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 |
|---|---|---|---|---|
301 | Acetabular fracture on the left posterior column/transverse posterior wall variety with an accompanying displaced fracture of the intertrochanteric variety to the left hip. Osteosynthesis of acetabular fracture on the left, complex variety and total hip replacement. | PREOPERATIVE DIAGNOSIS:, Acetabular fracture on the left posterior column/transverse posterior wall variety with an accompanying displaced fracture of the intertrochanteric variety to the left hip.,POSTOPERATIVE DIAGNOSIS:, Acetabular fracture on the left posterior column/transverse posterior wall variety with an accom... | [
"acetabular",
"acetabular fracture",
"femoral",
"femoral insertion",
"fracture",
"hip replacement",
"intertrochanteric",
"intertrochanteric variety",
"osteosynthesis",
"surgery"
] | 483 |
302 | Open reduction and internal fixation of the left medial epicondyle fracture with placement in a long-arm posterior well-molded splint and closed reduction casting of the right forearm. | PREOPERATIVE DIAGNOSES: , Left elbow fracture dislocation with incarceration of the medial epicondyle with ulnar nerve paresthesias status post closed reduction, attempts 2, right radial shaft fracture with volar apex angulation.,POSTOPERATIVE DIAGNOSES:, Left elbow fracture dislocation with incarceration of the medial... | [
"closed reduction",
"dislocation",
"elbow fracture",
"epicondyle",
"epicondyle fracture",
"fracture",
"internal fixation",
"left medial epicondyle fracture",
"long-arm posterior well-molded splint",
"medial epicondyle",
"medial epicondyle fracture",
"nerve",
"open reduction internal fixation... | 484 |
303 | Distal metaphyseal osteotomy and bunionectomy with internal screw fixation, right foot. Reposition osteotomy with internal screw fixation to correct angulation deformity of proximal phalanx, right foot. | PREOPERATIVE DIAGNOSES:,1. Metatarsus primus varus with bunion deformity, right foot.,2. Hallux abductovalgus with angulation deformity, right foot.,POSTOPERATIVE DIAGNOSES:,1. Metatarsus primus varus with bunion deformity, right foot.,2. Hallux abductovalgus with angulation deformity, right foot.,PROCEDURES:,1. Distal... | [] | 485 |
304 | Open reduction and internal fixation of left atrophic mandibular fracture, removal of failed dental implant from the left mandible. The patient fell following an episode of syncope and sustained a blunt trauma to his ribs resulting in multiple fractures and presumably also struck his mandible resulting in fracture. | PREOPERATIVE DIAGNOSES: , Open, displaced, infected left atrophic mandibular fracture; failed dental implant.,POSTOPERATIVE DIAGNOSES: , Open, displaced, infected left atrophic mandibular fracture; failed dental implant.,PROCEDURE PERFORMED: , Open reduction and internal fixation (ORIF) of left atrophic mandibular frac... | [
"atrophic",
"atrophic mandibular fracture",
"dental",
"dental implant",
"implant",
"mandible",
"mandibular",
"mandibular fracture",
"open reduction and internal fixation",
"orif",
"surgery"
] | 486 |
305 | Open reduction internal fixation (ORIF) with irrigation and debridement of open fracture. Closed reduction and screw fixation of right femoral neck fracture. Retrograde femoral nail using a striker T2 retrograde nail. Irrigation and debridement of knee and elbow abrasions. | TITLE OF OPERATION:,1. Open reduction internal fixation (ORIF) with irrigation and debridement of open fracture including skin, muscle, and bone using a Synthes 3.5 mm locking plate on the lateral malleolus and two Synthes 4.5 mm cannulated screws medial malleolus.,2. Closed reduction and screw fixation of right femora... | [] | 487 |
306 | Open reduction and internal fixation (ORIF) of comminuted C2 fracture. Posterior spinal instrumentation C1-C3, using Synthes system. Posterior cervical fusion C1-C3. Insertion of morselized allograft at C1to C3. | PREOPERATIVE DIAGNOSIS: , Fracture dislocation, C2.,POSTOPERATIVE DIAGNOSIS: ,Fracture dislocation, C2.,OPERATION PERFORMED,1. Open reduction and internal fixation (ORIF) of comminuted C2 fracture.,2. Posterior spinal instrumentation C1-C3, using Synthes system.,3. Posterior cervical fusion C1-C3.,4. Insertion of morse... | [
"allograft",
"cervical",
"cervical fusion",
"comminuted",
"fixation",
"fracture",
"fracture dislocation",
"fusion",
"instrumentation",
"internal fixation",
"mayfield tongues",
"morselized",
"orif",
"reduction",
"spinal",
"spinal instrumentatio",
"surgery",
"vicryl suture"
] | 488 |
307 | Fractured right fifth metatarsal. Open reduction and internal screw fixation right fifth metatarsal. Application of short leg splint. | PREOPERATIVE DIAGNOSIS: , Fractured right fifth metatarsal.,POSTOPERATIVE DIAGNOSIS: , Fractured right fifth metatarsal.,PROCEDURE PERFORMED:,1. Open reduction and internal screw fixation right fifth metatarsal.,2. Application of short leg splint.,ANESTHESIA:, TIVA/local.,HISTORY: , This 32-year-old female presents to ... | [
"ankle tourniquet",
"bernstein",
"fracture site",
"fractured",
"fractured right fifth metatarsal",
"hypertrophic",
"internal screw fixation",
"leg splint",
"metatarsal",
"metatarsal base",
"orif",
"pneumatic ankle tourniquet",
"surgery"
] | 489 |
308 | Open reduction and internal fixation of left lateral malleolus. Left lateral malleolus fracture. | PREOPERATIVE DIAGNOSIS: , Left lateral malleolus fracture.,POSTOPERATIVE DIAGNOSIS:, Left lateral malleolus fracture.,PROCEDURE PERFORMED: , Open reduction and internal fixation of left lateral malleolus.,ANESTHESIA: ,General.,TOURNIQUET TIME: , 59 minutes.,COMPLICATIONS: , None.,BLOOD LOSS: , Negligible.,CLOSURE: , 2-... | [
"ankle",
"esmarch",
"fixation",
"fracture",
"internal fixation",
"lateral malleolus",
"malleolus",
"malleolus fracture",
"open reduction and internal fixation",
"orif",
"reduction",
"surgery",
"tourniquet"
] | 490 |
309 | Open left angle comminuted angle of mandible, 802.35, and open symphysis of mandible, 802.36. Open reduction, internal fixation (ORIF) of bilateral mandible fractures with multiple approaches, CPT code 21470, and surgical extraction of teeth #17, CPT code 41899. | PREOPERATIVE DIAGNOSIS:, Open left angle comminuted angle of mandible, 802.35, and open symphysis of mandible, 802.36.,POSTOPERATIVE DIAGNOSIS:, Open left angle comminuted angle of mandible, 802.35, and open symphysis of mandible, 802.36.,PROCEDURE:, Open reduction, internal fixation (ORIF) of bilateral mandible fractu... | [
"bilateral mandible fractures",
"buckle",
"endotracheal",
"fracture",
"leibinger",
"lidocaine with epinephrine",
"mandible",
"mandible fracture",
"maxillofacial",
"oral maxillary facial surgery",
"orif",
"pacu",
"round bur",
"surgery",
"surgical steel wire",
"symphysis"
] | 491 |
310 | Open reduction and internal fixation of left tibia. | PREOPERATIVE DIAGNOSIS: , Left tibial tubercle avulsion fracture.,POSTOPERATIVE DIAGNOSIS:, Comminuted left tibial tubercle avulsion fracture with intraarticular extension.,PROCEDURE:, Open reduction and internal fixation of left tibia.,ANESTHESIA: , General. The patient received 10 ml of 0.5% Marcaine local anesthetic... | [
"cortical screw",
"hardware removal",
"intraarticular extension",
"jp drain",
"orif",
"surgery",
"tibial",
"tibial tubercle",
"tibial tubercle avulsion fracture",
"tourniquet",
"tubercle",
"tubercle avulsion fracture"
] | 492 |
311 | Hawkins IV talus fracture. Open reduction internal fixation of the talus, medial malleolus osteotomy, and repair of deltoid ligament. | PREOPERATIVE DIAGNOSIS:, Hawkins IV talus fracture.,POSTOPERATIVE DIAGNOSIS: , Hawkins IV talus fracture.,PROCEDURE PERFORMED:,1. Open reduction internal fixation of the talus.,2. Medial malleolus osteotomy.,3. Repair of deltoid ligament.,ANESTHESIA: , Spinal.,TOURNIQUET TIME: , 90 min.,BLOOD LOSS:, 50 cc.,The patient ... | [
"deltoid ligament",
"fracture",
"fracture site",
"hawkins iv talus fracture",
"ligament",
"malleolus",
"medial",
"medial malleolus",
"medial malleolus osteotomy",
"open reduction internal fixation of the talus",
"osteotomy",
"surgery",
"talus",
"tourniquet"
] | 493 |
312 | Orchiopexy & inguinal herniorrhaphy. | OPERATIVE NOTE:, The patient was taken to the operating room and placed in the supine position on the operating room table. The patient was prepped and draped in usual sterile fashion. An incision was made in the groin crease overlying the internal ring. This incision was about 1.5 cm in length. The incision was carrie... | [
": 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 ... | 494 |
