Additional notes:
- The patient's vital signs were monitored throughout the procedure and remained stable.
- The surgeon used a combination of arthroscopic instruments to perform the meniscal repair.
- Post-procedure instructions were given to the patient and her parents, including information about pain management and follow-up appointments.
PROCEDURE
After full explanation of the procedure, the parents signed the consent form. The patient was escorted into the procedure room by her parents where she was sedated. The incision site was prepped and draped. Injection of a saline solution distended the joint. The arthroscope was advanced into the joint through a small skin incision. The exploration revealed a complex lateral meniscus tear of the right knee. A meniscal repair was then scheduled. The arthroscope was removed. Minimal bleeding was noted and the site was covered with sterile dressing. The patient tolerated the procedure well and was taken to the operating room for further care.
Note: External cause code(s) apply, but external cause status is not necessary.
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