | active |
Significant procedures
| Administration of general anaesthesia | 10-Mar-1972 | - |