Under local with IV sedation, the patient was prepped and draped in the usual aseptic

Under local with IV sedation, the patient was prepped and draped in the usual aseptic manner. OpSite was placed over the left hallux wound. Two converging circumferential incisions were made about the first ray. The left hallux toe was removed. Bleeders were identified and cauterized. Next, transmetatarsal amputation was performed about the mid shaft of the first metatarsal. The wound was flushed with copious amounts of sterile saline. A culture was taken. A 7-mm Jackson-Pratt was instilled, and the skin was reapproximated utilizing interspersed 3-0 nylon and 4-0 nylon vertical mattress stitches and simple interrupted stitches. Postop boot was applied. Signed Surgeon Signature 28760 28805-LT 28800 28800-LT

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