313 | Open reduction and internal fixation of right distal radius fracture - intraarticular four piece fracture and right carpal tunnel release. | PREOPERATIVE DIAGNOSES:,1. Displaced intraarticular fracture, right distal radius.,2. Right carpal tunnel syndrome.,PREOPERATIVE DIAGNOSES:,1. Displaced intraarticular fracture, right distal radius.,2. Right carpal tunnel syndrome.,OPERATIONS PERFORMED:,1. Open reduction and internal fixation of right distal radius fra... | [
"carpal",
"carpal ligament",
"carpal tunnel",
"carpal tunnel release",
"carpal tunnel syndrome",
"carpi radialis",
"esmarch",
"flexion crease",
"flexor carpi",
"flexor carpi radialis",
"flexor pronator muscles",
"intraarticular",
"intraarticular fracture",
"k-wires",
"open reduction and ... | 495 |
314 | Bilateral orchiopexy. This 8-year-old boy has been found to have a left inguinally situated undescended testes. Ultrasound showed metastasis to be high in the left inguinal canal. The right testis is located in the right inguinal canal on ultrasound and apparently ultrasound could not be displaced into the right hemisc... | PREOPERATIVE DIAGNOSIS: ,Bilateral undescended testes.,POSTOPERATIVE DIAGNOSIS: , Bilateral undescended testes.,OPERATION PERFORMED: , Bilateral orchiopexy.,ANESTHESIA: , General.,HISTORY: , This 8-year-old boy has been found to have a left inguinally situated undescended testes. Ultrasound showed metastasis to be high... | [
"bilateral orchiopexy",
"bilateral undescended testes",
"canal",
"cord",
"dartos pouch",
"inguinal canal",
"inguinally",
"internal ring",
"orchiopexy",
"prentiss maneuver",
"scrotal incisions",
"spermatic",
"spermatic cord",
"subcutaneous tissues",
"surgery",
"testes",
"ultrasound",
... | 496 |
315 | Open reduction and internal fixation, high grade Frykman VIII distal radius fracture. | PREOPERATIVE DIAGNOSIS: , Severely comminuted fracture of the distal radius, left.,POSTOPERATIVE DIAGNOSIS: , Severely comminuted fracture of the distal radius, left.,OPERATIVE PROCEDURE: ,Open reduction and internal fixation, high grade Frykman VIII distal radius fracture.,ANESTHESIA: , General endotracheal.,PREOPERAT... | [
"c-arm",
"depo-medrol",
"die-punch",
"distal",
"distal radial ulnar joint",
"distal radius",
"fracture",
"frykman",
"intra-articular",
"jones-type dressing",
"kantrex",
"lidocaine",
"marcaine",
"open reduction and internal fixation",
"orif",
"pronator quadratus",
"radial",
"radial ... | 497 |
316 | Open reduction internal fixation of the left supracondylar, intercondylar distal femur fracture. | PREOPERATIVE DIAGNOSIS (ES):, Left supracondylar, intercondylar distal femur fracture.,POSTOPERATIVE DIAGNOSIS (ES):, Left supracondylar, intercondylar distal femur fracture.,PROCEDURE:, Open reduction internal fixation of the left supracondylar, intercondylar distal femur fracture (27513).,OPERATIVE FINDINGS:, He had ... | [] | 498 |
317 | Right orchiopexy and right inguinal hernia repair. | PREOPERATIVE DIAGNOSIS: , Right undescended testis (ectopic position).,POSTOPERATIVE DIAGNOSES:, Right undescended testis (ectopic position), right inguinal hernia.,PROCEDURES: , Right orchiopexy and right inguinal hernia repair.,ANESTHESIA:, General inhalational anesthetic with caudal block.,FLUIDS RECEIVED: ,100 mL o... | [
"caudal block",
"curved mosquito clamp",
"dissected",
"ectopic position",
"gubernacular attachments",
"hernia",
"hernia repair",
"hernia sac",
"inguinal",
"inguinal hernia",
"inguinal hernia repair",
"orchiopexy",
"surgery",
"testis",
"testis ectopic position",
"tunica vaginalis",
"u... | 499 |
318 | Left inguinal hernia repair, left orchiopexy with 0.25% Marcaine, ilioinguinal nerve block and wound block at 0.5% Marcaine plain. | PREOPERATIVE DIAGNOSIS: , Left undescended testis.,POSTOPERATIVE DIAGNOSIS:, Left undescended testis plus left inguinal hernia.,PROCEDURES:, Left inguinal hernia repair, left orchiopexy with 0.25% Marcaine, ilioinguinal nerve block and wound block at 0.5% Marcaine plain.,ABNORMAL FINDINGS:, A high left undescended test... | [
"cord length",
"dissected",
"epididymal attachment",
"external oblique fascia",
"external ring",
"fascia",
"hernia",
"hernia repair",
"ilioinguinal nerve",
"ilioinguinal nerve block",
"inguinal",
"inguinal hernia",
"inguinal hernia repair",
"inguinal incision",
"nerve block",
"scarpa f... | 500 |
319 | Right undescended testicle. Orchiopexy & Herniorrhaphy. | PREOPERATIVE DIAGNOSIS:, Right undescended testicle.,POSTOPERATIVE DIAGNOSIS:, Right undescended testicle.,OPERATIONS:,1. Right orchiopexy.,2. Right herniorrhaphy.,ANESTHESIA: , LMA.,ESTIMATED BLOOD LOSS: , Minimal.,SPECIMEN: , Sac.,BRIEF HISTORY: , This is a 10-year-old male who presented to us with his mom with consu... | [
"external oblique fascia",
"herniorrhaphy",
"inguinal",
"inguinal ring",
"oblique fascia",
"orchiopexy",
"orchiopexy & herniorrhaphy",
"scrotal sac",
"surgery",
"testicle",
"undescended testicle"
] | 501 |
320 | Left facial cellulitis and possible odontogenic abscess. Attempted incision and drainage (I&D) of odontogenic abscess. | PREOPERATIVE DIAGNOSES:,1. Left facial cellulitis.,2. Possible odontogenic abscess of the #18, #19, and #20.,POSTOPERATIVE DIAGNOSES:,1. Left facial cellulitis.,2. Possible odontogenic abscess of the #18, #19, and #20.,PROCEDURE PERFORMED: , Attempted incision and drainage (I&D) of odontogenic abscess.,ANESTHESIA: ,1% ... | [
"abscess",
"buccogingival",
"cellulitis",
"drainage",
"facial cellulitis",
"fna",
"i&d",
"incision and drainage",
"odontogenic",
"odontogenic abscess",
"surgery"
] | 502 |
321 | Examination under anesthesia, diagnostic laparoscopy, right orchiectomy, and left testis fixation. | PREOPERATIVE DIAGNOSIS:, Nonpalpable right undescended testis.,POSTOPERATIVE DIAGNOSIS: , Nonpalpable right undescended testis with atrophic right testis.,PROCEDURES: , Examination under anesthesia, diagnostic laparoscopy, right orchiectomy, and left testis fixation.,ANESTHESIA: ,General inhalation anesthetic with caud... | [
"caudal block",
"diagnostic laparoscopy",
"laparoscopy",
"orchiectomy",
"scrotum",
"subcutaneous closure",
"surgery",
"testicular",
"testis",
"testis fixation",
"undescended testis"
] | 503 |
322 | Leukemic meningitis. Right frontal side-inlet Ommaya reservoir. The patient is a 49-year-old gentleman with leukemia and meningeal involvement, who was undergoing intrathecal chemotherapy. | TITLE OF OPERATION: , Right frontal side-inlet Ommaya reservoir.,INDICATION FOR SURGERY: , The patient is a 49-year-old gentleman with leukemia and meningeal involvement, who was undergoing intrathecal chemotherapy. Recommendation was for an Ommaya reservoir. Risks and benefits have been explained. They agreed to proce... | [
"caprosyn",
"chemotherapy",
"intrathecal",
"leukemia",
"leukemic",
"leukemic meningitis",
"meningeal",
"meningitis",
"ommaya",
"ommaya reservoir",
"surgery"
] | 504 |
323 | Left orchiopexy. Ectopic left testis. The patient did have an MRI, which confirmed ectopic testis located near the pubic tubercle. | PREOPERATIVE DIAGNOSIS:, Ectopic left testis.,POSTOPERATIVE DIAGNOSIS: , Ectopic left testis.,PROCEDURE PERFORMED: , Left orchiopexy.,ANESTHESIA: , General. The patient did receive Ancef.,INDICATIONS AND CONSENT: , This is a 16-year-old African-American male who had an ectopic left testis that severed approximately one... | [
"bovie electrocautery",
"cord",
"dartos",
"dartos pouch",
"ectopic",
"ectopic left testis",
"ectopic testis",
"metzenbaum scissors",
"orchiopexy",
"pubic tubercle",
"scrotal",
"surgery",
"testis"
] | 505 |
324 | Bilateral scrotal orchiectomy | BILATERAL SCROTAL ORCHECTOMY,PROCEDURE:,: The patient is placed in the supine position, prepped and draped in the usual manner. Under satisfactory general anesthesia, the scrotum was approached and through a transverse mid scrotal incision, the right testicle was delivered through the incision. Hemostasis was obtained ... | [
": 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 ... | 506 |
325 | Incision and drainage and excision of the olecranon bursa, left elbow. Acute infected olecranon bursitis, left elbow. | PREOPERATIVE DIAGNOSIS: , Acute infected olecranon bursitis, left elbow.,POSTOPERATIVE DIAGNOSIS: , Infection, left olecranon bursitis.,PROCEDURE PERFORMED:,1. Incision and drainage, left elbow.,2. Excision of the olecranon bursa, left elbow.,ANESTHESIA: , Local with sedation.,COMPLICATIONS: , None.,NEEDLE AND SPONGE C... | [
"bursa",
"drainage",
"elbow",
"excision",
"incision and drainage",
"infected olecranon",
"olecranon",
"olecranon bursa",
"olecranon bursitis",
"surgery",
"wound"
] | 507 |
