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record_id int64 1 1.08k	description stringlengths 14 491 ⌀	transcription stringlengths 310 12.7k	keywords listlengths 0 35	source_record_id int64 174 1.28k
201	Radical resection of tumor of the scalp, excision of tumor from the skull with debridement of the superficial cortex with diamond bur, and advancement flap closure.	PREOPERATIVE DIAGNOSIS: , Squamous cell carcinoma of the scalp.,POSTOPERATIVE DIAGNOSIS:, Same.,OPERATION PERFORMED: , Radical resection of tumor of the scalp (CPT 11643). Excision of tumor from the skull with debridement of the superficial cortex with diamond bur. Advancement flap closure, with total undermined area 1...	[ "cortex", "endotracheal anesthesia", "margin", "margins", "midas rex drill", "periosteal", "periosteum", "radical resection", "radical resection of tumor", "resection", "resection of tumor", "scalp", "skull", "squamous cell carcinoma", "squamous cell carcinoma of the scalp", "superfici...	382
202	Complex Regional Pain Syndrome Type I. Stellate ganglion RFTC (radiofrequency thermocoagulation) left side and interpretation of Radiograph.	PREOPERATIVE DIAGNOSIS:, Complex Regional Pain Syndrome Type I.,POSTOPERATIVE DIAGNOSIS: , Same.,PROCEDURE:,1. Stellate ganglion RFTC (radiofrequency thermocoagulation) left side.,2. Interpretation of Radiograph.,ANESTHESIA: ,IV Sedation with Versed and Fentanyl.,ESTIMATED BLOOD LOSS:, None.,COMPLICATIONS:, None.,INDIC...	[ "cricothyroid", "ganglion", "radiofrequency", "radiofrequency thermocoagulation", "radiograph", "regional pain syndrome", "rftc", "sheath", "stellate ganglion", "surgery", "thermocoagulation", "vertebral body" ]	383
203	Cosmetic rhinoplasty. Request for cosmetic change in the external appearance of the nose.	PREOPERATIVE DIAGNOSES:,1. Nasal obstruction secondary to deviated nasal septum.,2. Bilateral turbinate hypertrophy.,PROCEDURE:, Cosmetic rhinoplasty. Request for cosmetic change in the external appearance of the nose.,ANESTHESIA: , General via endotracheal tube.,INDICATIONS FOR OPERATION: ,The patient is a 26-year-old...	[ "cosmetic", "dorsal hump", "endotracheal tube", "hemitransfixion incision", "hypertrophy", "intercartilaginous", "intercartilaginous incision", "nasal", "nasal obstruction", "nasal septal", "nasal septum", "nasal tip", "rhinoplasty", "septomucoperichondrial", "septum", "spur", "submu...	384
204	Release of A1 pulley, right thumb. Stenosing tendinosis, right thumb (trigger finger). There was noted to be thickening of the A1 pulley. There was a fibrous nodule noted within the flexor tendon of the thumb, which caused triggering sensation to the thumb.	PREOPERATIVE DIAGNOSIS: , Stenosing tendinosis, right thumb (trigger finger).,POSTOPERATIVE DIAGNOSIS: , Stenosing tendinosis, right thumb (trigger finger).,PROCEDURE PERFORMED:, Release of A1 pulley, right thumb.,ANESTHESIA:, IV regional with sedation.,COMPLICATIONS: , None.,ESTIMATED BLOOD LOSS: , Minimal.,TOURNIQUET...	[ "fibrous nodule", "flexor tendon", "pulley", "release", "release of a1 pulley", "stenosing", "stenosing tendinosis", "surgery", "tendinosis", "tendon", "thumb", "tourniquet", "trigger finger" ]	385
