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 |
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401 | Repeat low-transverse cesarean section via Pfannenstiel incision. Intrauterine pregnancy at 39 and 1/7th weeks. Previous cesarean section, refuses trial of labor. Fibroid uterus, oligohydramnios, and nonreassuring fetal heart tones. | PREOPERATIVE DIAGNOSES:,1. Intrauterine pregnancy at 39 and 1/7th weeks.,2. Previous cesarean section, refuses trial of labor.,3. Fibroid uterus.,4. Oligohydramnios.,5. Nonreassuring fetal heart tones.,POSTOPERATIVE DIAGNOSES:,1. Intrauterine pregnancy at 39 and 1/7th weeks.,2. Previous cesarean section, refuses trial ... | [] | 583 |
402 | Primary low transverse cervical cesarean section. Intrauterine pregnancy of 39 weeks, Herpes simplex virus positive by history, hepatitis C positive by history with low elevation of transaminases, cephalopelvic disproportion, asynclitism, postpartum macrosomia, and delivery of viable 9 lb female neonate. | PREOPERATIVE DIAGNOSES:,1. Intrauterine pregnancy of 39 weeks.,2. Herpes simplex virus, positive by history.,3. Hepatitis C, positive by history with low elevation of transaminases.,4. Cephalopelvic disproportion.,5. Asynclitism.,6. Postpartum macrosomia.,POSTOPERATIVE DIAGNOSES:,1. Intrauterine pregnancy of 39 weeks.,... | [
"asynclitism",
"cephalopelvic disproportion",
"cesarean section",
"fascia",
"hepatitis c",
"herpes",
"herpes simplex virus",
"intrauterine",
"intrauterine pregnancy",
"low transverse cervical cesarean section",
"macrosomia",
"postpartum",
"rectus fascia",
"surgery",
"transaminases",
"u... | 584 |
403 | Primary low transverse cesarean section via Pfannenstiel incision. Pregnancy at 40 weeks, failure to progress, premature prolonged rupture of membranes, group B strep colonization, and delivery of viable male neonate. | PREOPERATIVE DIAGNOSES:,1. Pregnancy at 40 weeks.,2. Failure to progress.,3. Premature prolonged rupture of membranes.,4. Group B strep colonization.,POSTOPERATIVE DIAGNOSIS:,1. Pregnancy at 40 weeks.,2. Failure to progress.,3. Premature prolonged rupture of membranes.,4. Group B strep colonization.,5. Delivery of viab... | [
"bladder",
"c-section",
"cervical dilation",
"cesarean section",
"colonization",
"fascia",
"incision",
"kocher clamps",
"low transverse",
"metzenbaum scissors",
"muscles",
"pfannenstiel incision",
"pregnancy",
"rectus",
"rectus muscles",
"rupture of membranes",
"section",
"surgery"... | 585 |
404 | Intrauterine pregnancy at 37 plus weeks, nonreassuring fetal heart rate. | PREOPERATIVE DIAGNOSES:,1. Intrauterine pregnancy at 37 plus weeks, nonreassuring fetal heart rate.,2. Protein S low.,3. Oligohydramnios.,POSTOPERATIVE:,1. Intrauterine pregnancy at 37 plus weeks, nonreassuring fetal heart rate.,2. Protein S low.,3. Oligohydramnios.,4. Delivery of a viable female, weight 5 pound, 14 ou... | [
"apgars",
"bladder blade",
"fetal heart rate",
"intrauterine",
"intrauterine pregnancy",
"low transverse c section",
"surgery"
] | 586 |
405 | Primary cesarean section by low-transverse incision. Term pregnancy, nonreassuring fetal heart tracing. | PREOPERATIVE DIAGNOSES: , Term pregnancy, nonreassuring fetal heart tracing.,POSTOPERATIVE DIAGNOSES: , Term pregnancy, nonreassuring fetal heart tracing.,OPERATION:, Primary cesarean section by low-transverse incision.,ANESTHESIA:, Epidural.,ESTIMATED BLOOD LOSS: , 450 mL.,COMPLICATIONS: , None.,CONDITION: , Stable.,D... | [
"amnioinfusion",
"edc",
"fetal",
"fetal heart",
"fetal heart tracing",
"heart tracing",
"incision",
"low transverse",
"low-transverse incision",
"nonreassuring fetal heart tracing",
"para",
"primary cesarean section",
"rectus muscle",
"surgery",
"suture",
"term pregnancy",
"transvers... | 587 |
406 | A repeat low transverse cervical cesarean section, Lysis of adhesions, Dissection of the bladder of the anterior abdominal wall and away from the fascia, and the patient also underwent a bilateral tubal occlusion via Hulka clips. | PREOPERATIVE DIAGNOSES:,1. 36th and 4/7th week, intrauterine growth rate.,2. Charcot-Marie-Tooth disease.,3. Previous amniocentesis showing positive fetal lung maturity, family planning complete.,4. Previous spinal fusion.,5. Two previous C-sections. The patient refuses trial labor. The patient is with regular contract... | [
"abdominal",
"abdominal wall",
"amniocentesis",
"bilateral tubal occlusion",
"bladder",
"c-sections",
"charcot-marie-tooth disease",
"dissection",
"fascia",
"hulka clips",
"intrauterine",
"intrauterine growth rate",
"low transverse cervical cesarean section",
"lysis of adhesions",
"surge... | 588 |
407 | Primary low-transverse cesarean section. | PREOPERATIVE DIAGNOSES:,1. Intrauterine pregnancy at term.,2. Arrest of dilation. ,POSTOPERATIVE DIAGNOSES:,1. Intrauterine pregnancy at term.,2. Arrest of dilation.,PROCEDURE PERFORMED:, Primary low-transverse cesarean section.,ANESTHESIA: , Epidural.,ESTIMATED BLOOD LOSS: , 1000 mL.,COMPLICATIONS: , None.,FINDINGS: ,... | [
"arrest of dilation",
"cephalic presentation",
"cesarean section",
"intrauterine",
"intrauterine pregnancy at term",
"low transverse cesarean section",
"rectus muscles",
"surgery"
] | 589 |
408 | VATS right middle lobectomy, fiberoptic bronchoscopy, mediastinal lymph node sampling, tube thoracostomy x2, multiple chest wall biopsies and excision of margin on anterior chest wall adjacent to adherent tumor. | PREOPERATIVE DIAGNOSIS:, Right middle lobe lung cancer.,POSTOPERATIVE DIAGNOSIS: , Right middle lobe lung cancer.,PROCEDURES PERFORMED:,1. VATS right middle lobectomy.,2. Fiberoptic bronchoscopy thus before and after the procedure.,3. Mediastinal lymph node sampling including levels 4R and 7.,4. Tube thoracostomy x2 in... | [
"anterior chest",
"anterior chest wall",
"bronchoscopy",
"bronchus",
"chest",
"chest tube",
"chest wall",
"chest wall lesions",
"endogia",
"endotracheal tube",
"endotracheally",
"fiberoptic",
"fiberoptic bronchoscopy",
"incision",
"lobectomy",
"lumen endotracheal tube",
"lung cancer"... | 590 |
409 | Right lower lobectomy, right thoracotomy, extensive lysis of adhesions, mediastinal lymphadenectomy. | PREOPERATIVE DIAGNOSIS: ,Right lower lobe mass, possible cancer.,POSTOPERATIVE DIAGNOSIS: , Non-small cell carcinoma of the right lower lobe.,PROCEDURES:,1. Right thoracotomy.,2. Extensive lysis of adhesions.,3. Right lower lobectomy.,4. Mediastinal lymphadenectomy.,ANESTHESIA: , General.,DESCRIPTION OF THE PROCEDURE: ... | [
"adhesions",
"cancer",
"chest",
"frozen section",
"gia stapler",
"hilum",
"lobectomy",
"lower lobectomy",
"lymphadenectomy",
"lysis of adhesions",
"mediastinal",
"non-small cell carcinoma",
"pleura",
"right lower lobe",
"surgery",
"thoracotomy",
"upper lobe"
] | 591 |
410 | Primary low segment cesarean section. | PREOPERATIVE DIAGNOSIS: ,Pregnancy at 42 weeks, nonreassuring fetal testing, and failed induction.,POSTOPERATIVE DIAGNOSIS: , Pregnancy at 42 weeks, nonreassuring fetal testing, and failed induction.,PROCEDURE: , Primary low segment cesarean section. The patient was placed in the supine position under spinal anesthesia... | [
"anterior rectus fascia",
"fetal testing",
"induction",
"low segment",
"nonreassuring fetal testing",
"pennington clamps",
"surgery",
"suture"
] | 592 |
411 | Right upper lung lobectomy. Mediastinal lymph node dissection | OPERATION,1. Right upper lung lobectomy.,2. Mediastinal lymph node dissection.,ANESTHESIA,1. General endotracheal anesthesia with dual-lumen tube.,2. Thoracic epidural.,OPERATIVE PROCEDURE IN DETAIL: , After obtaining informed consent from the patient, including a thorough explanation of the risks and benefits of the a... | [
"anesthesia",
"artery branches",
"bovie",
"branches",
"electrocautery",
"epidural",
"lobectomy",
"lung",
"lymph",
"lymph node",
"lymph node dissection",
"mediastinal",
"pulmonary",
"surgery",
"thoracic"
] | 593 |
412 | Left lower lobectomy. | OPERATION: , Left lower lobectomy.,OPERATIVE PROCEDURE IN DETAIL: , The patient was brought to the operating room and placed in the supine position. After general endotracheal anesthesia was induced, the appropriate monitoring devices were placed. The patient was placed in the right lateral decubitus position. The left... | [
"electrocautery",
"endo gia stapler",
"endotracheal",
"lobectomy",
"lower lobectomy",
"subcutaneous",
"subcutaneous drain",
"surgery"
] | 594 |