326 | Chronic plantar fasciitis, right foot. Open plantar fasciotomy, right foot. | PREOPERATIVE DIAGNOSIS: , Chronic plantar fasciitis, right foot.,POSTOPERATIVE DIAGNOSIS:, Chronic plantar fasciitis, right foot.,PROCEDURE: , Open plantar fasciotomy, right foot.,ANESTHESIA: , Local infiltrate with IV sedation.,INDICATIONS FOR SURGERY:, The patient has had a longstanding history of foot problems. The ... | [
"anesthesia",
"band",
"fascia",
"fascial",
"fasciotomy",
"foot",
"plantar",
"plantar fascial",
"plantar fascial band",
"plantar fasciitis",
"plantar fasciotomy",
"surgery"
] | 508 |
327 | Acute acalculous cholecystitis. Open cholecystectomy. The patient's gallbladder had some patchy and necrosis areas. There were particular changes on the serosal surface as well as on the mucosal surface with multiple clots within the gallbladder. | PREOPERATIVE DIAGNOSIS: , Acute acalculous cholecystitis.,POSTOPERATIVE DIAGNOSIS:, Acute hemorrhagic cholecystitis.,PROCEDURE PERFORMED: , Open cholecystectomy.,ANESTHESIA: , Epidural with local.,COMPLICATIONS: , None.,DISPOSITION: , The patient tolerated the procedure well and was transferred to recovery in stable co... | [
"acalculous cholecystitis",
"acute acalculous",
"bovie cautery",
"cholecystectomy",
"cholecystitis",
"cystic",
"cystic duct",
"fascia",
"gallbladder",
"hemorrhagic",
"liver bed",
"metzenbaum scissors",
"open cholecystectomy",
"rectus fascia",
"serosal",
"surgery"
] | 509 |
328 | Nissen fundoplication. A 2 cm midline incision was made at the junction of the upper two-thirds and lower one-third between the umbilicus and the xiphoid process. | PROCEDURE PERFORMED: , Nissen fundoplication.,DESCRIPTION OF PROCEDURE: , After informed consent was obtained detailing the risks of infection, bleeding, esophageal perforation and death, the patient was brought to the operative suite and placed supine on the operating room table. General endotracheal anesthesia was in... | [
"antireflux",
"esophagus",
"fundoplication",
"gastric pouch",
"insufflation",
"ligament",
"nissen",
"nissen fundoplication",
"penrose",
"phrenoesophageal membrane",
"surgery",
"trocars",
"umbilicus"
] | 510 |
329 | Nipple areolar reconstruction utilizing a full-thickness skin graft and mastopexy | PREOPERATIVE DIAGNOSES,1. Surgical absence of left nipple areola with personal history of breast cancer.,2. Breast asymmetry.,POSTOPERATIVE DIAGNOSES,1. Surgical absence of left nipple areola with personal history of breast cancer.,2. Breast asymmetry.,PROCEDURE,1. Left nipple areolar reconstruction utilizing a full-th... | [
"areolar",
"areolar reconstruction",
"breast",
"breast asymmetry",
"breast cancer",
"frog-leg position",
"full-thickness skin graft",
"general endotracheal",
"general endotracheal anesthesia",
"graft",
"mastopexy",
"nipple",
"nipple areola",
"nipple areolar complex",
"nipple areolar reco... | 511 |
330 | Right radical nephrectomy and assisted laparoscopic approach. | PREOPERATIVE DIAGNOSIS: , Right renal mass.,POSTOPERATIVE DIAGNOSIS: , Right renal mass.,PROCEDURE: , Right radical nephrectomy and assisted laparoscopic approach.,ANESTHESIA: ,General.,PROCEDURE IN DETAIL: ,The patient underwent general anesthesia with endotracheal intubation. An orogastric was placed and a Foley cath... | [
"endotracheal",
"foley catheter",
"gerota fascia",
"laparoscopic",
"muscle-splitting incision",
"nephrectomy",
"orogastric",
"pneumo",
"pneumo sleeve",
"radical",
"renal",
"renal fossa",
"renal mass",
"right lower quadrant",
"surgery",
"trocar",
"umbilicus",
"vena cava"
] | 512 |
331 | Transplant nephrectomy after rejection of renal transplant | PREOPERATIVE DIAGNOSIS: , Rejection of renal transplant.,POSTOPERATIVE DIAGNOSIS: , Rejection of renal transplant.,OPERATIVE PROCEDURE: , Transplant nephrectomy.,DESCRIPTION OF PROCEDURE: , The patient has had rapid deterioration of her kidney function since her transplant at ABCD one year ago. The patient was recently... | [
"blake drain",
"iliac artery",
"ilioinguinal",
"immunosuppression",
"kidney",
"kidney function",
"nephrectomy",
"nephrostomy tube",
"rejection",
"renal",
"renal transplant",
"retroperitoneal",
"retroperitoneal space",
"surgery",
"toxic",
"transplant",
"ureter",
"vein"
] | 513 |
332 | Left L4-L5 transforaminal neuroplasty with nerve root decompression and lysis of adhesions followed by epidural steroid injection. | PREOPERATIVE DIAGNOSES:, ,1. Recurrent intractable low back and left lower extremity pain with history of L4-L5 discectomy.,2. Epidural fibrosis with nerve root entrapment.,POSTOPERATIVE DIAGNOSES:, ,1. Recurrent intractable low back and left lower extremity pain with history of L4-L5 discectomy.,2. Epidural fibrosis w... | [
"discectomy",
"epidural",
"epidural fibrosis",
"foramen",
"needle",
"nerve root",
"nerve root decompression",
"nerve root entrapment",
"neural foramen",
"neuroplasty",
"surgery",
"transforaminal",
"transforaminal neuroplasty"
] | 514 |
333 | Repair of nerve and tendon, right ring finger and exploration of digital laceration. Laceration to right ring finger with partial laceration to the ulnar slip of the FDS which is the flexor digitorum superficialis and 25% laceration to the flexor digitorum profundus of the right ring finger and laceration 100% of the u... | PREOPERATIVE DIAGNOSIS:, Volar laceration to right ring finger with possible digital nerve injury with possible flexor tendon injury.,POSTOPERATIVE DIAGNOSES:,1. Laceration to right ring finger with partial laceration to the ulnar slip of the FDS which is the flexor digitorum superficialis.,2. 25% laceration to the fle... | [
"bundle",
"digital",
"digital laceration",
"fds",
"finger",
"flexor",
"flexor digitorum",
"flexor tendon",
"injury",
"laceration",
"nerve",
"neurovascular",
"neurovascular bundle",
"repair",
"ring",
"surgery",
"tendon",
"ulnar",
"ulnar slip",
"volar laceration"
] | 515 |
334 | Laparoscopic right partial nephrectomy due to right renal mass. | PREOPERATIVE DIAGNOSIS: , Right renal mass.,POSTOPERATIVE DIAGNOSIS: , Right renal mass.,PROCEDURE PERFORMED: , Laparoscopic right partial nephrectomy.,ESTIMATED BLOOD LOSS:, 250 mL.,X-RAYS: , None.,SPECIMENS: , Included right renal mass as well as biopsies from the base of the resection.,ANESTHESIA:, General endotrach... | [
"bulldogs",
"endotracheal",
"foley",
"foley catheter",
"gerota fascia",
"gonadal vein",
"hilum",
"jp drain",
"kidney",
"kocher maneuver",
"laparoscopic",
"ligasure device",
"nephrectomy",
"partial nephrectomy",
"renal",
"renal hilum",
"renal mass",
"renal parenchyma",
"resection"... | 516 |
335 | Laparoscopic right radical nephrectomy due to right renal mass. | PREOPERATIVE DIAGNOSIS:, Right renal mass.,POSTOP DIAGNOSIS: , Right renal mass.,PROCEDURE PERFORMED:, Laparoscopic right radical nephrectomy.,ESTIMATED BLOOD LOSS:, 100 mL.,X-RAYS: , None.,SPECIMENS: , Right radical nephrectomy specimen.,COMPLICATIONS: , None.,ANESTHESIA: ,General endotracheal.,DRAINS:, 16-French Fole... | [
"abdomen",
"carter thomason",
"carter thomason closure",
"carter thomason closure device",
"carter-thomason",
"endocatch bag",
"endotracheal",
"foley catheter",
"gi stapler",
"kidney",
"laparoscopic",
"laparoscopic right radical nephrectomy",
"laparoscopic scissors",
"ligasure",
"nephrec... | 517 |
336 | Excision of neuroma, third interspace, left foot. Morton's neuroma, third interspace, left foot. | PREOPERATIVE DIAGNOSIS: , Morton's neuroma, third interspace, left foot.,POSTOPERATIVE DIAGNOSIS:, Morton's neuroma, third interspace, left foot.,OPERATION PERFORMED: , Excision of neuroma, third interspace, left foot.,ANESTHESIA: , General (local was confirmed by surgeon).,HEMOSTASIS: , Ankle pneumatic tourniquet 225 ... | [
"anesthesia",
"ankle pneumatic",
"foot",
"interspace",
"morton's neuroma",
"neuroma",
"pneumatic tourniquet",
"surgery",
"tourniquet"
] | 518 |
337 | Needle-localized excisional biopsy, left breast. The patient is a 71-year-old black female who had a routine mammogram, which demonstrated suspicious microcalcifications in the left breast. She had no palpable mass on physical exam. She does have significant family history with two daughters having breast cancer. | PREOPERATIVE DIAGNOSIS:, Suspicious microcalcifications, left breast.,POSTOPERATIVE DIAGNOSIS:, Suspicious microcalcifications, left breast.,PROCEDURE PERFORMED:, Needle-localized excisional biopsy, left breast.,ANESTHESIA:, Local with sedation.,SPECIMEN: ,Left breast with specimen mammogram.,COMPLICATIONS:, None.,HIST... | [
"biopsy",
"breast",
"breast cancer",
"excisional biopsy",
"mammogram",
"microcalcifications",
"needle",
"needle localized excisional biopsy",