205	Bilateral rectus recession with the microscopic control, 8 mm, both eyes.	PREOPERATIVE DIAGNOSIS:, Congenital bilateral esotropia, 42 prism diopters.,PROCEDURE:, Bilateral rectus recession with the microscopic control, 8 mm, both eyes.,POSTOPERATIVE DIAGNOSIS: , Congenital bilateral esotropia, 42 prism diopters.,COMPLICATIONS:, None.,PROCEDURE IN DETAIL: , The patient was taken to the Surger...	[ "bilateral rectus recession", "congenital bilateral esotropia", "esotropia", "eye speculum", "eyes", "muscle", "muscle hook", "rectus", "rectus muscle", "rectus recession", "surgery", "tenons capsule" ]	386
206	The patient was found to have limitations to extension at the IP joint to the right thumb and he had full extension after release of A1 pulley.	PREOPERATIVE DIAGNOSIS: , Right trigger thumb.,POSTOPERATIVE DIAGNOSIS:, Right trigger thumb.,SURGERY: , Release of A1 pulley, CPT code 26055.,ANESTHESIA:, General LMA.,TOURNIQUET TIME: ,9 minutes at 200 torr.,FINDINGS:, The patient was found to have limitations to extension at the IP joint to the right thumb. He was f...	[ "a1 pulley", "ip joint", "limitations to extension", "release of a1 pulley", "surgery", "trigger thumb" ]	387
207	Radioactive plaque macular edema. Removal of radioactive plaque, right eye with lateral canthotomy. A lid speculum was applied and the conjunctiva was opened 4 mm from the limbus. A 2-0 traction suture was passed around the insertion of the lateral rectus and the temporal one-half of the globe was exposed.	PREOPERATIVE DIAGNOSIS: , Radioactive plaque macular edema.,POSTOPERATIVE DIAGNOSIS:, Radioactive plaque macular edema.,TITLE OF OPERATION:, Removal of radioactive plaque, right eye with lateral canthotomy.,OPERATIVE PROCEDURE IN DETAIL: , The patient was prepped and draped in the usual manner for a local eye procedure...	[ "conjunctiva", "eye", "eye patch", "ophthalmoscopy", "plaque", "radioactive", "radioactive plaque", "surgery", "suture", "traction" ]	388
208	Closure of rectovaginal fistula, transperineal approach	PREOPERATIVE DIAGNOSIS (ES):, Rectovaginal fistula.,POSTOPERATIVE DIAGNOSIS (ES):, Rectovaginal fistula.,PROCEDURE:, CPT code 57307 - Closure of rectovaginal fistula, transperineal approach.,MATERIAL FORWARDED TO THE LABORATORY FOR EXAMINATION:, Includes fistula tract.,ESTIMATED BLOOD LOSS:, 25 mL.,INDICATIONS:, The pa...	[ "candy-cane", "closure of rectovaginal fistula", "fistula", "fistula tract", "fistulous", "fistulous tract", "lacrimal duct", "perineal", "perineal body", "probe", "rectal", "rectal mucosa", "rectovaginal", "rectovaginal fistula", "septum", "surgery", "transperineal", "transperinea...	389
209	Right sacral alar notch and sacroiliac joint/posterior rami radiofrequency thermocoagulation.	PROCEDURE: , Right sacral alar notch and sacroiliac joint/posterior rami radiofrequency thermocoagulation.,ANESTHESIA: ,Local sedation.,VITAL SIGNS: , See nurse's notes.,COMPLICATIONS: , None.,DETAILS OF PROCEDURE: , INT was placed. The patient was in the operating room in the prone position. The back prepped with Beta...	[ "alar", "notch", "posterior rami", "radiofrequency", "radiofrequency thermocoagulation", "sacral", "sacral alar notch", "sacroiliac", "sacroiliac joint", "surgery", "thermocoagulation" ]	390
210	Radiofrequency thermocoagulation of bilateral lumbar sympathetic chain.	PROCEDURE: , Radiofrequency thermocoagulation of bilateral lumbar sympathetic chain.,ANESTHESIA: , Local sedation.,VITAL SIGNS: , See nurse's notes.,COMPLICATIONS: , None.,DETAILS OF PROCEDURE: ,INT was placed. The patient was in the operating room in the prone position with the back prepped and draped in a sterile fas...	[ "coagulation", "lumbar sympathetic chain", "motor stimulation", "needle", "radiofrequency", "radiofrequency thermocoagulation", "surgery", "thermocoagulation", "vertebral body" ]	391