413 | Liposuction of the supraumbilical abdomen, revision of right breast reconstruction, excision of soft tissue fullness of the lateral abdomen and flank. | PREOPERATIVE DIAGNOSES:,1. Deformity, right breast reconstruction.,2. Excess soft tissue, anterior abdomen and flank.,3. Lipodystrophy of the abdomen.,POSTOPERATIVE DIAGNOSES:,1. Deformity, right breast reconstruction.,2. Excess soft tissue, anterior abdomen and flank.,3. Lipodystrophy of the abdomen.,PROCEDURES:,1. Re... | [
"abdomen",
"breast",
"breast reconstruction",
"drain site",
"excess",
"flank",
"implant",
"latissimus dorsi flap",
"lipodystrophy",
"liposuction",
"lma anesthesia",
"reconstruction",
"soft tissue",
"supraumbilical",
"supraumbilical abdomen",
"surgery",
"surgical bra",
"tissue"
] | 595 |
414 | Closed reduction and placement of long-arm cast. | PREOPERATIVE DIAGNOSIS:, Left distal radius fracture displaced.,POSTOPERATIVE DIAGNOSIS: , Left distal radius fracture displaced.,SURGERY: ,Closed reduction and placement of long-arm cast, CPT code 25605.,ANESTHESIA: ,General LMA.,FINDINGS: ,The patient was found to have a displaced fracture. She was found to be in per... | [
"arm cast",
"closed reduction",
"displaced fracture",
"distal radius fracture",
"long-arm cast",
"radial deviation",
"surgery"
] | 596 |
415 | Excision of lipoma, left knee. A 4 cm mass of adipose tissue most likely representing a lipoma was found in the patient's anteromedial left knee. | PREOPERATIVE DIAGNOSIS:, Mass, left knee.,POSTOPERATIVE DIAGNOSIS: , Lipoma, left knee.,PROCEDURE PERFORMED: ,Excision of lipoma, left knee.,ANESTHESIA: , Local with sedation.,COMPLICATIONS: ,None.,ESTIMATED BLOOD LOSS: , Minimal.,GROSS FINDINGS: , A 4 cm mass of adipose tissue most likely representing a lipoma was fou... | [
"adipose tissue",
"excision of lipoma",
"fatty tissue",
"knee",
"lipoma",
"surgery",
"tissue"
] | 597 |
416 | Suction-assisted lipectomy of the breast with removal of 350 cc of breast tissue from both sides and two mastopexies. | PREOPERATIVE DIAGNOSIS,Mammary hypertrophy with breast ptosis.,POSTOPERATIVE DIAGNOSIS,Mammary hypertrophy with breast ptosis.,OPERATION,Suction-assisted lipectomy of the breast with removal of 350 cc of breast tissue from both sides and two mastopexies.,ANESTHESIA,General endotracheal anesthesia.,PROCEDURE,The patient... | [
"anesthesia",
"areolar",
"areolar complex",
"breast",
"breast ptosis",
"breast tissue",
"dermabond",
"endotracheal anesthesia",
"epithelialization",
"lactated ringers",
"lipectomy",
"mammary hypertrophy",
"mastopexies",
"mastopexy",
"monocryl",
"nipple",
"nipple areolar",
"nipple a... | 598 |
417 | Intramuscular lipoma, right upper extremity. Excision of intramuscular lipoma with flap closure. | PREOPERATIVE DIAGNOSIS:, Mass lesion, right upper extremity.,POSTOPERATIVE DIAGNOSIS: , Intramuscular lipoma, right arm, approximately 4 cm.,PROCEDURE PERFORMED: ,Excision of intramuscular lipoma with flap closure by Dr. Y.,INDICATIONS FOR PROCEDURE: ,This is a 77-year-old African-American female who presents as an out... | [
"excision",
"intramuscular",
"intramuscular lipoma",
"lipoma",
"mass",
"mass lesion",
"muscular fascia",
"surgery",
"suture",
"vicryl suture"
] | 599 |
418 | Percutaneous liver biopsy. With the patient lying in the supine position and the right hand underneath the head, an area of maximal dullness was identified in the mid-axillary location by percussion. | TITLE OF PROCEDURE: , Percutaneous liver biopsy.,ANALGESIA: , 2% Lidocaine.,ALLERGIES: , The patient denied any allergy to iodine, lidocaine or codeine.,PROCEDURE IN DETAIL: ,The procedure was described in detail to the patient at a previous clinic visit and by the medical staff today. The patient was told of complicat... | [
"bile peritonitis",
"biopsy",
"bowel perforation",
"klatskin needle",
"lidocaine",
"liver",
"liver biopsy",
"mid axillary",
"percutaneous",
"pneumothorax",
"surgery"
] | 600 |
419 | Suction-assisted lipectomy - lipodystrophy of the abdomen and thighs. | PREOPERATIVE DIAGNOSIS: , Lipodystrophy of the abdomen and thighs.,POSTOPERATIVE DIAGNOSIS:, Lipodystrophy of the abdomen and thighs.,OPERATION: , Suction-assisted lipectomy.,ANESTHESIA:, General.,FINDINGS AND PROCEDURE:, With the patient under satisfactory general endotracheal anesthesia, the entire abdomen, flanks, p... | [
"abd pads",
"abdomen",
"abdomen and thighs",
"abdomen/thighs",
"aspirate",
"lipectomy",
"lipodystrophy",
"perineum",
"steri-stripped",
"suction-assisted lipectomy",
"surgery",
"thighs",
"umbilicus"
] | 601 |
420 | Diagnostic operative arthroscopy with repair and reconstruction of anterior cruciate ligament using autologous hamstring tendon, a 40 mm bioabsorbable femoral pin, and a 9 mm bioabsorbable tibial pin. Repair of lateral meniscus using two fast fixed meniscal repair sutures. Partial medial meniscectomy. Partial chondropl... | PREOPERATIVE DIAGNOSES:,1. Torn anterior cruciate ligament, right knee.,2. Patellofemoral instability, right knee.,3. Possible torn medial meniscus.,POSTOPERATIVE DIAGNOSES:,1. Complete tear anterior cruciate ligament, right knee.,2. Complex tear of the posterior horn lateral meniscus.,3. Tear of posterior horn medial ... | [] | 602 |
421 | Ligament reconstruction and tendon interposition arthroplasty of right wrist. | OPERATION PERFORMED:, Ligament reconstruction and tendon interposition arthroplasty of right wrist.,DESCRIPTION OF PROCEDURE: , With the patient under adequate anesthesia, the right upper extremity was prepped and draped in a sterile manner.,Attention was turned to the base of the thumb where a longitudinal incision wa... | [
"arthroplasty",
"fcr",
"interposition",
"joint",
"ligament",
"ligament reconstruction",
"metacarpal",
"reconstruction",
"surgery",
"tendon",
"tendon interposition arthroplasty",
"trapezium"
] | 603 |
422 | Repair of upper lid canalicular laceration - Sample/Template. | PREOPERATIVE DIAGNOSES:,1. XXX upper lid laceration.,2. XXX upper lid canalicular laceration.,POSTOPERATIVE DIAGNOSES:,1. XXX upper lid laceration.,2. XXX upper lid canalicular laceration.,PROCEDURES:,1. Repair of XXX upper lid laceration.,2. Repair of XXX upper lid canalicular laceration.,ANESTHESIA:, General,SPECIMEN... | [
"bleeding",
"canalicular",
"canalicular laceration",
"canthal tendon",
"cotton-tip",
"infection",
"laceration",
"laceration repair",
"lid",
"lid canalicular",
"lid canalicular system",
"lid laceration",
"lid laceration repair",
"loss of the eye",
"loss of vision",
"monoka tube",
"oph... | 604 |
423 | Microscopic suspension direct laryngoscopy with biopsy of left true vocal cord stripping. Hoarseness, bilateral true vocal cord lesions, and leukoplakia. | PREOPERATIVE DIAGNOSES:,1. Hoarseness.,2. Bilateral true vocal cord lesions.,3. Leukoplakia.,POSTOPERATIVE DIAGNOSES:,1. Hoarseness.,2. Bilateral true vocal cord lesions.,3. Leukoplakia.,PROCEDURE PERFORMED: ,Microscopic suspension direct laryngoscopy with biopsy of left true vocal cord stripping.,ANESTHESIA:, General ... | [
"biopsy",
"cord",
"direct laryngoscopy",
"hoarseness",
"laryngoscopy",
"leukoplakia",
"microscopic",
"surgery",
"vocal",
"vocal cord",
"vocal cord lesions",
"zeiss operating microscope"
] | 605 |
424 | The patient needing to be reintubated due to a leaking ET tube. The patient is recently postoperative. | ASSESSMENT: ,The patient needed reintubation due to a leaking tube. I explained to the patient the procedure that I was going to do and he nodded in seeming understanding of the procedure.,Using Versed and succinylcholine, we were able to sedate and paralyze him to perform the procedure. His potassium this morning was ... | [
": 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 ... | 607 |
425 | Cystopyelogram and laser vaporization of the prostate. | PREOPERATIVE DIAGNOSIS: , Benign prostatic hypertrophy.,POSTOPERATIVE DIAGNOSIS: , Benign prostatic hypertrophy.,SURGERY: ,Cystopyelogram and laser vaporization of the prostate.,ANESTHESIA: , Spinal.,ESTIMATED BLOOD LOSS: , Minimal.,FLUIDS: , Crystalloid.,BRIEF HISTORY: , The patient is a 67-year-old male with a histor... | [
"alpha blockers",
"anticholinergics",
"benign prostatic hypertroph",
"benign prostatic hypertrophy",
"bladder",
"cystopyelogram",
"laser",
"laser vaporization",
"laser vaporization of the prostate",
"prostate",
"surgery",
"vaporization"
] | 608 |
426 | Direct laryngoscopy, rigid bronchoscopy and dilation of subglottic upper tracheal stenosis. | PREOPERATIVE DIAGNOSIS,Subglottic upper tracheal stenosis.,POSTOPERATIVE DIAGNOSIS,Subglottic upper tracheal stenosis.,OPERATION PREFORMED,Direct laryngoscopy, rigid bronchoscopy and dilation of subglottic upper tracheal stenosis.,INDICATIONS FOR THE SURGERY,The patient is a 76-year-old white female with a history of s... | [