"needle-localized excisional biopsy",
"routine mammogram",
"surgery",
"suspicious microcalcifications"
] | 519 |
338 | Stage I and II neuromodulator. | PREOPERATIVE DIAGNOSIS:, Refractory urgency and frequency.,POSTOPERATIVE DIAGNOSIS: , Refractory urgency and frequency.,OPERATION: , Stage I and II neuromodulator.,ANESTHESIA: , Local MAC.,ESTIMATED BLOOD LOSS:, Minimal.,FLUIDS: , Crystalloid. The patient was given Ancef preop antibiotic. Ancef irrigation was used thro... | [
"frequency",
"interstim",
"neuromodulator",
"refractory urgency",
"subcutaneous tissue",
"surgery",
"urgency"
] | 520 |
339 | Needle-localized excisional biopsy of the left breast. Left breast mass with abnormal mammogram. The patient had a nonpalpable left breast mass, which was excised and sent to Radiology with confirmation that the mass is in the specimen. | PREOPERATIVE DIAGNOSIS: ,Left breast mass with abnormal mammogram.,POSTOPERATIVE DIAGNOSIS:, Left breast mass with abnormal mammogram.,PROCEDURE PERFORMED:, Needle-localized excisional biopsy of the left breast.,ANESTHESIA:, Local with sedation.,COMPLICATIONS: , None.,SPECIMEN: , Breast mass.,DISPOSITION: , The patient... | [
"abnormal mammogram",
"biopsy",
"breast",
"breast mass",
"excisional biopsy",
"mammogram",
"needle",
"needle localized excisional biopsy",
"radiology",
"surgery"
] | 521 |
340 | Left partial nephrectomy due to left renal mass. | PREOPERATIVE DIAGNOSIS:, Left renal mass, 5 cm in diameter.,POSTOPERATIVE DIAGNOSIS:, Left renal mass, 5 cm in diameter.,OPERATION PERFORMED: , Left partial nephrectomy.,ANESTHESIA: , General with epidural.,COMPLICATIONS: , None.,ESTIMATED BLOOD LOSS: , About 350 mL.,REPLACEMENT: , Crystalloid and Cell Savers from the ... | [
"bovie",
"bulldog clamp",
"finochietto retractor",
"gerota's",
"gerota's fascia",
"herniation",
"kidney",
"needle biopsy",
"nephrectomy",
"partial",
"partial nephrectomy",
"renal",
"renal cell carcinoma",
"renal mass",
"retroperitoneum",
"surgery",
"sutures",
"vicryl",
"vicryl su... | 522 |
341 | Left laparoscopic hand-assisted nephrectomy. | PREOPERATIVE DIAGNOSIS: , Left renal mass, left renal bleed.,POSTOPERATIVE DIAGNOSIS: ,Left renal mass, left renal bleed.,PROCEDURE PERFORMED: , Left laparoscopic hand-assisted nephrectomy.,ANESTHESIA:, General endotracheal.,EBL: , 100 mL.,The patient had a triple-lumen catheter A-line placed.,BRIEF HISTORY:, The patie... | [
"dissection",
"hemostasis",
"kidney",
"laparoscopic",
"laparoscopic hand assisted nephrectomy",
"lumen catheter",
"nephrectomy",
"renal",
"renal bleed",
"renal mass",
"running fashion",
"surgery",
"triple lumen catheter"
] | 523 |
342 | Malignant mass of the left neck, squamous cell carcinoma. Left neck mass biopsy and selective surgical neck dissection, left. | PREOPERATIVE DIAGNOSIS: , Malignant mass of the left neck.,POSTOPERATIVE DIAGNOSIS:, Malignant mass of the left neck, squamous cell carcinoma.,PROCEDURES,1. Left neck mass biopsy.,2. Selective surgical neck dissection, left.,DESCRIPTION OF PROCEDURE:, After obtaining an informed, the patient was taken to the operating ... | [
"external jugular vein",
"internal jugular vein",
"malignant mass",
"mass",
"neck",
"neck dissection",
"neck mass",
"neck mass biopsy",
"squamous cell carcinoma",
"surgery",
"surgical neck dissection",
"vein",
"wedge"
] | 524 |
343 | Nasal septoplasty, bilateral submucous resection of the inferior turbinates, and tonsillectomy and resection of soft palate. Nasal septal deviation with bilateral inferior turbinate hypertrophy. Tonsillitis with hypertrophy. Edema to the uvula and soft palate. | PREOPERATIVE DIAGNOSES,1. Nasal septal deviation with bilateral inferior turbinate hypertrophy.,2. Tonsillitis with hypertrophy.,3. Edema to the uvula and soft palate.,POSTOPERATIVE DIAGNOSES,1. Nasal septal deviation with bilateral inferior turbinate hypertrophy.,2. Tonsillitis with hypertrophy.,3. Edema to the uvula ... | [
"bilateral inferior turbinate",
"bovie electrocautery",
"electrocautery",
"hypertrophy",
"inferior turbinates",
"nasal",
"nasal septal",
"nasal septal deviation",
"nasal septoplasty",
"resection of soft palate",
"submucous resection",
"surgery",
"tonsillectomy",
"tonsillitis",
"turbinate... | 525 |
344 | Left midface elevation with nasolabial fold elevation and nasolabial fold z-plasty and right symmetrization midface elevation. | PREOPERATIVE DIAGNOSIS:, Left nasolabial fold scar deformity with effacement of alar crease.,POSTOPERATIVE DIAGNOSIS:, Left nasolabial fold scar deformity with effacement of alar crease.,PROCEDURES PERFORMED:,1. Left midface elevation with nasolabial fold elevation.,2. Left nasolabial fold z-plasty and right symmetriza... | [] | 526 |
345 | Left neck dissection. Metastatic papillary cancer, left neck. The patient had thyroid cancer, papillary cell type, removed with a total thyroidectomy and then subsequently recurrent disease was removed with a paratracheal dissection. | PREOPERATIVE DIAGNOSIS: , Metastatic papillary cancer, left neck.,POSTOPERATIVE DIAGNOSIS: , Metastatic papillary cancer, left neck.,OPERATION PERFORMED: , Left neck dissection.,ANESTHESIA: ,General endotracheal.,INDICATIONS: , The patient is a very nice gentleman, who has had thyroid cancer, papillary cell type, remov... | [
"cancer",
"dissection",
"metastatic",
"metastatic papillary cancer",
"neck",
"papillary",
"papillary cell type",
"paratracheal",
"surgery",
"thyroid cancer",
"thyroidectomy"
] | 527 |
346 | Nonpalpable neoplasm, right breast. Needle localized wide excision of nonpalpable neoplasm, right breast. | PREOPERATIVE DIAGNOSIS: , Nonpalpable neoplasm, right breast.,POSTOPERATIVE DIAGNOSIS: , Deferred for Pathology.,PROCEDURE PERFORMED: ,Needle localized wide excision of nonpalpable neoplasm, right breast.,SPECIMEN: , Mammography.,GROSS FINDINGS: ,This 53-year-old Caucasian female who had a nonpalpable neoplasm detected... | [
"breast",
"electrocautery",
"excision",
"incision",
"needle",
"needle localized",
"needle localized wide excision",
"neoplasm",
"nonpalpable neoplasm",
"surgery"
] | 528 |
347 | Nasal septal reconstruction, bilateral submucous resection of the inferior turbinates, and bilateral outfracture of the inferior turbinates. Chronic nasal obstruction secondary to deviated nasal septum and inferior turbinate hypertrophy. | PREOPERATIVE DIAGNOSES:,1. Chronic nasal obstruction secondary to deviated nasal septum.,2. Inferior turbinate hypertrophy.,POSTOPERATIVE DIAGNOSES:,1. Chronic nasal obstruction secondary to deviated nasal septum.,2. Inferior turbinate hypertrophy.,PROCEDURE PERFORMED:,1. Nasal septal reconstruction.,2. Bilateral submu... | [
"cavity",
"chronic",
"chronic nasal obstruction",
"hypertrophy",
"inferior turbinate hypertrophy",
"inferior turbinates",
"mucosal",
"mucosal flap",
"nasal",
"nasal cavity",
"nasal obstruction",
"nasal pledgets",
"nasal septal",
"nasal septal reconstruction",
"nasal septum",
"obstructi... | 529 |
348 | Bilateral nasolacrimal probing. Tearing, eyelash encrustation with probable tear duct obstruction bilateral. Distal nasolacrimal duct stenosis with obstruction, left and right eye | PREOPERATIVE DIAGNOSES:, Tearing, eyelash encrustation with probable tear duct obstruction bilateral.,POSTOPERATIVE DIAGNOSES: ,1. Distal nasolacrimal duct stenosis with obstruction, left eye.,2. Distal nasolacrimal duct stenosis with obstruction, right eye.,OPERATIVE PROCEDURE: , Bilateral nasolacrimal probing.,ANESTH... | [
"bowman probe",
"distal nasolacrimal duct",
"duct",
"eyelash",
"eyelash encrustation",
"nasolacrimal",
"nasolacrimal duct",
"nasolacrimal duct stenosis",
"nasolacrimal probing",
"obstruction",
"probe",
"punctal",
"superior puncta",
"surgery",
"tear duct obstruction",
"tearing"
] | 530 |
349 | Bilateral myringotomies with insertion of Santa Barbara T-tube. | PREOPERATIVE DIAGNOSES: ,Tympanic membrane atelectasis and chronic eustachian tube dysfunction.,POSTOPERATIVE DIAGNOSES: , Tympanic membrane atelectasis and chronic eustachian tube dysfunction.,OPERATIVE PROCEDURE: , Bilateral myringotomies with insertion of Santa Barbara T-tube.,ANESTHESIA: , General mask.,FINDINGS:, ... | [
"atelectasis",
"atelectasis and chronic eustachian",
"barbara t tube",
"cerumen",
"chronic eustachian tube",
"ciloxan",
"eardrum",
"eustachian tube",
"eustachian tube dysfunction",
"insertion",
"middle ear",
"middle ear fluid",
"myringotomies",
"myringotomies with insertion",
"santa barb... | 531 |