211	Bilateral L5, S1, S2, and S3 radiofrequency ablation for sacroiliac joint pain. Fluoroscopy was used to identify the bony landmarks of the sacrum and the sacroiliac joints and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.	PROCEDURE: , Bilateral L5, S1, S2, and S3 radiofrequency ablation.,INDICATION: , Sacroiliac joint pain.,INFORMED CONSENT: , The risks, benefits and alternatives of the procedure were discussed with the patient. The patient was given opportunity to ask questions regarding the procedure, its indications and the associate...	[ "ablation", "fluoroscopy", "lidocaine", "needle", "needle placement", "radiofrequency ablation", "sacroiliac", "sacroiliac joint pain", "surgery", "teflon coated needle", "tissue" ]	392
212	Modified radical mastectomy. An elliptical incision was made to incorporate the nipple-areolar complex and the previous biopsy site. The skin incision was carried down to the subcutaneous fat but no further.	PROCEDURE PERFORMED: , Modified radical mastectomy.,ANESTHESIA: , General endotracheal tube.,PROCEDURE: ,After informed consent was obtained, the patient was brought to the operative suite and placed supine on the operating room table. General endotracheal anesthesia was induced without incident. The patient was preppe...	[ "axillary", "axillary vein", "fascia", "incision", "latissimus dorsi muscle", "mastectomy", "muscle", "pectoralis", "pectoralis fascia", "pectoralis major", "pectoralis major muscle", "radical mastectomy", "surgery", "thoracic nerve" ]	393
213	Invasive carcinoma of left breast. Left modified radical mastectomy.	PREOPERATIVE DIAGNOSIS:, Invasive carcinoma of left breast.,POSTOPERATIVE DIAGNOSIS:, Invasive carcinoma of left breast.,OPERATION PERFORMED:, Left modified radical mastectomy.,ANESTHESIA: , General endotracheal.,INDICATION FOR THE PROCEDURE: ,The patient is a 52-year-old female who recently underwent a left breast bio...	[ "axilla", "carcinoma", "chest wall", "invasive", "invasive carcinoma", "mastectomy", "modified radical mastectomy", "neck", "radical mastectomy", "surgery" ]	394
214	Cystoscopy under anesthesia, retrograde and antegrade pyeloureteroscopy, left ureteropelvic junction obstruction, difficult and open renal biopsy.	PREOPERATIVE DIAGNOSES: , Left obstructed renal ureteropelvic junction obstruction status post pyeloplasty, percutaneous procedure, and pyeloureteroscopy x2, and status post Pseudomonas pyelonephritis x6, renal insufficiency, and solitary kidney.,POSTOPERATIVE DIAGNOSES:, Left obstructed renal ureteropelvic junction ob...	[ "cystoscopy", "foley catheter", "fortaz", "nephrostomy tube", "pseudomonas pyelonephritis", "pyeloureteroscopy", "renal", "renal biopsy", "renal insufficiency", "renal pelvis", "surgery", "ureteropelvic", "ureteropelvic junction", "ureteropelvic junction obstruction", "ureteropelvic junc...	395