"airway",
"bronchoscope",
"bronchoscopy",
"cavity",
"endoscopic",
"epiglottis",
"laryngoscopy",
"laryngotracheal reconstruction",
"larynx",
"oral cavity",
"patent",
"pharynx",
"stenosis",
"subglottic",
"subglottic upper",
"subglottic upper tracheal",
"surgery",
"tracheal",
"true ... | 609 |
427 | Left orchiectomy, scrotal exploration, right orchidopexy. | PREOPERATIVE DIAGNOSIS: , Left testicular torsion.,POSTOPERATIVE DIAGNOSES: ,1. Left testicular torsion.,2. Left testicular abscess.,3. Necrotic testes.,SURGERY:, Left orchiectomy, scrotal exploration, right orchidopexy.,DRAINS:, Penrose drain on the left hemiscrotum.,The patient was given vancomycin, Zosyn, and Levaqu... | [
"hemiscrotum",
"necrotic testes",
"orchidopexy",
"orchiectomy",
"penrose drain",
"scrotal exploration",
"scrotal swelling",
"scrotal wall",
"surgery",
"testicle",
"testicular abscess",
"testicular torsion",
"torsion"
] | 610 |
428 | Carbon dioxide laser photo-ablation due to recurrent dysplasia of vulva. | PREOPERATIVE DIAGNOSIS: , Recurrent dysplasia of vulva.,POSTOPERATIVE DIAGNOSIS:, Same.,OPERATION PERFORMED:, Carbon dioxide laser photo-ablation.,ANESTHESIA: , General, laryngeal mask.,INDICATIONS FOR PROCEDURE: , The patient has a past history of recurrent vulvar dysplasia. She has had multiple prior procedures for t... | [
"ablation",
"carbon",
"carbon dioxide laser",
"carbon dioxide laser photo-ablation",
"dysplasia",
"dysplasia of vulva",
"laser",
"laser of vulva",
"photo ablation",
"recurrent dysplasia",
"recurrent dysplasia of vulva",
"surgery"
] | 611 |
429 | LEEP procedure of endocervical polyp and Electrical excision of pigmented mole of inner right thigh. | DIAGNOSIS:,1. Broad-based endocervical poly.,2. Broad- based pigmented, raised nevus, right thigh.,OPERATION:,1. LEEP procedure of endocervical polyp.,2. Electrical excision of pigmented mole of inner right thigh.,FINDINGS: , There was a 1.5 x 1.5 cm broad-based pigmented nevus on the inner thigh that was excised with ... | [
"cervix",
"endocervical",
"endocervical polyp",
"leep",
"leep tenaculum",
"pigmented",
"pigmented mole",
"polyp",
"surgery"
] | 612 |
430 | Squamous cell carcinoma of the larynx. Total laryngectomy, right level 2, 3, 4 neck dissection, tracheoesophageal puncture, cricopharyngeal myotomy, right thyroid lobectomy. | TITLE OF OPERATION:, Total laryngectomy, right level 2, 3, 4 neck dissection, tracheoesophageal puncture, cricopharyngeal myotomy, right thyroid lobectomy.,INDICATION FOR SURGERY: , A 58-year-old gentleman who has had a history of a T3 squamous cell carcinoma of his glottic larynx having elected to undergo a laser exci... | [
"cartilage",
"cricoid cartilage",
"cricopharyngeal myotomy",
"laryngectomy",
"larynx",
"neck dissection",
"squamous cell carcinoma",
"surgery",
"thyroid",
"thyroid cartilage",
"thyroid lobectomy",
"total laryngectomy",
"tracheoesophageal"
] | 613 |
431 | Exploratory laparotomy and right salpingectomy. | PREOPERATIVE DIAGNOSES:,1. Right ectopic pregnancy.,2. Severe abdominal pain.,3. Tachycardia.,POSTOPERATIVE DIAGNOSES:,1. Right ectopic pregnancy.,2. Severe abdominal pain.,3. Tachycardia.,PROCEDURE PERFORMED:, Exploratory laparotomy and right salpingectomy.,ANESTHESIA: ,General endotracheal.,ESTIMATED BLOOD LOSS: , 20... | [
"ectopic pregnancy",
"exploratory laparotomy",
"fallopian tube",
"mayo scissors",
"rectus muscles",
"salpingectomy",
"surgery"
] | 614 |
432 | Diagnostic laparoscopy and rigid sigmoidoscopy. Acute pain, fever postoperatively, hemostatic uterine perforation, no bowel or vascular trauma. | PREOPERATIVE DIAGNOSES:,1. Acute pain.,2. Fever postoperatively.,POSTOPERATIVE DIAGNOSIS:,1. Acute pain.,2. Fever postoperatively.,3. Hemostatic uterine perforation.,4. No bowel or vascular trauma.,PROCEDURE PERFORMED:,1. Diagnostic laparoscopy.,2. Rigid sigmoidoscopy by Dr. X.,ANESTHESIA: , General endotracheal.,COMPL... | [
"bowel",
"diagnostic laparoscopy",
"excellent hemostasis",
"laparoscopy",
"postoperatively",
"rigid sigmoidoscopy",
"sigmoidoscopy",
"surgery",
"trocar",
"uterine manipulator",
"uterine perforation",
"vascular",
"vulsellum tenaculum"
] | 615 |
433 | Laparoscopy, laparotomy, cholecystectomy with operative cholangiogram, choledocholithotomy with operative choledochoscopy and T-tube drainage of the common bile duct. | PREOPERATIVE DIAGNOSES: , Cholelithiasis, cholecystitis, and recurrent biliary colic.,POSTOPERATIVE DIAGNOSES: , Severe cholecystitis, cholelithiasis, choledocholithiasis, and morbid obesity.,PROCEDURES PERFORMED: , Laparoscopy, laparotomy, cholecystectomy with operative cholangiogram, choledocholithotomy with operativ... | [
"biliary colic",
"cholangiogram",
"cholecystectomy",
"cholecystitis",
"choledocholithiasis",
"choledocholithotomy",
"choledochoscopy",
"cholelithiasis",
"common bile duct",
"cystic duct cholangiogram",
"gallbladder",
"laparoscopy",
"laparotomy",
"peritoneal cavity",
"surgery",
"t-tube ... | 616 |
434 | Laparotomy and myomectomy. Enlarged fibroid uterus and blood loss anemia. On bimanual exam, the patient has an enlarged, approximately 14-week sized uterus that is freely mobile and anteverted with no adnexal masses. Surgically, the patient has an enlarged fibroid uterus with a large fundal/anterior fibroids. | PREOPERATIVE DIAGNOSES:,1. Enlarged fibroid uterus.,2. Blood loss anemia.,POSTOPERATIVE DIAGNOSES:,1. Enlarged fibroid uterus.,2. Blood loss anemia.,PROCEDURE PERFORMED:,1. Laparotomy.,2. Myomectomy.,ANESTHESIA: ,General.,ESTIMATED BLOOD LOSS: , Less than a 100 cc.,URINE OUTPUT: , 110 cc, clear at the end of the proced... | [
"blood loss anemia",
"bluntly",
"clamps",
"enlarged",
"enlarged fibroid uterus",
"fascia",
"fashion",
"fibroid",
"incision",
"laparotomy",
"metzenbaum scissors",
"myomectomy",
"rectus",
"scissors",
"surgery",
"uterus"
] | 617 |
435 | Attempted laparoscopy, open laparoscopy and fulguration of endometrial implant. Chronic pelvic pain, probably secondary to endometriosis. | PREOPERATIVE DIAGNOSIS: , Chronic pelvic pain, probably secondary to endometriosis.,POSTOPERATIVE DIAGNOSIS:, Mild pelvic endometriosis.,PROCEDURE:,1. Attempted laparoscopy.,2. Open laparoscopy.,3. Fulguration of endometrial implant.,ANESTHESIA: , General endotracheal.,BLOOD LOSS: , Minimal.,COMPLICATIONS: , None.,INDI... | [
"cannula",
"endometrial",
"endometrial implant",
"endometriosis",
"fulguration",
"hasson cannula",
"hulka tenaculum",
"laparoscopy",
"pneumoperitoneum",
"single tooth tenaculum",
"surgery",
"veress needle"
] | 618 |
436 | Laparoscopy with ablation of endometriosis. Allen-Masters window in the upper left portion of the cul-de-sac, bronze lesions of endometriosis in the central portion of the cul-de-sac as well as both the left uterosacral ligament, flame lesions of the right uterosacral ligament approximately 5 mL of blood tinged fluid i... | PROCEDURE: , Laparoscopy with ablation of endometriosis.,DIAGNOSIS: , Endometriosis.,ANESTHESIA:, General.,ESTIMATED BLOOD LOSS: , None.,FINDINGS: , Allen-Masters window in the upper left portion of the cul-de-sac, bronze lesions of endometriosis in the central portion of the cul-de-sac as well as both the left uterosa... | [
"ablation",
"ablation of endometriosis",
"allen-masters window",
"cul de sac",
"endometriosis",
"laparoscopy",
"lesions",
"surgery",
"uterosacral ligament"
] | 619 |
437 | Laparoscopic supracervical hysterectomy. A female with a history of severe dysmenorrhea and menorrhagia unimproved with medical management. | PREOPERATIVE DIAGNOSIS,1. Dysmenorrhea.,2. Menorrhagia.,POSTOPERATIVE DIAGNOSIS,1. Dysmenorrhea.,2. Menorrhagia.,PROCEDURE:, Laparoscopic supracervical hysterectomy.,ESTIMATED BLOOD LOSS:, 30 cc.,COMPLICATIONS:, None.,INDICATIONS FOR SURGERY: , A female with a history of severe dysmenorrhea and menorrhagia unimproved w... | [
"adnexa",
"bladder flap",
"cardinal ligament",
"cauterized",
"dysmenorrhea",
"laparoscopic supracervical hysterectomy",
"menorrhagia",
"surgery",
"uterine",
"uterus",
"veress needle"
] | 620 |
438 | Diagnostic laparoscopy and laparoscopic appendectomy. Right lower quadrant abdominal pain, rule out acute appendicitis. | PREOPERATIVE DIAGNOSIS: , Right lower quadrant abdominal pain, rule out acute appendicitis.,POSTOPERATIVE DIAGNOSIS:, Acute suppurative appendicitis.,PROCEDURE PERFORMED:,1. Diagnostic laparoscopy.,2. Laparoscopic appendectomy.,ANESTHESIA: , General endotracheal and injectable 1% lidocaine and 0.25% Marcaine.,ESTIMATED... | [