350 | Open reduction, nasal fracture with nasal septoplasty. | PREOPERATIVE DIAGNOSES: , Nasal fracture and deviated nasal septum with obstruction.,POSTOPERATIVE DIAGNOSES: , Nasal fracture and deviated nasal septum with obstruction.,OPERATION:, Open reduction, nasal fracture with nasal septoplasty.,ANESTHESIA: , General.,HISTORY: , This 16-year-old male fractured his nose playing... | [
"cartilaginous",
"cartilaginous septum",
"crest",
"deviated nasal septum",
"ethmoid plate",
"fracture",
"maxillary",
"maxillary crest",
"nasal",
"nasal bone",
"nasal bones",
"nasal fracture",
"nasal septoplasty",
"septum",
"surgery"
] | 532 |
351 | Bilateral myringotomies and insertion of Shepard grommet draining tubes. | PREOPERATIVE DIAGNOSIS: , Bilateral chronic serous otitis media.,POSTOPERATIVE DIAGNOSIS: , Bilateral chronic serous otitis media.,OPERATION PERFORMED:,1. Bilateral myringotomies.,2. Insertion of Shepard grommet draining tubes.,ANESTHESIA: , General, by mask.,ESTIMATED BLOOD LOSS: , Less than 1 mL.,COMPLICATIONS:, None... | [
"cerumen",
"cotton ball",
"floxin drops",
"grommet",
"insertion",
"middle ear",
"mucoid",
"myringotomies",
"serous otitis",
"serous otitis media",
"shepard",
"shepard grommet",
"shepard grommet draining tubes",
"surgery",
"tubes"
] | 533 |
352 | Removal of the old right pressure equalizing tube. Myringotomy with placement of a left pressure equalizing tube. | PREOPERATIVE DIAGNOSES: ,1. Chronic eustachian tube dysfunction.,2. Retained right pressure equalization tube.,3. Retracted left tympanic membrane.,4. Dizziness.,POSTOPERATIVE DIAGNOSES:,1. Chronic eustachian tube dysfunction.,2. Retained right pressure equalization tube.,3. Retracted left tympanic membrane.,4. Dizzine... | [] | 534 |
353 | Multiple stent placements with Impella circulatory assist device. | PROCEDURE PERFORMED:,1. Left heart catheterization, left ventriculogram, aortogram, coronary angiogram.,2. PCI of the LAD and left main coronary artery with Impella assist device.,INDICATIONS FOR PROCEDURE: , Unstable angina and congestive heart failure with impaired LV function.,TECHNIQUE OF PROCEDURE: , After obtaini... | [
"angiogram",
"anterior descending",
"aortogram",
"artery",
"artery and vein",
"asahi soft",
"asahi soft wire",
"catheterization",
"circumflex coronary artery",
"common femoral",
"common femoral artery",
"congestive heart failure",
"coronary",
"coronary artery",
"descending artery",
"en... | 535 |
354 | Bilateral myringotomies, insertion of PE tubes, and pharyngeal anesthesia. | PREOPERATIVE DIAGNOSES:, Chronic otitis media with effusion, conductive hearing loss, and recurrent acute otitis media.,POSTOPERATIVE DIAGNOSES:, Chronic otitis media with effusion, conductive hearing loss, and recurrent acute otitis media.,OPERATION: , Bilateral myringotomies, insertion of PE tubes, and pharyngeal ane... | [
"anesthesia",
"bilateral myringotomies",
"chronic otitis media",
"conductive hearing loss",
"ear",
"ear cleft",
"effusion",
"insertion of pe tubes",
"media",
"middle ear",
"otitis",
"otitis media",
"pe tubes",
"radial myringotomy",
"recurrent acute otitis media",
"reuter bobbin",
"su... | 536 |
355 | Mohs Micrographic Surgery for basal cell CA at mid parietal scalp. | PREOP DIAGNOSIS: , Basal Cell CA.,POSTOP DIAGNOSIS:, Basal Cell CA.,LOCATION: , Mid parietal scalp.,PREOP SIZE:, 1.5 x 2.9 cm,POSTOP SIZE:, 2.7 x 2.9 cm,INDICATION:, Poorly defined borders.,COMPLICATIONS:, None.,HEMOSTASIS:, Electrodessication.,PLANNED RECONSTRUCTION:, Simple Linear Closure.,DESCRIPTION OF PROCEDURE:, ... | [
"basal",
"basal cell",
"basal cell ca",
"ca",
"cell",
"micrographic",
"micrographic surgery",
"mohs",
"mohs fresh tissue technique",
"mohs micrographic surgery",
"mohs technique",
"parietal scalp",
"stage",
"surgery",
"surgical",
"tissue",
"tumor",
"tumor-laden tissue"
] | 537 |
356 | Mitral valve repair using a quadrangular resection of the P2 segment of the posterior leaflet. Mitral valve posterior annuloplasty using a Cosgrove Galloway Medtronic fuser band. Posterior leaflet abscess resection. | OPERATIONS,1. Mitral valve repair using a quadrangular resection of the P2 segment of the posterior leaflet.,2. Mitral valve posterior annuloplasty using a Cosgrove Galloway Medtronic fuser band.,3. Posterior leaflet abscess resection.,ANESTHESIA: ,General endotracheal anesthesia,TIMES: ,Aortic cross-clamp time was ** ... | [
"abscess resection",
"annuloplasty",
"bovie electrocautery",
"bypass",
"cannulation",
"cardioplegia",
"cosgrove galloway medtronic",
"leaflet abscess",
"mitral",
"mitral valve",
"mitral valve repair",
"surgery"
] | 538 |
357 | Mohs Micrographic Surgery for basal cell CA at medial right inferior helix. | PREOP DIAGNOSIS: , Basal Cell CA.,POSTOP DIAGNOSIS:, Basal Cell CA.,LOCATION: ,Medial right inferior helix.,PREOP SIZE:, 1.4 x 1 cm,POSTOP SIZE: , 2.7 x 2 cm,INDICATION: , Poorly defined borders.,COMPLICATIONS: , None.,HEMOSTASIS: , Electrodessication.,PLANNED RECONSTRUCTION: , Wedge resection advancement flap.,DESCRIP... | [
"basal",
"basal cell",
"basal cell ca",
"ca",
"cell",
"helix",
"medial right inferior helix",
"micrographic",
"micrographic surgery",
"mohs",
"mohs fresh tissue technique",
"mohs micrographic surgery",
"mohs technique",
"stage",
"surgery",
"tissue",
"tumor-laden tissue",
"wedge res... | 539 |
358 | Arthroscopy with arthroscopic rotator cuff debridement, anterior acromioplasty, and Mumford procedure left shoulder. Partial rotator cuff tear with impingement syndrome. Degenerative osteoarthritis of acromioclavicular joint, left shoulder, rule out slap lesion. | PREOPERATIVE DIAGNOSES:,1. Partial rotator cuff tear with impingement syndrome.,2. Degenerative osteoarthritis of acromioclavicular joint, left shoulder, rule out slap lesion.,POSTOPERATIVE DIAGNOSES:,1. Partial rotator cuff tear with impingement syndrome.,2. Degenerative osteoarthritis of acromioclavicular joint, left... | [
"acromioclavicular",
"acromioclavicular joint",
"acromioplasty",
"anterior acromioplasty",
"arthroscopic",
"arthroscopic rotator",
"arthroscopic rotator cuff debridement",
"arthroscopy",
"clavicle",
"cuff",
"cuff tear",
"debridement",
"deltoid",
"impingement syndrome",
"joint",
"menisc... | 540 |
359 | Endoscopic subperiosteal midface lift using the endotine midface suspension device. Transconjunctival lower lid blepharoplasty with removal of a portion of the medial and middle fat pad. | PREOPERATIVE DIAGNOSES:,1. Request for cosmetic surgery.,2. Facial asymmetry following motor vehicle accident.,POSTOPERATIVE DIAGNOSES:,1. Request for cosmetic surgery.,2. Facial asymmetry following motor vehicle accident.,PROCEDURES:,1. Endoscopic subperiosteal midface lift using the endotine midface suspension device... | [
"blepharoplasty",
"conjunctiva",
"cosmetic surgery",
"facial asymmetry",
"fat pad",
"gingivobuccal",
"gingivobuccal sulcus",
"jaeger lid plate",
"lacri-lube",
"lower lid",
"midface lift",
"q-tip",
"regional field block",
"surgery",
"temporal fascia",
"temporal fossa",
"true temporal ... | 541 |
360 | Right middle ear exploration with a Goldenberg TORP reconstruction. | PREOPERATIVE DIAGNOSIS: , Right profound mixed sensorineural conductive hearing loss.,POSTOPERATIVE DIAGNOSIS:, Right profound mixed sensorineural conductive hearing loss.,PROCEDURE PERFORMED:, Right middle ear exploration with a Goldenberg TORP reconstruction.,ANESTHESIA:, General ,ESTIMATED BLOOD LOSS:, Less than 5 c... | [
"conductive hearing loss",
"ear",
"ear exploration",
"goldenberg",
"handle",
"hearing loss",
"malleus",
"malleus handle",
"meatal skin",
"middle",
"middle ear",
"middle ear exploration",
"otosclerosis",
"sensorineural",
"stapedectomy",
"surgery",
"torp",
"torp reconstruction",
"t... | 542 |
361 | Mini-laparotomy radical retropubic prostatectomy with bilateral pelvic lymph node dissection with Cavermap. Adenocarcinoma of the prostate. | PREOPERATIVE DIAGNOSIS:, Adenocarcinoma of the prostate.,POSTOPERATIVE DIAGNOSIS:, Adenocarcinoma of the prostate.,TITLE OF OPERATION:, Mini-laparotomy radical retropubic prostatectomy with bilateral pelvic lymph node dissection with Cavermap.,ANESTHESIA: , General by intubation.,Informed consent was obtained for the p... | [
"adenocarcinoma",
"bladder",
"cavermap",
"endopelvic",
"hemostasis",
"intubation",
"mini laparotomy",
"mini-laparotomy",
"neck",
"pelvic lymph",
"pelvic lymph node dissection",
"prostatectomy",
"radical retropubic prostatectomy",
"surgery"
] | 543 |
362 | Biopsy-proven mesothelioma - Placement of Port-A-Cath, left subclavian vein with fluoroscopy. | PREOPERATIVE DIAGNOSIS: , Mesothelioma.,POSTOPERATIVE DIAGNOSIS:, Mesothelioma.,OPERATIVE PROCEDURE: , Placement of Port-A-Cath, left subclavian vein with fluoroscopy.,ASSISTANT:, None.,ANESTHESIA: , General endotracheal.,COMPLICATIONS:, None.,DESCRIPTION OF PROCEDURE: , The patient is a 74-year-old gentleman who under... | [