215	Radical vulvectomy (complete), bilateral inguinal lymphadenectomy (superficial and deep).	PREOPERATIVE DIAGNOSIS: , Clinical stage III squamous cell carcinoma of the vulva.,POSTOPERATIVE DIAGNOSIS: , Clinical stage III squamous cell carcinoma of the vulva.,OPERATION PERFORMED:, Radical vulvectomy (complete), bilateral inguinal lymphadenectomy (superficial and deep).,ANESTHESIA: , General, endotracheal tube....	[ "bilateral inguinal lymphadenectomy", "camper's fascia", "carcinoma", "carcinoma of the vulva", "fascia", "hymeneal ring", "inguinal", "inguinal lymphadenectomy", "lymph nodes", "lymphadenectomy", "nodes", "radical", "radical vulvectomy", "squamous", "squamous cell carcinoma", "surgery...	396
216	Worrisome skin lesion. A punch biopsy of the worrisome skin lesion was obtained. Lesion was removed.	PREOPERATIVE DIAGNOSIS:, Worrisome skin lesion, left hand.,POSTPROCEDURE DIAGNOSIS:, Worrisome skin lesion, left hand.,PROCEDURE:, The patient gave informed consent for his procedure. After informed consent was obtained, attention was turned toward the area of interest, which was prepped and draped in the usual sterile...	[ "punch biopsy", "skin lesion", "squamous cell carcinoma", "surgery" ]	397
217	Pulmonary valve stenosis, supple pulmonic narrowing, and static encephalopathy	HISTORY: , The patient is a 19-year-old boy with a membranous pulmonary atresia, underwent initial repair 12/04/1987 consisting of pulmonary valvotomy and placement of 4 mm Gore-Tex shunt between the ascending aorta and pulmonary artery with a snare. This was complicated by shunt thrombosis __________ utilizing a 10-mm...	[ "artery", "atrial septal defect", "branch pulmonary", "branch pulmonary arteries", "catheterization", "central shunt", "cerebral palsy", "coronary", "coronary artery", "hypoplastic pulmonary annulus", "membranous pulmonary atresia", "outflow tract obstruction", "pressures", "pulmonary", ...	398
218	Exploratory laparotomy, radical hysterectomy, bilateral ovarian transposition, pelvic and obturator lymphadenectomy.	PREOPERATIVE DIAGNOSIS:, Cervical adenocarcinoma, stage I.,POSTOPERATIVE DIAGNOSIS: , Cervical adenocarcinoma, stage I.,OPERATION PERFORMED:, Exploratory laparotomy, radical hysterectomy, bilateral ovarian transposition, pelvic and obturator lymphadenectomy.,ANESTHESIA: , General, endotracheal tube.,SPECIMENS: , Uterus...	[ "adenocarcinoma", "bilateral ovarian transposition", "cervical adenocarcinoma", "cervix", "exploratory laparotomy", "hysterectomy", "laparotomy", "ligaments", "lymphadenectomy", "nodes", "obturator", "obturator lymphadenectomy", "ovarian", "parametrium", "pelvic", "pelvic and obturator...	399
219	Right ureteropelvic junction obstruction. Robotic-assisted pyeloplasty, anterograde right ureteral stent placement, transposition of anterior crossing vessels on the right, and nephrolithotomy.	PROCEDURES:,1. Robotic-assisted pyeloplasty.,2. Anterograde right ureteral stent placement.,3. Transposition of anterior crossing vessels on the right.,4. Nephrolithotomy.,DIAGNOSIS:, Right ureteropelvic junction obstruction.,DRAINS:,1. Jackson-Pratt drain times one from the right flank.,2. Foley catheter times one.,ES...	[ "foley catheter", "jackson-pratt drain", "kidney stones", "monocryl sutures", "nephrolithotomy", "pelvis", "pyeloplasty", "renal", "renal pelvis", "surgery", "sutures", "ureteral stent placement", "ureteropelvic", "ureteropelvic junction obstruction" ]	400
220	Punch biopsy of right upper chest skin lesion.	PROCEDURE:, Punch biopsy of right upper chest skin lesion.,ESTIMATED BLOOD LOSS:, Minimal.,FLUIDS: , Minimal.,COMPLICATIONS:, None.,PROCEDURE:, The area around the lesion was anesthetized after she gave consent for her procedure. Punch biopsy including some portion of lesion and normal tissue was performed. Hemostasis ...	[ "punch biopsy", "skin lesion", "surgery" ]	401