"abdomen",
"acute appendicitis",
"appendectomy",
"appendix",
"diagnostic laparoscopy",
"laparoscopic appendectomy",
"laparoscopy",
"lower quadrant",
"suprapubic",
"surgery"
] | 621 |
439 | Pelvic pain, pelvic endometriosis, and pelvic adhesions. Laparoscopy, Harmonic scalpel ablation of endometriosis, lysis of adhesions, and cervical dilation. Laparoscopically, the patient has large omental to anterior abdominal wall adhesions along the left side of the abdomen extending down to the left adnexa. | PREOPERATIVE DIAGNOSIS:, Pelvic pain.,POSTOPERATIVE DIAGNOSES:,1. Pelvic pain.,2. Pelvic endometriosis.,3. Pelvic adhesions.,PROCEDURE PERFORMED:,1. Laparoscopy.,2. Harmonic scalpel ablation of endometriosis.,3. Lysis of adhesions.,4. Cervical dilation.,ANESTHESIA: ,General.,SPECIMEN: ,Peritoneal biopsy.,ESTIMATED BLOO... | [
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"abdominal",
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"laparoscopy",
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"pelvic",
"pelvic adhesions",
"pelvic pain",
"peritoneal biopsy",
"scalpel",
"scalpel ablation",
"surgery"
] | 623 |
440 | Diagnostic laparoscopy and drainage of cyst. | PREOPERATIVE DIAGNOSIS:, Ovarian cyst, persistent.,POSTOPERATIVE DIAGNOSIS: , Ovarian cyst.,ANESTHESIA:, General,NAME OF OPERATION:, Diagnostic laparoscopy and drainage of cyst.,PROCEDURE:, The patient was taken to the operating room, prepped and draped in the usual manner, and adequate anesthesia was induced. An infra... | [
"diagnostic laparoscopy",
"drainage",
"drainage of cyst",
"infraumbilical incision",
"laparoscopy",
"ovarian",
"ovarian cyst",
"surgery"
] | 624 |
441 | Examination under anesthesia and laparoscopic right orchiopexy. | PREOPERATIVE DIAGNOSIS: , Bilateral undescended testes.,POSTOPERATIVE DIAGNOSIS: , Bilateral undescended testes, bilateral intraabdominal testes.,PROCEDURE: , Examination under anesthesia and laparoscopic right orchiopexy.,ESTIMATED BLOOD LOSS:, Less than 5 mL.,FLUIDS RECEIVED: ,110 mL of crystalloid.,INTRAOPERATIVE FI... | [
"bilateral undescended testes",
"internal ring",
"laparoscopic",
"laparoscopic right orchiopexy",
"mosquito clamps",
"orchiopexy",
"subdartos pouch",
"surgery",
"undescended testes"
] | 625 |
442 | Laparoscopy with left salpingo-oophorectomy. Left adnexal mass/ovarian lesion. The labia and perineum were within normal limits. The hymen was found to be intact. Laparoscopic findings revealed a 4 cm left adnexal mass, which appeared fluid filled. | PREOPERATIVE DIAGNOSIS:, Left adnexal mass.,POSTOPERATIVE DIAGNOSIS:, Left ovarian lesion.,PROCEDURE PERFORMED: ,Laparoscopy with left salpingo-oophorectomy.,ANESTHESIA:, General.,ESTIMATED BLOOD LOSS: , Less than 50 cc.,COMPLICATIONS:, None.,FINDINGS:, The labia and perineum were within normal limits. The hymen was fo... | [
"abdominal wall",
"adnexal",
"adnexal mass",
"intact",
"laparoscopy",
"mass",
"ovarian lesion",
"salpingo oophorectomy",
"salpingo-oophorectomy",
"surgery"
] | 626 |
443 | Total laparoscopic hysterectomy with laparoscopic staging, including paraaortic lymphadenectomy, bilateral pelvic and obturator lymphadenectomy, and washings. | PREOPERATIVE DIAGNOSIS:, Endometrial carcinoma.,POSTOPERATIVE DIAGNOSIS: , Endometrial carcinoma.,PROCEDURE PERFORMED:, Total laparoscopic hysterectomy with laparoscopic staging, including paraaortic lymphadenectomy, bilateral pelvic and obturator lymphadenectomy, and washings.,ANESTHESIA: , General, endotracheal tube.... | [
"bipolar",
"bipolar cutting forceps",
"direct laparoscopic guidance",
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"iliac artery",
"infundibulopelvic ligament",
"koh colpotomy",
"laparoscopic",
"laparoscopic guidance",
"laparoscopic hysterectomy",
"laparoscopic stagin... | 627 |
444 | Laparoscopic lysis of adhesions, attempted laparoscopic pyeloplasty, and open laparoscopic pyeloplasty. Right ureteropelvic junction obstruction, severe intraabdominal adhesions, and retroperitoneal fibrosis. | PREOPERATIVE DIAGNOSIS: ,Right ureteropelvic junction obstruction.,POSTOPERATIVE DIAGNOSES:,1. Right ureteropelvic junction obstruction.,2. Severe intraabdominal adhesions.,3. Retroperitoneal fibrosis.,PROCEDURES PERFORMED:,1. Laparoscopic lysis of adhesions.,2. Attempted laparoscopic pyeloplasty.,3. Open laparoscopic ... | [
"adhesions",
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"lysis of adhesions",
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"retroperitoneal",
"surgery",
"ureteropelvic",
"ureteropelvic junction",
"ureteropelvic junction obstruction"
] | 629 |
445 | Morbid obesity. Laparoscopic antecolic antegastric Roux-en-Y gastric bypass with EEA anastomosis. This is a 30-year-old female, who has been overweight for many years. She has tried many different diets, but is unsuccessful. | PREOPERATIVE DIAGNOSIS: , Morbid obesity.,POSTOPERATIVE DIAGNOSIS: ,Morbid obesity.,PROCEDURE: , Laparoscopic antecolic antegastric Roux-en-Y gastric bypass with EEA anastomosis.,ANESTHESIA: , General with endotracheal intubation.,INDICATION FOR PROCEDURE: , This is a 30-year-old female, who has been overweight for man... | [
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"gastric pouch",
"intubation",
"laparoscopic",
"morbid obesity",
"roux",
"roux limb",
"roux-en-y",
"surgery"
] | 630 |
446 | Right hand-assisted laparoscopic cryoablation of renal lesions x2. Lysis of adhesions and renal biopsy. | PREOPERATIVE DIAGNOSIS: , Bilateral renal mass.,POSTOPERATIVE DIAGNOSIS:, Bilateral renal mass.,OPERATION: , Right hand-assisted laparoscopic cryoablation of renal lesions x2. Lysis of adhesions and renal biopsy.,ANESTHESIA: , General endotracheal.,ESTIMATED BLOOD LOSS:, 100 Ml.,FLUIDS: , Crystalloid.,The patient was b... | [
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"renal insufficiency",
"renal lesions",
"renal mass",
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] | 631 |
447 | Chronic cholecystitis, cholelithiasis, and liver cyst. Laparoscopic cholecystectomy and excision of liver cyst. Exploration of the abdomen revealed multiple adhesions of omentum overlying the posterior aspect of the gallbladder. | PREOPERATIVE DIAGNOSES:,1. Chronic cholecystitis.,2. Cholelithiasis.,POSTOPERATIVE DIAGNOSES:,1. Chronic cholecystitis.,2. Cholelithiasis.,3. Liver cyst.,PROCEDURES PERFORMED:,1. Laparoscopic cholecystectomy.,2. Excision of liver cyst.,ANESTHESIA: ,General endotracheal and injectable 0.25% Marcaine with 1% lidocaine.,S... | [
"abdomen",
"adhesions",
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"gallbladder",
"gallstone",
"laparoscopic",
"laparoscopic cholecystectomy",
"liver",
"liver cyst",
"omentum",
"surgery"
] | 632 |
448 | Morbid obesity. Laparoscopic Roux-en-Y gastric bypass, antecolic, antegastric with 25-mm EEA anastamosis, esophagogastroduodenoscopy. | PREOPERATIVE DIAGNOSIS: , Morbid obesity. ,POSTOPERATIVE DIAGNOSIS: , Morbid obesity. ,PROCEDURE:, Laparoscopic Roux-en-Y gastric bypass, antecolic, antegastric with 25-mm EEA anastamosis, esophagogastroduodenoscopy. ,ANESTHESIA: , General with endotracheal intubation. ,INDICATIONS FOR PROCEDURE: , This is a 50-year-ol... | [
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"laparoscopic",
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"port",
"roux limb",
"roux-en-y",
"stapler",
"surgery",
"surgidac sutures"
] | 633 |
449 | Symptomatic cholelithiasis. Laparoscopic cholecystectomy and appendectomy (CPT 47563, 44970). The patient requested appendectomy because of the concern of future diagnostic dilemma with pain crisis. Laparoscopic cholecystectomy and appendectomy were recommended to her. | PREOPERATIVE DIAGNOSIS: , Symptomatic cholelithiasis.,POSTOPERATIVE DIAGNOSIS: , Symptomatic cholelithiasis.,PROCEDURE: , Laparoscopic cholecystectomy and appendectomy (CPT 47563, 44970).,ANESTHESIA: , General endotracheal.,INDICATIONS: ,This is an 18-year-old girl with sickle cell anemia who has had symptomatic cholel... | [
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"laparoscopic",
"laparoscopic cholecystectomy",
"mesoappendix",
"surgery",
"symptomatic cholelithiasis"
] | 634 |
450 | Laparoscopic cholecystectomy. A 2 cm infraumbilical midline incision was made. The fascia was then cleared of subcutaneous tissue using a tonsil clamp. | PROCEDURE PERFORMED: , Laparoscopic cholecystectomy.,PROCEDURE: ,After informed consent was obtained, the patient was brought to the operating room and placed supine on the operating room table. General endotracheal anesthesia was induced without incident. The patient was prepped and draped in the usual sterile manner.... | [