"biopsy-proven mesothelioma",
"fluoroscopy",
"mesothelioma",
"placement of port-a-cath",
"port a cath",
"subclavian vein",
"surgery"
] | 544 |
363 | Rhabdomyosarcoma of the left orbit. Left subclavian vein MediPort placement. Needs chemotherapy. | PREOPERATIVE DIAGNOSIS:, Rhabdomyosarcoma of the left orbit.,POSTOPERATIVE DIAGNOSIS:, Rhabdomyosarcoma of the left orbit.,PROCEDURE: , Left subclavian vein MediPort placement (7.5-French single-lumen).,INDICATIONS FOR PROCEDURE: , This patient is a 16-year-old girl, with newly diagnosed rhabdomyosarcoma of the left or... | [
"chemotherapy",
"mediport",
"mediport placement",
"rhabdomyosarcoma",
"rhabdomyosarcoma of the left orbit",
"single lumen",
"subclavian vein",
"surgery"
] | 545 |
364 | Right nodular malignant mesothelioma. | PREOPERATIVE DIAGNOSIS:, Right mesothelioma.,POSTOPERATIVE DIAGNOSIS: , Right lung mass invading diaphragm and liver.,FINDINGS: , Right lower lobe lung mass invading diaphragm and liver.,PROCEDURES:,1. Right thoracotomy.,2. Right lower lobectomy with en bloc resection of diaphragm and portion of liver.,SPECIMENS: , Rig... | [
"bovie cautery",
"chest tube",
"diaphragm",
"double lumen endotracheal",
"en bloc",
"en bloc resection",
"endotracheal tube",
"lobectomy",
"lung mass",
"malignant mesothelioma",
"mesothelioma",
"surgery",
"thoracotomy"
] | 546 |
365 | Microsuspension direct laryngoscopy with biopsy. Fullness in right base of the tongue and chronic right ear otalgia. | PREOPERATIVE DIAGNOSES:,1. Fullness in right base of the tongue.,2. Chronic right ear otalgia.,POSTOPERATIVE DIAGNOSIS: , Pending pathology.,PROCEDURE PERFORMED: , Microsuspension direct laryngoscopy with biopsy.,ANESTHESIA: , General.,INDICATION:, This is a 50-year-old female who presents to the office with a chief co... | [
"abnormalities",
"dedo laryngoscope",
"direct laryngoscopy",
"ear",
"ear pain",
"epiglottis",
"fiberoptic",
"fullness",
"laryngoscopy",
"microscope",
"microsuspension",
"mucosal",
"otalgia",
"piriform sinuses",
"scope",
"surgery",
"tongue"
] | 547 |
366 | Central neck reoperation with removal of residual metastatic lymphadenopathy and thyroid tissue in the central neck. Left reoperative neck dissection levels 1 and the infraclavicular fossa on the left side. Right levels 2 through 5 neck dissection and superior mediastinal dissection of lymph nodes and pretracheal disse... | TITLE OF OPERATION: , Central neck reoperation with removal of residual metastatic lymphadenopathy and thyroid tissue in the central neck. Left reoperative neck dissection levels 1 and the infraclavicular fossa on the left side. Right levels 2 through 5 neck dissection and superior mediastinal dissection of lymph nodes... | [
"dissection",
"fossa",
"infraclavicular",
"infraclavicular lymphadenopathy",
"internal jugular vein",
"jugularnote",
"lymph nodes",
"lymphadenopathy",
"mandibular nerve",
"metastatic lymphadenopathy",
"muscle",
"neck",
"nerve",
"nodes",
"pretracheal",
"surgery",
"thyroid",
"vein"
] | 548 |
367 | Arthroscopy, medial meniscoplasty, lateral meniscoplasty, medial femoral chondroplasty, and medical femoral microfracture, right knee. Patellar chondroplasty. Lateral femoral chondroplasty. Meniscal tear, osteochondral lesion, degenerative joint disease, and chondromalacia, | PREOPERATIVE DIAGNOSIS:, Medial meniscal tear of the right knee.,POSTOPERATIVE DIAGNOSES:,1. Medial meniscal tear, right knee.,2. Lateral meniscal tear, right knee.,3. Osteochondral lesion, medial femoral condyle, right knee.,4. Degenerative joint disease, right knee.,5. Patella grade-II chondromalacia.,6. Lateral femo... | [] | 549 |
368 | Right pleural effusion and suspected malignant mesothelioma. | PREOPERATIVE DIAGNOSIS: , Right pleural effusion and suspected malignant mesothelioma.,POSTOPERATIVE DIAGNOSIS:, Right pleural effusion, suspected malignant mesothelioma.,PROCEDURE: , Right VATS pleurodesis and pleural biopsy.,ANESTHESIA:, General double-lumen endotracheal.,DESCRIPTION OF FINDINGS: , Right pleural effu... | [
"chest tube",
"double-lumen",
"endotracheal",
"malignant mesothelioma",
"mesothelioma",
"pleural",
"pleural biopsies",
"pleural biopsy",
"pleural effusion",
"pleural surface",
"pleurodesis",
"surgery",
"vats",
"vats pleurodesis"
] | 550 |
369 | Left metastasectomy of metastatic renal cell carcinoma with additional mediastinal lymph node dissection and additional fiberoptic bronchoscopy. | PREOPERATIVE DIAGNOSIS: ,Metastatic renal cell carcinoma.,POSTOPERATIVE DIAGNOSIS:, Metastatic renal cell carcinoma.,PROCEDURE PERFORMED:, Left metastasectomy of metastatic renal cell carcinoma with additional mediastinal lymph node dissection and additional fiberoptic bronchoscopy used to confirm adequate placement of... | [] | 551 |
370 | Posterior mediastinal mass with possible neural foraminal involvement (benign nerve sheath tumor by frozen section). Left thoracotomy with resection of posterior mediastinal mass. | PREOPERATIVE DIAGNOSIS:, Posterior mediastinal mass with possible neural foraminal involvement.,POSTOPERATIVE DIAGNOSIS: , Posterior mediastinal mass with possible neural foraminal involvement (benign nerve sheath tumor by frozen section).,OPERATION PERFORMED:, Left thoracotomy with resection of posterior mediastinal m... | [
"foraminal",
"frozen section",
"mediastinal",
"mediastinal mass",
"nerve sheath tumor",
"neural",
"neural foraminal",
"posterior mediastinal mass",
"sheath",
"surgery",
"thoracotomy"
] | 552 |
371 | The patient had undergone mitral valve repair about seven days ago. | PREOPERATIVE DIAGNOSES:,1. Cardiac tamponade.,2. Status post mitral valve repair.,POSTOPERATIVE DIAGNOSES:,1. Cardiac tamponade.,2. Status post mitral valve repair.,PROCEDURE PERFORMED: , Mediastinal exploration with repair of right atrium.,ANESTHESIA: , General endotracheal.,INDICATIONS: , The patient had undergone mi... | [
"atrium",
"cardiac tamponade",
"chest tubes",
"exploration",
"median sternotomy chest incision",
"mediastinal",
"mediastinal exploration",
"mitral",
"mitral valve",
"mitral valve repair",
"pacing wires",
"pericardial",
"repair",
"surgery",
"valve repair",
"wires"
] | 553 |
372 | Mediastinal exploration and delayed primary chest closure. The patient is a 12-day-old infant who has undergone a modified stage I Norwood procedure with a Sano modification. | TITLE OF OPERATION:, Mediastinal exploration and delayed primary chest closure.,INDICATION FOR SURGERY:, The patient is a 12-day-old infant who has undergone a modified stage I Norwood procedure with a Sano modification. The patient experienced an unexplained cardiac arrest at the completion of the procedure, which req... | [
"chest",
"chest closure",
"closure",
"delayed primary chest closure",
"endotracheal",
"exploration",
"extracorporeal membrane oxygenation",
"infant",
"mediastinal",
"mediastinal exploration",
"sano modification",
"stage i norwood procedure",
"surgery"
] | 554 |
373 | Medial branch rhizotomy, lumbosacral. Fluoroscopy was used to identify the boney landmarks of the spine and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine. | PROCEDURE: , Medial branch rhizotomy, lumbosacral.,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 associated risks.,The risk of the procedure discussed include i... | [
"fluoroscopy",
"lumbosacral",
"medial branch nerves",
"medial branch rhizotomy",
"rhizotomy",
"surgery"
] | 555 |
374 | Excision of soft tissue mass, right foot. The patient is a 51-year-old female with complaints of soft tissue mass over the dorsum of the right foot. | PREOPERATIVE DIAGNOSIS: , Soft tissue mass, right foot.,POSTOPERATIVE DIAGNOSIS: , Soft tissue mass, right foot.,PROCEDURE PERFORMED: , Excision of soft tissue mass, right foot.,HISTORY: ,The patient is a 51-year-old female with complaints of soft tissue mass over the dorsum of the right foot. The patient has had previ... | [
"adipose",
"adipose tissue",
"ankle",
"belly",
"brevis",
"digitorum",
"digitorum brevis muscle",
"dorsum",
"excision",
"extensor",
"foot",
"injections",
"mass",
"muscle",
"soft tissue",
"soft tissue mass",
"surgery",
"tissue",
"xeroform"
] | 556 |
375 | An example/template for meatotomy. | OPERATIVE NOTE: ,The patient was taken to the operating room and was placed in the supine position on the operating room table. A general inhalation anesthetic was administered. The patient was prepped and draped in the usual sterile fashion. The urethral meatus was calibrated with a small mosquito hemostat and was gen... | [