221	Macular edema, right eye. Insertion of radioactive plaque, right eye with lateral canthotomy. The plaque was positioned on the scleral surface immediately behind the macula and secured with two sutures of 5-0 Dacron. The placement was confirmed with indirect ophthalmoscopy.	PREOPERATIVE DIAGNOSIS:, Macular edema, right eye.,POSTOPERATIVE DIAGNOSIS: ,Macular edema, right eye.,TITLE OF OPERATION: , Insertion of radioactive plaque, right eye with lateral canthotomy.,OPERATIVE PROCEDURE IN DETAIL: ,The patient was prepped and draped in the usual manner for a local eye procedure. Initially, a ...	[ "canthotomy", "lateral canthotomy", "macular", "macular edema", "ophthalmoscopy", "radioactive plaque", "scleral surface", "surgery" ]	402
222	Radical retropubic prostatectomy, robotic assisted and bladder suspension. Adenocarcinoma of the prostate.	PREOPERATIVE DIAGNOSIS: , Adenocarcinoma of the prostate.,POSTOPERATIVE DIAGNOSIS: , Adenocarcinoma of the prostate.,PROCEDURE,1. Radical retropubic prostatectomy, robotic assisted.,2. Bladder suspension.,ANESTHESIA:, General by intubation.,The patient understands his diagnosis, grade, stage and prognosis. He understan...	[ "adenocarcinoma", "bladder", "bladder neck", "intubation", "prostate", "prostatectomy", "radical retropubic prostatectomy", "retropubic", "robotic", "robotic assisted", "surgery", "uspension" ]	403
223	Open radical retropubic prostatectomy with bilateral lymph node dissection.	PREOPERATIVE DIAGNOSIS:, Prostate cancer, Gleason score 4+3 with 85% burden and 8/12 cores positive.,POSTOPERATIVE DIAGNOSIS:, Prostate cancer, Gleason score 4+3 with 85% burden and 8/12 cores positive.,PROCEDURE DONE: , Open radical retropubic prostatectomy with bilateral lymph node dissection.,INDICATIONS:, This is a...	[ "bilateral lymph", "bilateral lymph node", "bilateral lymph node dissection", "biopsy", "bladder", "bladder neck", "catheter", "catheter was inserted", "dissection", "dorsal", "dorsal venous", "endopelvic", "external iliac", "fascia", "foley catheter", "gleason score", "iliac vein", ...	404
224	Radical retropubic nerve-sparing prostatectomy without lymph node dissection.	PREOPERATIVE DIAGNOSIS: ,Prostate cancer.,POSTOPERATIVE DIAGNOSIS:, Prostate cancer.,OPERATION PERFORMED:, Radical retropubic nerve-sparing prostatectomy without lymph node dissection.,ESTIMATED BLOOD LOSS: , 450 mL.,REPLACEMENT:, 250 mL of Cell Saver and crystalloid.,COMPLICATIONS: , None.,INDICATIONS OF SURGERY: , Th...	[ "adenocarcinoma", "bladder", "bladder neck", "bladder neck dissection", "core biopsy", "dissection", "dorsal vein complex", "fascia", "figure-of-eight", "foley catheter", "gleason", "lymph node dissection", "neck", "nerve sparing", "nerve-sparing", "perirectal fat", "posteriorly", ...	405
225	Radical retropubic prostatectomy with pelvic lymph node dissection due to prostate cancer.	PREOPERATIVE DIAGNOSIS:, Prostate cancer.,POSTOPERATIVE DIAGNOSIS: , Prostate cancer.,OPERATIVE PROCEDURE: , Radical retropubic prostatectomy with pelvic lymph node dissection.,ANESTHESIA: ,General epidural,ESTIMATED BLOOD LOSS: , 800 cc.,COMPLICATIONS: , None.,INDICATIONS FOR SURGERY: , This is a 64-year-old man with ...	[ "adenocarcinoma", "bladder", "bladder neck", "dorsal vein", "dorsal vein complex", "foley", "foley catheter", "lymph node", "lymph node dissection", "lymphadenectomy", "metzenbaum scissors", "pelvic lymph node dissection", "perivesical", "prostate", "prostate cancer", "prostatectomy", ...	406