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"tonsil",
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] | 635 |
451 | Laparoscopic cholecystectomy with attempted intraoperative cholangiogram. A 2 cm infraumbilical midline incision was made. The fascia was then cleared of subcutaneous tissue using a tonsil clamp. | PROCEDURE PERFORMED:, Laparoscopic cholecystectomy with attempted intraoperative cholangiogram.,PROCEDURE: , After informed consent was obtained, the patient was brought to the operating room and placed supine on the operating room table. General endotracheal anesthesia was induced without incident. The patient was pre... | [
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"cystic artery",
"cystic duct",
"gallbladder",
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"laparoscopic",
"laparoscopic cholecystectomy",
"surgery",
"tonsil"
] | 636 |
452 | Laparoscopic cholecystectomy with cholangiogram. Acute gangrenous cholecystitis with cholelithiasis. The patient had essentially a dead gallbladder with stones and positive wide bile/pus coming from the gallbladder. | PREOPERATIVE DIAGNOSIS:, Acute cholecystitis.,POSTOPERATIVE DIAGNOSIS:, Acute gangrenous cholecystitis with cholelithiasis.,OPERATION PERFORMED: , Laparoscopic cholecystectomy with cholangiogram.,FINDINGS: ,The patient had essentially a dead gallbladder with stones and positive wide bile/pus coming from the gallbladder... | [
"acute cholecystitis",
"bovie cautery",
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"cystic",
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"duct",
"gallbladder",
"gangrenous cholecystitis",
"laparoscopic",
"laparoscopic cholecystectomy",
"surgery"
] | 637 |
453 | Cholecystitis and cholelithiasis. Laparoscopic cholecystectomy and intraoperative cholangiogram. The patient received 1 gm of IV Ancef intravenously piggyback. The abdomen was prepared and draped in routine sterile fashion. | PREOPERATIVE DIAGNOSIS: , Cholecystitis and cholelithiasis.,POSTOPERATIVE DIAGNOSIS: ,Cholecystitis and cholelithiasis.,TITLE OF PROCEDURE,1. Laparoscopic cholecystectomy.,2. Intraoperative cholangiogram.,ANESTHESIA: ,General.,PROCEDURE IN DETAIL: ,The patient was taken to the operative suite and placed in the supine p... | [
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"intraoperative cholangiogram",
"laparoscopic",
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"surgery",
"umbilicus",
"veress needle"
] | 638 |
454 | Chronic cholecystitis. Laparoscopic cholecystectomy. Patient with increasingly severe more frequent right upper quadrant abdominal pain, more after meals, had a positive ultrasound for significant biliary sludge. | PREOPERATIVE DIAGNOSIS: , Chronic cholecystitis.,POSTOPERATIVE DIAGNOSIS: ,Chronic cholecystitis.,PROCEDURE PERFORMED: ,Laparoscopic cholecystectomy.,BLOOD LOSS: , Minimal.,ANESTHESIA: , General endotracheal anesthesia.,COMPLICATIONS: , None.,CONDITION: , Stable.,DRAINS: , None.,DISPOSITION: ,To recovery room and to ho... | [
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"gallbladder",
"laparoscopic",
"laparoscopic cholecystectomy",
"surgery"
] | 639 |
455 | Laparoscopic cholecystectomy. Biliary colic and biliary dyskinesia. The patient had a workup for her gallbladder, which showed evidence of biliary dyskinesia. | PREOPERATIVE DIAGNOSIS: , Biliary colic and biliary dyskinesia.,POSTOPERATIVE DIAGNOSIS:, Biliary colic and biliary dyskinesia.,PROCEDURE PERFORMED:, Laparoscopic cholecystectomy.,ANESTHESIA: , General endotracheal.,COMPLICATIONS:, None.,DISPOSITION: ,The patient tolerated the procedure well and was transferred to reco... | [
"abdomen",
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"laparoscopic",
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"surgery"
] | 641 |
456 | Standard Laparoscopic Cholecystectomy Operative Note. | The patient's abdomen was prepped and draped in the usual sterile fashion. A subumbilical skin incision was made. The Veress needle was inserted, and the patient's abdominal cavity was insufflated with moderate pressure all times. A subumbilical trocar was inserted. The camera was inserted in the panoramic view. The ab... | [
": 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 ... | 642 |
457 | Acute cholecystitis. Laparoscopic cholecystectomy. The abdominal area was prepped and draped in the usual sterile fashion. A small skin incision was made below the umbilicus. It was carried down in the transverse direction on the side of her old incision. It was carried down to the fascia. | PREOPERATIVE DIAGNOSIS: , Acute cholecystitis.,POSTOPERATIVE DIAGNOSIS:, Acute cholecystitis.,PROCEDURE PERFORMED:, Laparoscopic cholecystectomy.,ANESTHESIA: , General.,ESTIMATED BLOOD LOSS:, Zero.,COMPLICATIONS: , None.,PROCEDURE: ,The patient was taken to the operating room, and after obtaining adequate general anest... | [
"acute cholecystitis",
"cholecystectomy",
"cholecystitis",
"gallbladder",
"gallbladder fossa",
"laparoscopic",
"laparoscopic cholecystectomy",
"surgery"
] | 644 |
458 | Chronic cholecystitis without cholelithiasis. | PREOPERATIVE DIAGNOSIS: , Chronic cholecystitis without cholelithiasis.,POSTOPERATIVE DIAGNOSIS: ,Chronic cholecystitis without cholelithiasis.,PROCEDURE: , Laparoscopic cholecystectomy.,BRIEF DESCRIPTION: , The patient was brought to the operating room and anesthesia was induced. The abdomen was prepped and draped and... | [
"abdomen",
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"cystic",
"cystic artery",
"cystic duct",
"endo catch",
"gallbladder",
"laparoscopic",
"laparoscopic cholecystectomy",
"surgery"
] | 645 |
459 | Laparoscopic cholecystectomy due to chronic cholecystitis and cholelithiasis. | PREOPERATIVE DIAGNOSIS:,1. Cholelithiasis.,2. Chronic cholecystitis.,POSTOPERATIVE DIAGNOSIS:,1. Cholelithiasis.,2. Chronic cholecystitis.,NAME OF OPERATION: , Laparoscopic cholecystectomy.,ANESTHESIA:, General.,FINDINGS:, The gallbladder was thickened and showed evidence of chronic cholecystitis. There was a great dea... | [
"cholelithiasis chronic",
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"cystic",
"cystic artery",
"cystic duct",
"duct",
"gallbladder",
"gallbladder bed",
"inflammatory",
"inflammatory reaction",
"laparoscopic cholecystectomy",
"surgery"
] | 646 |
460 | Laparoscopic cholecystectomy. | PROCEDURE:,: After informed consent was obtained, the patient was brought to the operating room and placed supine on the operating room table. General endotracheal anesthesia was induced. The patient was then prepped and draped in the usual sterile fashion. An #11 blade scalpel was used to make a small infraumbilical s... | [
": 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 ... | 647 |
461 | Appendicitis. Laparoscopic appendectomy. Infraumbilical incision was performed and taken down to the fascia. The fascia was incised. The peritoneal cavity was carefully entered. Two other ports were placed in the right and left lower quadrants. | PREOPERATIVE DIAGNOSIS: , Appendicitis.,POSTOPERATIVE DIAGNOSIS:, Appendicitis.,PROCEDURE PERFORMED: , Laparoscopic appendectomy.,ANESTHESIA: , General.,COMPLICATIONS: , None.,ESTIMATED BLOOD LOSS:, Minimal.,PROCEDURE IN DETAIL: , The patient was prepped and draped in sterile fashion. Infraumbilical incision was perfor... | [
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"laparoscopic",
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"mesoappendix",
"surgery",
"umbilical"
] | 648 |
462 | Dilatation and curettage (D&C) and Laparoscopic ablation of endometrial implants. Pelvic pain, hypermenorrhea, and mild pelvic endometriosis. | PREOPERATIVE DIAGNOSES:,1. Pelvic pain.,2. Hypermenorrhea.,POSTOPERATIVE DIAGNOSES:,1. Pelvic pain.,2. Hypermenorrhea.,3. Mild pelvic endometriosis.,PROCEDURE PERFORMED:,1. Dilatation and curettage (D&C).,2. Laparoscopic ablation of endometrial implants.,ANESTHESIA: ,General endotracheal.,COMPLICATIONS: , None.,ESTIMAT... | [
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"laparoscopic ablation",
"pelvic",
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"surgery",
"vulsellum tenaculum"
] | 649 |