": 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 ... | 557 |
376 | Closed reduction of mandible fractures with Erich arch bars and elastic fixation. Left angle and right body mandible fractures. | HISTORY OF PRESENT ILLNESS: , The patient is a 22-year-old male who sustained a mandible fracture and was seen in the emergency department at Hospital. He was seen in my office today and scheduled for surgery today for closed reduction of the mandible fractures.,PREOPERATIVE DIAGNOSES: , Left angle and right body mandi... | [
"arch",
"arch bars",
"closed reduction of mandible fractures",
"elastic fixation",
"erich",
"erich arch bars",
"fractures",
"mandible",
"surgery",
"throat pack"
] | 558 |
377 | Bilateral reduction mammoplasty for bilateral macromastia | PREOPERATIVE DIAGNOSIS,Bilateral macromastia.,POSTOPERATIVE DIAGNOSIS,Bilateral macromastia.,OPERATION,Bilateral reduction mammoplasty.,ANESTHESIA,General.,FINDINGS,The patient had large ptotic breasts bilaterally and had had chronic difficulty with pain in the back and shoulder. Right breast was slightly larger than t... | [
"bilateral macromastia",
"breasts",
"dermis",
"estimated blood loss",
"incision",
"inferior breast",
"macromastia",
"mammoplasty",
"monocryl",
"neo-nipple",
"prepped and draped",
"ptotic breasts",
"recovery room in good condition",
"reduction mammoplasty",
"steri-stripped",
"superior b... | 559 |
378 | An example/template for meatoplasty. | OPERATIVE NOTE: ,The patient was placed in the supine position under general anesthesia, and prepped and draped in the usual manner. The penis was inspected. The meatus was inspected and an incision was made in the dorsal portion of the meatus up towards the tip of the penis connecting this with the ventral urethral gr... | [
": 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 ... | 560 |
379 | Right hallux abductovalgus deformity. Right McBride bunionectomy. Right basilar wedge osteotomy with OrthoPro screw fixation. | PREOPERATIVE DIAGNOSIS:, Right hallux abductovalgus deformity.,POSTOPERATIVE DIAGNOSIS:, Right hallux abductovalgus deformity.,PROCEDURES PERFORMED:,1. Right McBride bunionectomy.,2. Right basilar wedge osteotomy with OrthoPro screw fixation.,ANESTHESIA: , Local with IV sedation.,HEMOSTASIS: , With pneumatic ankle cuff... | [
"abductovalgus",
"basilar",
"bunionectomy",
"fixation",
"hallux",
"mcbride",
"orthopro",
"osteotomy",
"screw",
"surgery",
"wedge",
"wedge osteotomy"
] | 561 |
380 | Bilateral reduction mammoplasty with superior and inferiorly based dermal parenchymal pedicle with transposition of the nipple-areolar complex. | PREOPERATIVE DIAGNOSES:, Bilateral mammary hypertrophy with breast asymmetry, right breast larger than left.,POSTOPERATIVE DIAGNOSES:, Bilateral mammary hypertrophy with breast asymmetry, right breast larger than left.,OPERATION:, Bilateral reduction mammoplasty with superior and inferiorly based dermal parenchymal ped... | [
"areolar",
"based dermal",
"bilateral mammary hypertrophy",
"breast",
"breast asymmetry",
"dermal parenchymal",
"duraprep",
"general endotracheal anesthesia",
"hypertrophy",
"inferiorly",
"inframammary",
"inframammary folds",
"jackson-pratt drains",
"mammary",
"mammoplasty",
"medial an... | 562 |
381 | Bilateral augmentation mammoplasty, breast implant, TCA peel to lesions, vein stripping. | PREOPERATIVE DIAGNOSES,Breast hypoplasia, melasma to the face, and varicose veins to the posterior aspect of the right distal thigh/popliteal fossa area.,PROCEDURES,1. Bilateral augmentation mammoplasty, subglandular with a mammary gel silicone breast implant, 435 cc each.,2. TCA peel to two lesions of the face and vei... | [
"augmentation",
"augmentation mammoplasty",
"breast",
"breast hypoplasia",
"breast implant",
"circumareolar",
"circumareolar incisions",
"incisions",
"mammary gel",
"mammoplasty",
"mastisol",
"mastisol steri strips",
"melasma",
"monocryl",
"pacu",
"poor wound healing",
"popliteal fos... | 563 |
382 | Bilateral transaxillary subpectoral mammoplasty with saline-filled implants. | DIAGNOSIS: , Bilateral hypomastia.,NAME OF OPERATION:, Bilateral transaxillary subpectoral mammoplasty with saline-filled implants.,ANESTHESIA:, General.,PROCEDURE: , After first obtaining a suitable level of general anesthesia with the patient in the supine position, the breasts were prepped with Betadine scrub and so... | [
"anesthesia",
"bilateral transaxillary subpectoral mammoplasty",
"breasts",
"implants",
"mammoplasty",
"saline",
"saline filled implants",
"subpectoral",
"subpectoral mammoplasty",
"surgery",
"transaxillary"
] | 564 |
383 | Lysis of pelvic adhesions. The patient had an 8 cm left ovarian mass. The mass was palpable on physical examination and was tender. She was scheduled for an elective pelvic laparotomy with left salpingooophorectomy. | PREOPERATIVE DIAGNOSIS: , Multiple pelvic adhesions.,POSTOPERATIVE DIAGNOSIS: , Multiple pelvic adhesions.,PROCEDURE PERFORMED: ,Lysis of pelvic adhesions.,ANESTHESIA: , General with local.,SPECIMEN: , None.,COMPLICATIONS: , None.,HISTORY: , The patient is a 32-year-old female who had an 8 cm left ovarian mass, which w... | [
"adhesions",
"colon",
"laparotomy",
"lysis",
"lysis of pelvic adhesions",
"mass",
"ovarian",
"pelvic",
"pelvic adhesions",
"salpingooophorectomy",
"sigmoid",
"surgery"
] | 565 |
384 | Sentinel lymph node biopsy. Ultrasound-guided lumpectomy with intraoperative ultrasound. | PREOPERATIVE DIAGNOSIS,Left breast ductal carcinoma in situ.,POSTOPERATIVE DIAGNOSIS,Left breast ductal carcinoma in situ.,PROCEDURES PERFORMED,1. Sentinel lymph node biopsy.,2. Ultrasound-guided lumpectomy with intraoperative ultrasound.,ANESTHESIA,General LMA anesthesia.,ESTIMATED BLOOD LOSS,Minimum.,IV FLUIDS,Per an... | [
"anesthesia",
"biopsy",
"carcinoma in situ",
"central necrosis",
"dcis",
"ductal carcinoma",
"ductal hyperplasia",
"electric bovie",
"intraoperative",
"lma",
"lumpectomy",
"lymph",
"lymph node",
"lymph node biopsy",
"mammosite radiation therapy",
"monocryl",
"node biopsy",
"pacu",
... | 566 |
385 | Left axillary lymph node excisional biopsy. Left axillary adenopathy. | PREOPERATIVE DIAGNOSIS: , Left axillary adenopathy.,POSTOPERATIVE DIAGNOSIS: , Left axillary adenopathy.,PROCEDURE: , Left axillary lymph node excisional biopsy.,ANESTHESIA:, LMA.,INDICATIONS: , Patient is a very pleasant woman who in 2006 had breast conservation therapy with radiation only. Note, she refused her CMF a... | [
"axillary",
"axillary lymph node excisional biopsy",
"biopsy",
"excisional",
"excisional biopsy",
"lymph node",
"sharp dissection",
"surgery"
] | 567 |
386 | Lumbar discogram L2-3, L3-4, L4-5, and L5-S1. Low back pain. | PREOPERATIVE DIAGNOSIS: , Low back pain.,POSTOPERATIVE DIAGNOSIS: , Low back pain.,PROCEDURE PERFORMED:,1. Lumbar discogram L2-3.,2. Lumbar discogram L3-4.,3. Lumbar discogram L4-5.,4. Lumbar discogram L5-S1.,ANESTHESIA: ,IV sedation.,PROCEDURE IN DETAIL: ,The patient was brought to the Radiology Suite and placed prone... | [
"back pain",
"c-arm",
"disc space",
"fluoroscopic",
"fluoroscopic projections",
"lumbar discogram",
"needle",
"surgery"
] | 568 |
387 | Microscopic assisted lumbar laminotomy with discectomy at L5-S1 on the left. Herniated nucleus pulposus of L5-S1 on the left. | PREOPERATIVE DIAGNOSIS:, Herniated nucleus pulposus of L5-S1 on the left.,POSTOPERATIVE DIAGNOSIS: ,Herniated nucleus pulposus of L5-S1 on the left.,PROCEDURE PERFORMED:, Microscopic assisted lumbar laminotomy with discectomy at L5-S1 on the left.,ANESTHESIA: , General via endotracheal tube.,ESTIMATED BLOOD LOSS: , Les... | [
"discectomy",
"herniated",
"herniated nucleus pulposus",
"kerrison rongeur",
"laminotomy",
"ligamentum flavum",
"lumbar",
"lumbar fascia",
"lumbar laminotomy",
"lumbar laminotomy with discectomy",
"microscopic assisted",
"nerve root",
"penfield elevator",
"subcutaneous tissue",
"surgery"... | 569 |
388 | Possible CSF malignancy. This is an 83-year-old woman referred for diagnostic lumbar puncture for possible malignancy by Dr. X. The patient has gradually stopped walking even with her walker and her left arm has become gradually less functional. She is not able to use the walker because her left arm is so weak. | REASON FOR VISIT: ,This is an 83-year-old woman referred for diagnostic lumbar puncture for possible malignancy by Dr. X. She is accompanied by her daughter.,HISTORY OF PRESENT ILLNESS:, The patient' daughter tells me that over the last month the patient has gradually stopped walking even with her walker and her left a... | [] | 570 |