226	The patient is a 9-year-old born with pulmonary atresia, intact ventricular septum with coronary sinusoids.	HISTORY: , The patient is a 9-year-old born with pulmonary atresia, intact ventricular septum with coronary sinusoids. He also has VACTERL association with hydrocephalus. As an infant, he underwent placement of a right modified central shunt. On 05/26/1999, he underwent placement of a bidirectional Glenn shunt, pulmona...	[]	407
227	Insertion of a Port-A-Catheter via the left subclavian vein approach under fluoroscopic guidance in a patient with ovarian cancer.	PREOPERATIVE DIAGNOSIS: , Ovarian cancer.,POSTOPERATIVE DIAGNOSIS:, Ovarian cancer.,OPERATION PERFORMED:, Insertion of a Port-A-Catheter via the left subclavian vein approach under fluoroscopic guidance.,DETAILED OPERATIVE NOTE:, The patient was placed on the operating table and placed under LMA general anesthesia in p...	[ "catheter", "circumferential", "counter incision", "fluoroscopic", "fluoroscopic guidance", "guidewire", "insertion", "ovarian cancer", "port", "port a catheter", "port-a-catheter", "subclavian", "subcutaneously", "superior vena cava", "surgery", "vein" ]	408
228	Right pterional craniotomy with obliteration of medial temporal arteriovenous malformation and associated aneurysm and evacuation of frontotemporal intracerebral hematoma.	PREOPERATIVE DIAGNOSIS: ,Status post spontaneous hemorrhage from medial temporal arteriovenous malformation with arteriographic evidence of associated aneurysm.,POSTOPERATIVE DIAGNOSIS: , Status post spontaneous hemorrhage from medial temporal arteriovenous malformation with arteriographic evidence of associated aneury...	[ "aneurysm", "arteriovenous", "arteriovenous malformation", "bipolar coagulation", "bone flap", "hematoma", "hemorrhage", "intracerebral", "malformation", "pterional", "pterional craniotomy", "surgery" ]	409
229	Insertion of Port-A-Cath via left subclavian vein using fluoroscopy in a patient with renal cell carcinoma.	TITLE OF PROCEDURE: , Insertion of Port-A-Cath via left subclavian vein using fluoroscopy.,PREOPERATIVE DIAGNOSIS: ,Metastatic renal cell carcinoma.,POSTOPERATIVE DIAGNOSIS: , Metastatic renal cell carcinoma.,PROCEDURE IN DETAIL:, This is a 49-year-old gentleman was referred by Dr. A. The patient underwent a left nephr...	[ "butterfly needle", "carcinoma", "catheter", "cell carcinoma", "fluoroscopy", "french vortex", "huber", "insertion", "jugular", "metastatic", "nephrectomy", "permcath", "port", "port a cath", "port-a-cath", "renal cell carcinoma", "subclavian", "subclavian vein", "surgery", "ve...	410
230	Insertion of subclavian dual-port Port-A-Cath and surgeon-interpreted fluoroscopy.	PROCEDURES PERFORMED,1. Insertion of subclavian dual-port Port-A-Cath.,2. Surgeon-interpreted fluoroscopy.,OPERATIVE PROCEDURE IN DETAIL: , After obtaining informed consent from the patient, including a thorough explanation of the risks and benefits of the aforementioned procedure, patient was taken to the operating ro...	[ ": thesetranscribed medical transcription sample reports and examples are provided by various users andare for reference purpose only. mthelpline does not certify accuracy and quality of sample reports.these transcribed medical transcription sample reports may include some uncommon or unusual formats;this would be ...	411
