On April 12, 2023 a
Exhibit,Appendix
was filed
involving a dispute between
Xxxxxxxxxxxxxxxx,
and
119 South Street Management Llc C O Lucia Barletta,
Alan Matarasso,
Christina Manica,
Francesco Manica,
Lenox Hill Hospital,
Lenox Hill Radiology,
New York County District Attorney,
Pino Manica,
Stephen T. Greenberg
C O Greenberg Cosmetic Surgery And Dermatology,
for Torts - Other (Conversion)
in the District Court of New York County.
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FILED: NEW YORK COUNTY CLERK 04/27/2023 12:41 PM INDEX NO. 800003/2022
NYSCEF DOC. NO. 30 RECEIVED NYSCEF: 04/27/2023
OPERATIVE REPORT
Patient name: xxxxxxxxxxxxxxxx
Date of surgery: April 7, 2022
Surgeon: Douglas M. Monasebian, M.D.
Preoperative diagnosis: Right arm scarring with open, non-healing wound
Postoperative diagnosis: Same
Procedure: 1. Excision of 6 centimeter right arm scarring and non-healing
tissue with debridement
2. Immediate reconstruction of defect with layered closure
Anesthesia: Local
INDICATIONS FOR PROCEDURE: 54 year old female with upper right arm scarring and open
wound that is non healing. Histroy of right upper arm
liposuction with J plasma. Now presenting for excision of
necrotic and non-healing tissues followed by immediate
reconstruction with complex layered closure.
PROCEDURE PERFORMED:
The patient was brought to the procedure room and placed on the table in a supine position. The
area in question was outlined for excision and immediate reconstruction. The surgical area was prepped
and draped in the usual fashion. Local anesthesia was administered around the scarring and adjacent areas
of the open wound.
The scarring and necrotic tissue was excised in total with sufficient margins for the purposes of the
excision and reconstruction. The dissection proceeded down to the subcutaneous fat. Peripheral flaps were
created radially and ulnarly and wide undermining was performed in the subcutaneous planes so as to allow
for advancement of the flap edges. Prior to advancement irrigation was employed followed by meticulous
hemostasis.
With the surgical field dry, the flap edges were advanced and inset. Deep closure was performed
with buried 3.0 monocryl suture. The sub-cuticular closure were performed with continuous 4.0 monocryl
suture. An inspection of the wound edges revealed no tissue ischemia, no tension and anatomic alignment.
Flap edges were well opposed and the defect anatomically recreated.
At the conclusion of the procedure sterile compressive dressings were applied. The patient
tolerated the procedure well and there were no intraoperative surgical or anesthetic complications.
Douglas M. Monase ian, M.D., F.A.C.S.
Document Filed Date
April 27, 2023
Case Filing Date
April 12, 2023
Category
Torts - Other (Conversion)
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FILED: NEW YORK COUNTY CLERK 04/27/2023 12:41 PM INDEX NO. 800003/2022 NYSCEF DOC. NO. 30 RECEIVED NYSCEF: 04/27/2023 OPERATIVE REPORT Patient name: xxxxxxxxxxxxxxxx Date of surgery: April 7, 2022 Surgeon: Douglas M. Monasebian, M.D. Preoperative diagnosis: Right arm scarring with open, non-healing wound Postoperative diagnosis: Same Procedure: 1. Excision of 6 centimeter right arm scarring and non-healing tissue with debridement 2. Immediate reconstruction of defect with layered closure Anesthesia: Local INDICATIONS FOR PROCEDURE: 54 year old female with upper right arm scarring and open wound that is non healing. Histroy of right upper arm liposuction with J plasma. Now presenting for excision of necrotic and non-healing tissues followed by immediate reconstruction with complex layered closure. PROCEDURE PERFORMED: The patient was brought to the procedure room and placed on the table in a supine position. The area in question was outlined for excision and immediate reconstruction. The surgical area was prepped and draped in the usual fashion. Local anesthesia was administered around the scarring and adjacent areas of the open wound. The scarring and necrotic tissue was excised in total with sufficient margins for the purposes of the excision and reconstruction. The dissection proceeded down to the subcutaneous fat. Peripheral flaps were created radially and ulnarly and wide undermining was performed in the subcutaneous planes so as to allow for advancement of the flap edges. Prior to advancement irrigation was employed followed by meticulous hemostasis. With the surgical field dry, the flap edges were advanced and inset. Deep closure was performed with buried 3.0 monocryl suture. The sub-cuticular closure were performed with continuous 4.0 monocryl suture. An inspection of the wound edges revealed no tissue ischemia, no tension and anatomic alignment. Flap edges were well opposed and the defect anatomically recreated. At the conclusion of the procedure sterile compressive dressings were applied. The patient tolerated the procedure well and there were no intraoperative surgical or anesthetic complications. Douglas M. Monase ian, M.D., F.A.C.S.