389 | Recurrent degenerative spondylolisthesis and stenosis at L4-5 and L5-S1 with L3 compression fracture adjacent to an instrumented fusion from T11 through L2 with hardware malfunction distal at the L2 end of the hardware fixation. | PREOPERATIVE DIAGNOSIS: , Recurrent degenerative spondylolisthesis and stenosis at L4-5 and L5-S1 with L3 compression fracture adjacent to an instrumented fusion from T11 through L2 with hardware malfunction distal at the L2 end of the hardware fixation.,POSTOPERATIVE DIAGNOSIS: , Recurrent degenerative spondylolisthes... | [
"degenerative spondylolisthesis",
"diskectomy",
"fixation",
"fusion",
"hardware",
"hemilaminectomy",
"internal fixation plate",
"lumbar",
"lumbar re-exploration",
"pedicle",
"pedicle screws",
"spondylolisthesis",
"stenosis",
"surgery",
"synthetic spacers"
] | 571 |
390 | Lumbar puncture. A 20-gauge spinal needle was then inserted into the L3-L4 space. Attempt was successful on the first try and several mLs of clear, colorless CSF were obtained. | PROCEDURE PERFORMED:, Lumbar puncture.,The procedure, benefits, risks including possible risks of infection were explained to the patient and his father, who is signing the consent form. Alternatives were explained. They agreed to proceed with the lumbar puncture. Permit was signed and is on the chart. The indication w... | [
"csf",
"gauge",
"lumbar",
"lumbar puncture",
"spinal needle",
"surgery"
] | 572 |
391 | Injection for myelogram and microscopic-assisted lumbar laminectomy with discectomy at L5-S1 on the left. Herniated nucleus pulposus, L5-S1 on the left with severe weakness and intractable pain. | PREOPERATIVE DIAGNOSIS: , Herniated nucleus pulposus, L5-S1 on the left with severe weakness and intractable pain.,POSTOPERATIVE DIAGNOSIS:, Herniated nucleus pulposus, L5-S1 on the left with severe weakness and intractable pain.,PROCEDURE PERFORMED:,1. Injection for myelogram.,2. Microscopic-assisted lumbar laminectom... | [
"disc space",
"discectomy",
"herniated nucleus",
"laminectomy",
"lumbar",
"lumbar laminectomy",
"microscopic-assisted lumbar laminectomy",
"myelogram",
"nerve",
"nerve root",
"nucleus",
"nucleus pulposus",
"pulposus",
"root",
"spinal needle",
"surgery",
"thecal sac",
"weakness"
] | 573 |
392 | Lumbar puncture with moderate sedation. | PROCEDURE: , Lumbar puncture with moderate sedation.,INDICATION: , The patient is a 2-year, 2-month-old little girl who presented to the hospital with severe anemia, hemoglobin 5.8, elevated total bilirubin consistent with hemolysis and weak positive direct Coombs test. She was transfused with packed red blood cells. H... | [
"lumbar",
"lumbar puncture",
"moderate sedation",
"needle",
"surgery"
] | 574 |
393 | Lumbar laminectomy for decompression with foraminotomies L3-L4, L4-L5, L5-S1 microtechniques and repair of CSF fistula, microtechniques L5-S1, application of DuraSeal. Lumbar stenosis and cerebrospinal fluid fistula. | PREOPERATIVE DIAGNOSIS: , Lumbar stenosis.,POSTOPERATIVE DIAGNOSES:, Lumbar stenosis and cerebrospinal fluid fistula.,TITLE OF THE OPERATION,1. Lumbar laminectomy for decompression with foraminotomies L3-L4, L4-L5, L5-S1 microtechniques.,2. Repair of CSF fistula, microtechniques L5-S1, application of DuraSeal.,INDICATI... | [
"cerebrospinal",
"csf",
"duraseal",
"fistula",
"foraminotomies",
"lamina",
"laminectomy",
"ligamentum flavum",
"lumbar",
"lumbar laminectomy",
"microtechniques",
"stenosis",
"surgery"
] | 575 |
394 | Microscopic lumbar discectomy, left L5-S1. Extruded herniated disc, left L5-S1. Left S1 radiculopathy (acute). Morbid obesity. | PREOPERATIVE DIAGNOSES:,1. Extruded herniated disc, left L5-S1.,2. Left S1 radiculopathy (acute).,3. Morbid obesity.,POSTOPERATIVE DIAGNOSES:,1. Extruded herniated disc, left L5-S1.,2. Left S1 radiculopathy (acute).,3. Morbid obesity.,PROCEDURE PERFORMED: , Microscopic lumbar discectomy, left L5-S1.,ANESTHESIA: , Gener... | [
"disc space",
"discectomy",
"epidural",
"epidural space",
"extruded herniated disc",
"herniated",
"herniated disc",
"incision",
"intractable",
"lamina",
"lumbar",
"lumbar discectomy",
"microscopic",
"morbid obesity",
"nerve",
"nerve root",
"radiculopathy",
"space",
"surgery"
] | 576 |
395 | Repeat low transverse cesarean section and bilateral tubal ligation (BTL). Intrauterine pregnancy at 30 and 4/7th weeks, previous cesarean section x2, multiparity, request for permanent sterilization, and breach presentation in the delivery of a liveborn female neonate. | PREOPERATIVE DIAGNOSES:,1. Intrauterine pregnancy at 30 and 4/7th weeks.,2. Previous cesarean section x2.,3. Multiparity.,4. Request for permanent sterilization.,POSTOPERATIVE DIAGNOSIS:,1. Intrauterine pregnancy at 30 and 4/7th weeks.,2. Previous cesarean section x2.,3. Multiparity.,4. Request for permanent sterilizat... | [] | 577 |
396 | Primary low transverse cervical cesarean section. Intrauterine pregnancy at 38 weeks and malpresentation. A viable male neonate in the left occiput transverse position with Apgars of 9 and 9 at 1 and 5 minutes respectively, weighing 3030 g. No nuchal cord. No meconium. Normal uterus, fallopian tubes, and ovaries. | PREOPERATIVE DIAGNOSES:,1. Intrauterine pregnancy at 38 weeks.,2. Malpresentation.,POSTOPERATIVE DIAGNOSES:,1. Intrauterine pregnancy at 38 weeks.,2. Malpresentation.,3. Delivery of a viable male neonate.,PROCEDURE PERFORMED: , Primary low transverse cervical cesarean section.,ANESTHESIA: , Spinal with Astramorph.,ESTI... | [
"astramorph",
"cesarean section",
"intrauterine",
"intrauterine pregnancy",
"low transverse cervical cesarean section",
"malpresentation",
"metzenbaum scissors",
"neonate",
"peritoneum",
"pregnancy",
"rectus fascia",
"rectus muscle",
"surgery",
"transverse"
] | 578 |
397 | Primary low transverse cesarean section by Pfannenstiel skin incision with bilateral tubal sterilization. Intrauterine pregnancy at 35-1/7. Rh isoimmunization. Suspected fetal anemia. Desires permanent sterilization. | PREOPERATIVE DIAGNOSES,1. Intrauterine pregnancy at 35-1/7.,2. Rh isoimmunization.,3. Suspected fetal anemia.,4. Desires permanent sterilization.,POSTOPERATIVE DIAGNOSES,1. Intrauterine pregnancy at 35-1/7.,2. Rh isoimmunization.,3. Suspected fetal anemia.,4. Desires permanent sterilization.,OPERATION PERFORMED: , Prim... | [
"bilateral tubal sterilization",
"cord",
"fascial incision",
"fetal anemia",
"incision",
"intrauterine pregnancy",
"permanent sterilization",
"pfannenstiel skin incision",
"primary low transverse cesarean section",
"rectus muscles",
"rh isoimmunization",
"surgery",
"tubes",
"uterine incisi... | 579 |
398 | Primary low-transverse C-section. Postdates pregnancy, failure to progress, meconium stained amniotic fluid. | PREOPERATIVE DIAGNOSES:,1. Postdates pregnancy.,2. Failure to progress.,3. Meconium stained amniotic fluid.,POSTOPERATIVE DIAGNOSES:,1. Postdates pregnancy.,2. Failure to progress.,3. Meconium stained amniotic fluid.,OPERATION:, Primary low-transverse C-section.,ANESTHESIA:, Epidural.,DESCRIPTION OF OPERATION: ,The pat... | [
"amniotic",
"amniotic fluid",
"blood",
"chromic",
"fascial",
"incision",
"low transverse c section",
"meconium",
"meconium stained amniotic fluid",
"peritoneum",
"pregnancy",
"surgery"
] | 580 |
399 | Repeat low-transverse C-section, lysis of omental adhesions, lysis of uterine adhesions with repair of uterine defect, and bilateral tubal ligation. | PREOPERATIVE DIAGNOSES:,1. Intrauterine pregnancy at 33 weeks, twin gestation.,2. Active preterm labor.,3. Advanced dilation.,4. Multiparity.,5. Requested sterilization.,POSTOPERATIVE DIAGNOSIS:,1. Intrauterine pregnancy at 33 weeks, twin gestation.,2. Active preterm labor.,3. Advanced dilation.,4. Multiparity.,5. Requ... | [
"abdominal",
"adhesions",
"gestation",
"intrauterine",
"intrauterine pregnancy",
"low transverse c section",
"omentum adhesions",
"preterm labor",
"surgery",
"uterine",
"uterine adhesions",
"uterus"
] | 581 |
400 | Repeat low transverse cesarean section and bilateral tubal ligation (BTL). Intrauterine pregnancy at term with previous cesarean section. Desires permanent sterilization. Macrosomia. | PREOPERATIVE DIAGNOSIS: , Intrauterine pregnancy at term with previous cesarean section.,SECONDARY DIAGNOSES,1. Desires permanent sterilization.,2. Macrosomia.,POSTOPERATIVE DIAGNOSES,1. Desires permanent sterilization.,2. Macrosomia.,3. Status post repeat low transverse cesarean and bilateral tubal ligation.,PROCEDURE... | [
"bilateral tubal ligation",
"btl",
"cesarean section",
"intrauterine",
"low transverse cesarean section",
"macrosomia",
"permanent sterilization",
"placenta",
"sterilization",
"surgery",
"uterine"
] | 582 |
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