231	Right subclavian Port-a-Cath insertion in a patient with bilateral breast carcinoma.	PREOPERATIVE DIAGNOSES: ,1. Bilateral breast carcinoma.,2. Chemotherapy required.,POSTOPERATIVE DIAGNOSES:,1. Bilateral breast carcinoma.,2. Chemotherapy required.,OPERATION: , Right subclavian Port-a-Cath insertion.,FINDINGS AND PROCEDURE: ,With the patient under satisfactory general orotracheal anesthesia and in the ...	[ "bilateral breast carcinoma", "carcinoma", "cath insertion", "catheter", "chemotherapy", "fluoroscopy", "heparin", "insertion", "pectoralis fascia", "port a cath", "port a cath insertion", "port-a-cath", "subclavian", "subclavian port a cath", "surgery" ]	412
232	Bleeding after transanal excision five days ago. Exam under anesthesia with control of bleeding via cautery. The patient is a 42-year-old gentleman who is five days out from transanal excision of a benign anterior base lesion. He presents today with diarrhea and bleeding.	PREOPERATIVE DIAGNOSIS: , Bleeding after transanal excision five days ago.,POSTOPERATIVE DIAGNOSIS: , Bleeding after transanal excision five days ago.,PROCEDURE:, Exam under anesthesia with control of bleeding via cautery.,ANESTHESIA:, General endotracheal.,INDICATION: , The patient is a 42-year-old gentleman who is fi...	[ "anesthesia", "anterior base lesion", "bleeding", "diarrhea", "polypoid lesion", "surgery", "transanal", "transanal excision" ]	413
233	The patient with left completion hemithyroidectomy and reimplantation of the left parathyroid and left sternocleidomastoid region in the inferior 1/3rd region. Papillary carcinoma of the follicular variant of the thyroid in the right lobe, status post right hemithyroidectomy.	PREOPERATIVE DIAGNOSES: , Papillary carcinoma of the follicular variant of the thyroid in the right lobe, status post right hemithyroidectomy.,POSTOPERATIVE DIAGNOSES: , Papillary carcinoma of the follicular variant of the thyroid in the right lobe, status post right hemithyroidectomy.,PROCEDURE: ,The patient with left...	[ "berry ligaments", "follicular variant", "hemithyroidectomy", "papillary carcinoma", "parathyroid", "rubber band drain", "sternocleidomastoid", "strap muscles", "surgery", "thyroid", "thyroid gland" ]	414
234	Placement of a Port-A-Cath under fluoroscopic guidancein a patient with anal cancer.	PREOPERATIVE DIAGNOSIS:,1. Anal cancer.,2. Need for IV access.,POSTOPERATIVE DIAGNOSIS:,1. Anal cancer.,2. Need for IV access.,OPERATIVE PROCEDURE:,1. Placement of a Port-A-Cath.,2. Fluoroscopic guidance.,ANESTHESIA:, General LMA.,ESTIMATED BLOOD LOSS:, Minimum.,IV FLUIDS: , Per anesthesia.,RECURRENT COMPLICATIONS: , N...	[ "anal cancer", "chemotherapy", "fluoroscopic", "fluoroscopy", "insertion", "iv access", "port a cath", "port-a-cath", "subclavian", "subclavian vein", "subcutaneous tissues", "surgery", "trendelenburg position" ]	415
235	Port insertion through the right subclavian vein percutaneously under radiological guidance. Metastatic carcinoma of the bladder and bowel obstruction.	PREOPERATIVE DIAGNOSES,1. Metastatic carcinoma of the bladder.,2. Bowel obstruction.,POSTOPERATIVE DIAGNOSES,1. Metastatic carcinoma of the bladder.,2. Bowel obstruction.,PROCEDURE: , Port insertion through the right subclavian vein percutaneously under radiological guidance.,PROCEDURE DETAIL: ,The patient was elective...	[ "bowel obstruction", "catheter", "metastatic carcinoma", "metastatic carcinoma of the bladder", "percutaneously", "port insertion", "subclavian vein", "surgery" ]	416