463 | Laparoscopic appendectomy. The patient is a 42-year-old female who presented with right lower quadrant pain. She was evaluated and found to have a CT evidence of appendicitis. | PREOPERATIVE DIAGNOSIS: , Appendicitis.,POSTOPERATIVE DIAGNOSIS: , Appendicitis.,PROCEDURE PERFORMED: , Laparoscopic appendectomy.,ANESTHESIA: , General endotracheal.,INDICATION FOR OPERATION: , The patient is a 42-year-old female who presented with right lower quadrant pain. She was evaluated and found to have a CT ev... | [
"appendectomy",
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"mesoappendix",
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] | 650 |
464 | Laparoscopic lysis of adhesions and Laparoscopic left adrenalectomy. Left adrenal mass, 5.5 cm and intraabdominal adhesions. | PREOPERATIVE DIAGNOSIS: , Left adrenal mass, 5.5 cm.,POSTOPERATIVE DIAGNOSES:,1. Left adrenal mass, 5.5 cm.,2. Intraabdominal adhesions.,PROCEDURE PERFORMED:,1. Laparoscopic lysis of adhesions.,2. Laparoscopic left adrenalectomy.,ANESTHESIA: , General.,ESTIMATED BLOOD LOSS:, Less than 100 cc.,FLUIDS: , 3500 cc crystall... | [] | 651 |
465 | Right L4 and L5 transpedicular decompression of distal right L4 and L5 nerve roots. Right L4-L5 and right L5-S1 laminotomies, medial facetectomies, and foraminotomies, decompression of right L5 and S1 nerve roots. Right L4-S1 posterolateral fusion with local bone graft. Left L4 through S1 segmental pedicle screw instru... | PREOPERATIVE DIAGNOSES: , Right lumbosacral radiculopathy secondary to lumbar spondylolysis.,POSTOPERATIVE DIAGNOSES: , Right lumbosacral radiculopathy secondary to lumbar spondylolysis.,OPERATION PERFORMED:,1. Right L4 and L5 transpedicular decompression of distal right L4 and L5 nerve roots.,2. Right L4-L5 and right ... | [
"bone",
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"facetectomies",
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"laminotomies",
"lumbar spondylolysis",
"lumbosacral radiculopathy",
"medial facetectomies",
"nerve roots",
"pedicle",
"pedicle screw",
"segmental",
"surgery",
"transpedicular",
"transverse... | 652 |
466 | Ruptured appendicitis. | PREOPERATIVE DIAGNOSIS:, Acute appendicitis.,POSTOPERATIVE DIAGNOSIS:, Ruptured appendicitis.,PROCEDURE:, Laparoscopic appendectomy.,INDICATIONS FOR PROCEDURE:, This patient is a 4-year-old boy with less than 24-hour history of apparent right lower quadrant abdominal pain associated with vomiting and fevers. The patien... | [
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] | 653 |
467 | Laparoscopic appendectomy. Acute appendicitis. | PREOPERATIVE DIAGNOSIS: , Acute appendicitis.,POSTOPERATIVE DIAGNOSIS: , Acute appendicitis.,OPERATIVE PROCEDURE:, Laparoscopic appendectomy.,INTRAOPERATIVE FINDINGS: , Include inflamed, non-perforated appendix.,OPERATIVE NOTE: ,The patient was seen by me in the preoperative holding area. The risks of the procedure wer... | [
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"umbilically"
] | 654 |
468 | Microscopic-assisted revision of bilateral decompressive lumbar laminectomies and foraminotomies at the levels of L3-L4, L4-L5, and L5-S1. Posterior spinal fusion at the level of L4-L5 and L5-S1 utilizing local bone graft, allograft and segmental instrumentation. Posterior lumbar interbody arthrodesis utilizing cage in... | PREOPERATIVE DIAGNOSES:,1. Recurrent spinal stenosis at L3-L4, L4-L5, and L5-S1.,2. Spondylolisthesis, which is unstable at L4-L5.,3. Recurrent herniated nucleus pulposus at L4-L5 bilaterally.,POSTOPERATIVE DIAGNOSES:,1. Recurrent spinal stenosis at L3-L4, L4-L5, and L5-S1.,2. Spondylolisthesis, which is unstable at L4... | [] | 655 |
469 | Acute appendicitis with perforation. Laparoscopic appendectomy. A CT scan of abdomen showed evidence of appendicitis with perforation. | PREOPERATIVE DIAGNOSIS:, Acute appendicitis with perforation.,POSTOPERATIVE DIAGNOSIS: ,Acute appendicitis with perforation.,ANESTHESIA:, General.,PROCEDURE: , Laparoscopic appendectomy.,INDICATIONS FOR PROCEDURE: , The patient is a 4-year-old little boy, who has been sick for several days and was seen in our Emergency... | [
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"purulent",
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"umbilical fascia"
] | 656 |
470 | Appendicitis. Laparoscopic appendectomy. CO2 insufflation was done to a maximum pressure of 15 mmHg and a 12-mm VersaStep port was placed through his umbilicus. | PREOPERATIVE DIAGNOSIS: , Appendicitis.,POSTOPERATIVE DIAGNOSIS:, Appendicitis. ,PROCEDURE: , Laparoscopic appendectomy. ,ANESTHESIA: , General with endotracheal intubation. ,PROCEDURE IN DETAIL: ,The patient was taken to the operating room and placed supine on the operating room table. General anesthesia was administe... | [
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"mesentery",
"surgery",
"umbilicus"
] | 657 |
471 | Patient status post lap band placement. | REASON FOR VISIT:, Lap band adjustment.,HISTORY OF PRESENT ILLNESS:, Ms. A is status post lap band placement back in 01/09 and she is here on a band adjustment. Apparently, she had some problems previously with her adjustments and apparently she has been under a lot of stress. She was in a car accident a couple of week... | [
"lap band",
"lap band adjustment",
"lap band placement",
"surgery"
] | 658 |
472 | Decompressive left lumbar laminectomy C4-C5 and C5-C6 with neural foraminotomy. Posterior cervical fusion C4-C5. Songer wire. Right iliac bone graft. | PREOPERATIVE DIAGNOSES,1. Post anterior cervical discectomy and fusion at C4-C5 and C5-C6 with possible pseudoarthrosis at C4-C5.,2. Cervical radiculopathy involving the left arm.,3. Disc degeneration at C3-C4 and C6-C7.,POSTOPERATIVE DIAGNOSES,1. Post anterior cervical discectomy and fusion at C4-C5 and C5-C6 with pos... | [] | 659 |
473 | L1 laminotomy, microdissection, retrieval of foreign body (retained lumbar spinal catheter), attempted insertion of new external lumbar drain, and fluoroscopy. | PREOPERATIVE DIAGNOSES: ,1. Fractured and retained lumbar subarachnoid spinal catheter.,2. Pseudotumor cerebri (benign intracranial hypertension).,PROCEDURES: ,1. L1 laminotomy.,2. Microdissection.,3. Retrieval of foreign body (retained lumbar spinal catheter).,4. Attempted insertion of new external lumbar drain.,5. Fl... | [
"catheter",
"external lumbar drain",
"fluoroscopy",
"intracranial hypertension",
"laminotomy",
"lumbar",
"lumbar spinal catheter",
"lumbar subarachnoid",
"microdissection",
"spinal catheter",
"surgery",
"vicryl interrupted sutures"
] | 660 |
474 | Fracture reduction with insertion of prosthetic device at T8 with kyphoplasty. Vertebroplasties at T7 and T9 with insertion of prosthetic device. Fracture of the T8 vertebra and T9 vertebra. | PREOPERATIVE DIAGNOSES:,1. Pathologic insufficiency.,2. Fracture of the T8 vertebrae and T9 vertebrae.,POSTOPERATIVE DIAGNOSES:,1. Pathologic insufficiency.,2. Fracture of the T8 vertebra and T9 vertebra.,PROCEDURE PERFORMED:,1. Fracture reduction with insertion of prosthetic device at T8 with kyphoplasty.,2. Vertebrop... | [
"fracture",
"fracture reduction",
"insertion",
"jamshidi needles",
"kyphoplasty",
"pathologic insufficiency",
"prosthetic",
"prosthetic device",
"surgery",
"vertebrae",
"vertebroplasties"
] | 661 |
475 | Complete laminectomy, L4. and facetectomy, L3-L4 level. A dural repair, right sided, on the lateral sheath, subarticular recess at the L4 pedicle level. Posterior spinal instrumentation, L4 to S1, using Synthes Pangea System. Posterior spinal fusion, L4 to S1. Insertion of morselized autograft, L4 to S1. | PREOPERATIVE DIAGNOSIS:, Dural tear, postoperative laminectomy, L4-L5.,POSTOPERATIVE DIAGNOSES,1. Dural tear, postoperative laminectomy, L4-L5.,2. Laterolisthesis, L4-L5.,3. Spinal instability, L4-L5.,OPERATIONS PERFORMED,1. Complete laminectomy, L4.,2. Complete laminectomy plus facetectomy, L3-L4 level.,3. A dural rep... | [] | 662 |
476 | Left knee arthroscopy with lateral capsular release. | PREOPERATIVE DIAGNOSIS: , Left patellar chondromalacia.,POSTOPERATIVE DIAGNOSIS:, Left patellar chondromalacia with tight lateral structures.,PROCEDURE:, Left knee arthroscopy with lateral capsular release.,ANESTHESIA: , Surgery performed under general anesthesia.,TOURNIQUET TIME: ,47 minutes.,MEDICATION: ,The patient ... | [
"arthroscopy",
"capsular release",
"chondromalacia",
"joint line",
"knee",
"knee arthroscopy",
"lateral capsular release",
"lateral joint",
"lateral joint line",
"medial joint",
"medial joint line",
"patellar",
"surgery",
"tourniquet"
] | 663 |