236	Port-A-Cath insertion template. Catheter was inserted after subcutaneous pocket was created, the sheath dilators were advanced, and the wire and dilator were removed.	PROCEDURE PERFORMED: , Port-A-Cath insertion.,ANESTHESIA: , MAC.,COMPLICATIONS: , None.,ESTIMATED BLOOD LOSS: ,Minimal.,PROCEDURE IN DETAIL: ,Patient was prepped and draped in sterile fashion. The left subclavian vein was cannulated with a wire. Fluoroscopic confirmation of the wire in appropriate position was performe...	[ "cath insertion", "catheter", "dilators", "fluoroscopic", "fluoroscopic confirmation", "hemostasis", "insertion", "port a cath insertion", "sheath", "subcutaneous", "surgery", "wire" ]	417
237	Transnasal transsphenoidal approach in resection of pituitary tumor. The patient is a 17-year-old girl who presented with headaches and was found to have a prolactin of 200 and pituitary tumor.	TITLE OF OPERATION: , Transnasal transsphenoidal approach in resection of pituitary tumor.,INDICATION FOR SURGERY: , The patient is a 17-year-old girl who presented with headaches and was found to have a prolactin of 200 and pituitary tumor. She was started on Dostinex with increasing dosages. The most recent MRI demon...	[ "pituitary", "pituitary tumor", "prolactin", "resection", "surgery", "transnasal", "transnasal transsphenoidal approach", "transsphenoidal", "tumor" ]	418
238	Application of PMT large halo crown and vest. Cervical spondylosis, status post complex anterior cervical discectomy, corpectomy, decompression and fusion.	PREOPERATIVE DIAGNOSES: , Cervical spondylosis, status post complex anterior cervical discectomy, corpectomy, decompression and fusion.,POSTOPERATIVE DIAGNOSES: , Cervical spondylosis, status post complex anterior cervical discectomy, corpectomy, decompression and fusion, and potentially unstable cervical spine.,OPERAT...	[ "anterior cervical discectomy", "cervical", "cervical spondylosis", "corpectomy", "crown", "decompression", "fusion", "pmt", "pmt halo", "surgery", "vest" ]	419
239	Ultrasound-guided right pleurocentesis for right pleural effusion with respiratory failure and dyspnea.	PREOPERATIVE DIAGNOSIS: , Right pleural effusion with respiratory failure and dyspnea.,POSTOPERATIVE DIAGNOSIS: , Right pleural effusion with respiratory failure and dyspnea.,PROCEDURE: , Ultrasound-guided right pleurocentesis.,ANESTHESIA: , Local with lidocaine.,TECHNIQUE IN DETAIL: , After informed consent was obtain...	[ "dyspnea", "gliding sign", "hemidiaphragm", "pleural", "pleural catheter", "pleural effusion", "pleurocentesis", "respiratory", "serosanguinous fluid", "surgery", "ultrasound" ]	420
240	Closed reduction and pinning of the right ulna with placement of a long-arm cast.	PREOPERATIVE DIAGNOSIS:, Right both bone forearm refracture.,POSTOPERATIVE DIAGNOSIS: , Right both bone forearm refracture.,PROCEDURE:, Closed reduction and pinning of the right ulna with placement of a long-arm cast.,ANESTHESIA: , Surgery performed under general anesthesia. Local anesthetic was 10 mL of 0.25% Marcaine...	[ "arm cast", "closed reduction", "forearm refracture", "fracture site", "pinning", "surgery" ]	421