477 | Arthroscopy of the left knee with medial meniscoplasty. Internal derangement, left knee. Displaced bucket-handle tear of medial meniscus, left knee. | PREOPERATIVE DIAGNOSIS: , Internal derangement, left knee.,POSTOPERATIVE DIAGNOSIS: , Internal derangement, left knee.,PROCEDURE PERFORMED:, Arthroscopy of the left knee with medial meniscoplasty.,ANESTHESIA: ,LMA.,GROSS FINDINGS: , Displaced bucket-handle tear of medial meniscus, left knee.,PROCEDURE: , After informed... | [
"arthroscopy",
"derangement",
"displaced bucket handle tear",
"femoral condyle",
"internal derangement",
"knee",
"medial",
"medial meniscoplasty",
"medial meniscus",
"meniscoplasty",
"surgery",
"tibial plateau"
] | 664 |
478 | Left medial compartment osteoarthritis of the knee. Left unicompartmental knee replacement. | PREOPERATIVE DIAGNOSIS: , Left medial compartment osteoarthritis of the knee.,POSTOPERATIVE DIAGNOSIS:, Left medial compartment osteoarthritis of the knee.,PROCEDURE PERFORMED:, Left unicompartmental knee replacement.,COMPONENTS USED:, Biomet size medium femoral component size B tibial tray and a 3 mm polyethylene comp... | [
"cement",
"compartment",
"excess cement was removed",
"extension",
"femoral",
"femoral component",
"femoral intramedullary",
"flexion",
"intramedullary",
"intramedullary guide",
"knee",
"knee replacement",
"lower extremity",
"medial compartment",
"medial compartment osteoarthritis",
"m... | 665 |
479 | Bilateral knee degenerative arthritis. Bilateral knee arthroplasty. The Zimmer NexGen total knee system was utilized. | PREOPERATIVE DIAGNOSIS: , Bilateral knee degenerative arthritis.,POSTOPERATIVE DIAGNOSIS: , Bilateral knee degenerative arthritis.,PROCEDURE PERFORMED: , Bilateral knee arthroplasty.,Please note this procedure was done by Dr. X for the left total knee and Dr. Y for the right total knee. This operative note will discuss... | [
"arthroplasty",
"articulation",
"bilateral knee arthroplasty",
"eburnation",
"femoral",
"knee degenerative arthritis",
"lower extremity",
"methylmethacrylate",
"osteophyte",
"patella",
"patellofemoral",
"surgery",
"tibial",
"zimmer nexgen"
] | 666 |
480 | Revision right total knee arthroplasty. Right failed total knee arthroplasty. | PREOPERATIVE DIAGNOSIS: , Right failed total knee arthroplasty.,POSTOPERATIVE DIAGNOSIS: ,Right failed total knee arthroplasty.,PROCEDURE PERFORMED: , Revision right total knee arthroplasty.,FIRST ANESTHESIA: , Spinal.,ESTIMATED BLOOD LOSS: , Approximately 75 cc.,TOURNIQUET TIME: , 123 minutes. Then it was let down for... | [
"arthroplasty",
"distal femoral",
"femoral",
"femoral component",
"intramedullary",
"intramedullary guide",
"knee",
"knee arthroplasty",
"medial",
"patellar",
"revision",
"surgery",
"tibial",
"zimmer nexgen"
] | 667 |
481 | KYPHON Balloon Kyphoplasty at T12 and L1evels Insertion of KYPHON HV-R bone cement under low pressure at T12 and L1 levels and bone biopsy. | PRE-OP DIAGNOSIS:, Osteoporosis, pathologic fractures T12- L2 with severe kyphosis.,POST-OP DIAGNOSIS:, Osteoporosis, pathologic fractures T12- L2 with severe kyphosis.,PROCEDURE:,1. KYPHON Balloon Kyphoplasty at T12 and L1evels Insertion of KYPHON HV-R bone cement under low pressure at T12 and L1 levels.,2. Bone biops... | [
"anterior cortex",
"ap and lateral",
"balloon",
"balloon kyphoplasty",
"body",
"bone",
"bone biopsy",
"bone cement",
"cortex",
"fractures",
"guide",
"insertion",
"insertion of kyphon",
"kyphon",
"kyphon balloon",
"kyphon balloon kyphoplasty",
"kyphoplasty",
"kyphosis",
"osteoporo... | 668 |
482 | Arthroscopic procedure of the knee. | PROCEDURE IN DETAIL: , After written consent was obtained from the patient, the patient was brought back into the operating room and identified. The patient was placed in the operating room table in supine position and given general anesthetic.,Ancef 1 g was given for infectious prophylaxis. Once the patient was under ... | [
": 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 ... | 669 |
483 | Revision laminectomy L5-S1, discectomy L5-S1, right medial facetectomy, preparation of disk space and arthrodesis with interbody graft with BMP. Status post previous lumbar surgery for herniated disk with severe recurrence of axial back pain, failed conservative therapy. | TITLE OF OPERATION: , Revision laminectomy L5-S1, discectomy L5-S1, right medial facetectomy, preparation of disk space and arthrodesis with interbody graft with BMP.,INDICATIONS FOR SURGERY: ,Please refer to medical record, but in short, the patient is a 43-year-old male known to me, status post previous lumbar surger... | [
"arthrodesis",
"collapsed disk space",
"discectomy",
"disk",
"facetectomy",
"herniated",
"herniated disk",
"hypermobility",
"interbody",
"interbody graft",
"laminectomy",
"lumbar",
"lumbar spondylosis",
"medial facetectomy",
"revision laminectomy",
"space",
"surgery",
"therapy"
] | 670 |
484 | Procedure note on Keller Bunionectomy | PROCEDURE: , Keller Bunionectomy.,For informed consent, the more common risks, benefits, and alternatives to the procedure were thoroughly discussed with the patient. An appropriate consent form was signed, indicating that the patient understands the procedure and its possible complications.,This 59 year-old female was... | [
"bunionectomy",
"capsular",
"compressive dressing",
"incision",
"keller",
"keller bunionectomy",
"metatarsal head",
"osteotome",
"surgery"
] | 671 |
485 | Left below-the-knee amputation. Dressing change, right foot. | PREOPERATIVE DIAGNOSES:,1. Left diabetic foot abscess and infection.,2. Left calcaneus fracture with infection.,3. Right first ray amputation.,POSTOP DIAGNOSES:,1. Left diabetic foot abscess and infection.,2. Left calcaneus fracture with infection.,3. Right first ray amputation.,OPERATION AND PROCEDURE:,1. Left below-t... | [
"abscess",
"adaptic",
"amputation",
"below-the-knee amputation",
"calcaneus fracture",
"clamped",
"debridement",
"diabetic foot",
"dressing",
"gigli saw",
"hemovac",
"infection",
"knee",
"knee amputation",
"ray amputation",
"surgery",
"tourniquet",
"transverse incision"
] | 672 |
486 | Exam under anesthesia. Removal of intrauterine clots. Postpartum hemorrhage | PREOPERATIVE DIAGNOSIS: , Postpartum hemorrhage.,POSTOPERATIVE DIAGNOSIS: , Postpartum hemorrhage.,PROCEDURE:, Exam under anesthesia. Removal of intrauterine clots.,ANESTHESIA: , Conscious sedation.,ESTIMATED BLOOD LOSS:, Approximately 200 mL during the procedure, but at least 500 mL prior to that and probably more lik... | [
"bleeding",
"clots",
"curettage",
"hemorrhage",
"intrauterine",
"intrauterine clots",
"postpartum",
"postpartum hemorrhage",
"surgery",
"uterus"
] | 673 |
487 | Repair of juxtarenal abdominal aortic aneurysm with 14 mm Hemashield tube graft. | PREOPERATIVE DIAGNOSIS: Large juxtarenal abdominal aortic aneurysm.,POSTOPERATIVE DIAGNOSIS: Large juxtarenal abdominal aortic aneurysm.,ANESTHESIA: General endotracheal anesthesia.,OPERATIVE TIME: Three hours.,ANESTHESIA TIME: Four hours.,DESCRIPTION OF PROCEDURE: After thorough preoperative evaluation, the patient wa... | [
"abdomen",
"abdominal aortic aneurysm",
"aneurysm",
"aortic",
"aortic aneurysm",
"arteries",
"artery",
"continuous prolene suture",
"endarterectomy",
"endotracheal",
"graft",
"hemashield",
"hemashield tube",
"iliac",
"inferior left renal artery",
"inferior mesenteric",
"inferior mese... | 674 |
488 | Bilateral degenerative arthritis of the knees. Right total knee arthroplasty done in conjunction with a left total knee arthroplasty, which will be dictated separately. | PREOPERATIVE DIAGNOSIS: , Bilateral degenerative arthritis of the knees.,POSTOPERATIVE DIAGNOSIS: , Bilateral degenerative arthritis of the knees.,PROCEDURE PERFORMED: , Right total knee arthroplasty done in conjunction with a left total knee arthroplasty, which will be dictated separately.,ANESTHESIA: , General.,COMPL... | [
"all-poly",
"anesthesia",
"arthritis",
"arthroplasty",
"cruciate",
"degenerative",
"femoral",
"knee",
"knee arthroplasty",
"patellar",
"patellar component",
"surgery",
"tibial",
"tibial component",
"total knee arthroplasty",
"zimmer nexgen"
] | 675 |
489 | Secondary scleral suture fixated posterior chamber intraocular lens implant with penetrating keratoplasty. A concurrent vitrectomy and endolaser was performed by the vitreoretinal team. | TITLE OF OPERATION: ,1. Secondary scleral suture fixated posterior chamber intraocular lens implant with penetrating keratoplasty.,2. A concurrent vitrectomy and endolaser was performed by the vitreoretinal team.,INDICATION FOR SURGERY: ,The patient is a 62-year-old white male who underwent cataract surgery in 09/06. T... | [
"chamber",
"endolaser",
"eye",
"implant",
"intraocular",
"intraocular lens implant",
"keratoplasty",
"keratoprosthesis",
"lens",
"preretinal hemorrhage",
"scleral",
"scleral flaps",
"surgery",
"sutures",
"vitrectomy",
"vitreoretinal"
] | 676 |
490 | Debridement left ischial ulcer. | PREOPERATIVE DIAGNOSES: , Nonhealing decubitus ulcer, left ischial region? Osteomyelitis, paraplegia, and history of spina bifida.,POSTOPERATIVE DIAGNOSES: , Nonhealing decubitus ulcer, left ischial region? Osteomyelitis, paraplegia, and history of spina bifida.,PROCEDURE PERFORMED: ,Debridement left ischial ulcer.,ANE... | [
"debridement",
"decubitus ulcer",
"ischial region",
"ischial ulcer",
"osteomyelitis",
"paraplegia",
"spina bifida",
"surgery"
] | 677 |
491 | Intramedullary nail fixation of the left tibia fracture with a Stryker T2 tibial nail. Left tibial shaft fracture status post gunshot wound. | TITLE OF OPERATION: , Intramedullary nail fixation of the left tibia fracture with a Stryker T2 tibial nail, 10 x 390 with a one 5-mm proximal locking screw and three 5-mm distal locking screws (CPT code is 27759) (the ICD-9 code again is 823.2 for a tibial shaft fracture).,INDICATION FOR SURGERY: ,The patient is a 19-... | [
"fracture",
"guidewire",
"intramedullary",
"intramedullary nail fixation",
"nail",
"screw",
"stryker",
"surgery",
"tibia",
"tibial",
"tibial shaft fracture"
] | 678 |
492 | Displaced left subtrochanteric femur fracture. Intramedullary rod in the left hip using the Synthes trochanteric fixation nail measuring 11 x 130 degrees with an 85-mm helical blade. | PREOPERATIVE DIAGNOSIS:, Displaced left subtrochanteric femur fracture.,POSTOPERATIVE DIAGNOSIS:, Displaced left subtrochanteric femur fracture.,OPERATION: , Intramedullary rod in the left hip using the Synthes trochanteric fixation nail measuring 11 x 130 degrees with an 85-mm helical blade.,COMPLICATIONS:, None.,TOUR... | [
"blade",
"displaced",
"femur fracture",
"fixation",
"fracture",
"guidewire",
"helical",
"helical blade",
"hip",
"intramedullary",
"intramedullary rod",
"subtrochanteric",
"subtrochanteric femur",
"surgery",
"synthes",
"tourniquet",
"trochanteric",
"trochanteric fixation"
] | 679 |
493 | Laparoscopic right inguinal herniorrhaphy with mesh, as well as a circumcision. Recurrent right inguinal hernia, as well as phimosis. | PREOPERATIVE DIAGNOSIS: , Recurrent right inguinal hernia, as well as phimosis.,POSTOPERATIVE DIAGNOSIS:, Recurrent right inguinal hernia, as well as phimosis.,PROCEDURE PERFORMED: , Laparoscopic right inguinal herniorrhaphy with mesh, as well as a circumcision.,ANESTHESIA: , General endotracheal.,COMPLICATIONS: , None... | [
"blunt dissector",
"circumcision",
"foreskin",
"hernia",
"herniorrhaphy with mesh",
"inguinal",
"inguinal hernia",
"inguinal herniorrhaphy",
"laparoscopic",
"peritoneum",
"phimosis",
"surgery"
] | 681 |
494 | Acute on chronic renal failure and uremia. Insertion of a right internal jugular vein hemodialysis catheter. | PREOPERATIVE DIAGNOSES:,1. Acute on chronic renal failure.,2. Uremia.,POSTOPERATIVE DIAGNOSES:,1. Acute on chronic renal failure.,2. Uremia.,PROCEDURE PERFORMED: ,Insertion of a right internal jugular vein hemodialysis catheter.,ANESTHESIA: , 1% local lidocaine.,BLOOD LOSS: , Less than 5 cc.,COMPLICATIONS: , None.,HIST... | [
"cannulate",
"catheter",
"chronic renal failure",
"dialysis",
"guidewire",
"hemodialysis",
"hemodialysis catheter",
"insertion",
"internal jugular vein",
"internal jugular vein hemodialysis catheter",
"jugular",
"jugular vein",
"pleural effusion",
"pneumothorax",
"renal failure",
"surg... | 682 |
495 | Bassini inguinal herniorrhaphy. A standard inguinal incision was made, and dissection was carried down to the external oblique aponeurosis using a combination of Metzenbaum scissors and Bovie electrocautery. | PROCEDURE PERFORMED: , Bassini inguinal herniorrhaphy.,ANESTHESIA: , Local with MAC anesthesia.,PROCEDURE: , After informed consent was obtained, the patient was brought to the operative suite and placed supine on the operating table. The patient was sedated and an adequate local anesthetic was administered using 1% li... | [
"adherent cremasteric muscle",
"bassini inguinal herniorrhaphy",
"blunt dissection",
"bovie electrocautery",
"cord structures",
"electrocautery",
"external oblique aponeurosis",
"external ring",
"ilioinguinal nerve",
"inguinal",
"inguinal herniorrhaphy",
"metzenbaum scissors",
"surgery"
] | 683 |
496 | Direct inguinal hernia. Rutkow direct inguinal herniorrhaphy. A standard inguinal incision was made, and dissection was carried down to the external oblique aponeurosis using a combination of Metzenbaum scissors and Bovie electrocautery. | PREOPERATIVE DIAGNOSIS: , Inguinal hernia.,POSTOPERATIVE DIAGNOSIS: , Direct inguinal hernia.,PROCEDURE PERFORMED:, Rutkow direct inguinal herniorrhaphy.,ANESTHESIA: , General endotracheal.,DESCRIPTION OF PROCEDURE: ,After informed consent was obtained, the patient was brought to the operative suite and placed supine o... | [
"bovie",
"bovie electrocautery",
"cord",
"cord structures",
"cremasteric muscle",
"electrocautery",
"external oblique aponeurosis",
"hernia",
"herniorrhaphy",
"inguinal",
"inguinal hernia",
"inguinal herniorrhaphy",
"metzenbaum",
"penrose drain",
"pubic tubercle",
"surgery"
] | 684 |
497 | Left inguinal herniorrhaphy, modified Bassini. Left inguinal hernia, direct. | PREOPERATIVE DIAGNOSIS:, Left inguinal hernia.,POSTOPERATIVE DIAGNOSIS: , Left inguinal hernia, direct.,PROCEDURE: , Left inguinal herniorrhaphy, modified Bassini.,DESCRIPTION OF PROCEDURE: ,The patient was electively taken to the operating room. In same day surgery, Dr. X applied a magnet to the pacemaker defibrillato... | [
"bassini",
"hernia direct",
"herniorrhaphy modified bassini",
"inguinal",
"inguinal hernia",
"inguinal herniorrhaphy",
"modified bassini",
"surgery"
] | 685 |
498 | Repair of left inguinal hernia indirect. The patient states that she noticed there this bulge and pain for approximately six days prior to arrival. Upon examination in the office, the patient was found to have a left inguinal hernia consistent with tear, which was scheduled as an outpatient surgery. | PREOPERATIVE DIAGNOSIS: , Left inguinal hernia.,POSTOPERATIVE DIAGNOSIS:, Left indirect inguinal hernia.,PROCEDURE PERFORMED:, Repair of left inguinal hernia indirect.,ANESTHESIA: , Spinal with local.,COMPLICATIONS:, None.,DISPOSITION,: The patient tolerated the procedure well, was transferred to recovery in stable con... | [
"bulge",
"ethibond suture",
"external oblique",
"groin",
"hernia",
"indirect",
"inguinal",
"inguinal hernia",
"ligament",
"oblique",
"repair",
"sac",
"surgery",
"suture",
"vicryl",
"vicryl suture"
] | 686 |
499 | Inguinal herniorrhaphy. A standard inguinal incision was made and dissection was carried down to the external oblique aponeurosis using a combination of Metzenbaum scissors and Bovie electrocautery. | PROCEDURE PERFORMED: , Inguinal herniorrhaphy.,PROCEDURE: , After informed consent was obtained, the patient was brought to the operative suite and placed supine on the operating table. General endotracheal anesthesia was induced without incident. The patient was prepped and draped in the usual sterile manner.,A standa... | [
"blunt dissection",
"bovie electrocautery",
"cord",
"cord structures",
"cremasteric muscle",
"electrocautery",
"inguinal",
"inguinal canal",
"inguinal herniorrhaphy",
"penrose drain",
"pubic tubercl",
"surgery"
] | 687 |
500 | Left direct and indirect inguinal hernia. Repair of left inguinal hernia with Prolene mesh. The patient was found to have a left inguinal hernia increasing over the past several months. The patient has a history of multiple abdominal surgeries and opted for an open left inguinal hernial repair with Prolene mesh. | PREOPERATIVE DIAGNOSIS:, Left inguinal hernia.,POSTOPERATIVE DIAGNOSIS:, Left direct and indirect inguinal hernia.,PROCEDURE PERFORMED:, Repair of left inguinal hernia with Prolene mesh.,ANESTHESIA: , IV sedation with local.,COMPLICATIONS:, None.,DISPOSITION: ,The patient tolerated the procedure well and was transferre... | [
"cord",
"cord structures",
"gram stain",
"hernia",
"hernia sac",
"inguinal",
"inguinal hernia",
"inguinal hernia repair",
"inguinal hernial repair",
"left inguinal hernia",
"mesh",
"metzenbaum",
"metzenbaum scissors",
"oblique",
"prolene",
"prolene mesh",
"sac",
"surgery",
"sutur... | 688 |
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