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1 | Austin & Youngswick bunionectomy with Biopro implant. Screw fixation, left foot. | PREOPERATIVE DIAGNOSES:,1. Hallux rigidus, left foot.,2. Elevated first metatarsal, left foot.,POSTOPERATIVE DIAGNOSES:,1. Hallux rigidus, left foot.,2. Elevated first metatarsal, left foot.,PROCEDURE PERFORMED:,1. Austin/Youngswick bunionectomy with Biopro implant.,2. Screw fixation, left foot.,HISTORY: , This 51-year... | [
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"ankle tourniquet",
"austin",
"biopro implant",
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"osteotomy",
"proximal phalanx",
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"surgery",
"youngswick"
] | 174 |
2 | This patient has undergone cataract surgery, and vision is reduced in the operated eye due to presence of a secondary capsular membrane. The patient is being brought in for YAG capsular discission. | PREOPERATIVE DIAGNOSIS: , Secondary capsular membrane, right eye.,POSTOPERATIVE DIAGNOSIS: , Secondary capsular membrane, right eye.,PROCEDURE PERFORMED: , YAG laser capsulotomy, right eye.,INDICATIONS: , This patient has undergone cataract surgery, and vision is reduced in the operated eye due to presence of a seconda... | [
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"eye",
"laser",
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"yag",
"yag laser capsulotomy"
] | 177 |
3 | Youngswick osteotomy with internal screw fixation of the first right metatarsophalangeal joint of the right foot. | TITLE OF OPERATION: , Youngswick osteotomy with internal screw fixation of the first right metatarsophalangeal joint of the right foot.,PREOPERATIVE DIAGNOSIS: , Hallux limitus deformity of the right foot.,POSTOPERATIVE DIAGNOSIS: , Hallux limitus deformity of the right foot.,ANESTHESIA:, Monitored anesthesia care with... | [
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"proximal",
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4 | Wound debridement with removal of Surgisis xenograft and debridement of skin and subcutaneous tissue, secondary closure of wound, and VAC insertion. | PREOPERATIVE DIAGNOSES,1. Open wound from right axilla to abdomen with a prosthetic vascular graft, possibly infected.,2. Diabetes.,3. Peripheral vascular disease.,POSTOPERATIVE DIAGNOSES,1. Open wound from right axilla to abdomen with a prosthetic vascular graft, possibly infected.,2. Diabetes.,3. Peripheral vascular ... | [
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"vac insertion",
"wound",
"wound debridement",
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] | 181 |
5 | Visually significant posterior capsule opacity, right eye. YAG laser posterior capsulotomy, right eye. | PREOPERATIVE DIAGNOSIS:, Visually significant posterior capsule opacity, right eye.,POSTOPERATIVE DIAGNOSIS:, Visually significant posterior capsule opacity, right eye.,OPERATIVE PROCEDURES: ,YAG laser posterior capsulotomy, right eye.,ANESTHESIA: , Topical anesthesia using tetracaine ophthalmic drops.,INDICATIONS FOR ... | [
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"capsulotomy",
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"ophthalmic",
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] | 182 |
6 | A complex closure and debridement of wound. The patient is a 26-year-old female with a long history of shunt and hydrocephalus presenting with a draining wound in the right upper quadrant, just below the costal margin that was lanced by General Surgery and resolved; however, it continued to drain. | TITLE OF OPERATION:, A complex closure and debridement of wound.,INDICATION FOR SURGERY:, The patient is a 26-year-old female with a long history of shunt and hydrocephalus presenting with a draining wound in the right upper quadrant, just below the costal margin that was lanced by General Surgery and resolved; however... | [
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] | 183 |
7 | Excision of dorsal wrist ganglion. Made a transverse incision directly over the ganglion. Dissection was carried down through the extensor retinaculum, identifying the 3rd and the 4th compartments and retracting them. | PREOPERATIVE DIAGNOSIS: , Wrist ganglion.,POSTOPERATIVE DIAGNOSIS: , Wrist ganglion.,TITLE OF PROCEDURE: , Excision of dorsal wrist ganglion.,PROCEDURE: , After administering appropriate antibiotics and general anesthesia, the upper extremity was prepped and draped in the usual standard fashion. The arm was exsanguinat... | [
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"extensor retinaculum",
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] | 184 |
8 | Placement of right new ventriculoperitoneal (VP) shunts Strata valve and to removal of right frontal Ommaya reservoir. | TITLE OF OPERATION: , Placement of right new ventriculoperitoneal (VP) shunts Strata valve and to removal of right frontal Ommaya reservoir.,INDICATION FOR SURGERY: , The patient is a 2-month-old infant, born premature with intraventricular hemorrhage and Ommaya reservoir recommendation for removal and replacement with... | [
"frontal",
"hydrocephalus",
"intraventricular hemorrhage",
"ommaya reservoir",
"strata valve",
"surgery",
"ventriculoperitoneal",
"vp shunt"
] | 185 |
9 | Vitrectomy under local anesthesia. | DESCRIPTION OF PROCEDURE:, After appropriate operative consent was obtained the patient was brought supine to the operating room and placed on the operating room table. After intravenous sedation was administered a retrobulbar block consisting of 2% Xylocaine with 0.75% Marcaine and Wydase was administered to the right... | [
": 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 ... | 186 |
10 | Vitrectomy under general anesthesia | DESCRIPTION OF PROCEDURE: , After appropriate operative consent was obtained the patient was brought supine to the operating room and placed on the operating room table. Induction of general anesthesia via endotracheal intubation was then accomplished without difficulty. The patient's right eye was prepped and draped i... | [
": 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 ... | 187 |
11 | Vitrectomy opening. A limited conjunctival peritomy was created with Westcott scissors to expose the supranasal and separately the supratemporal and inferotemporal quadrants. | VITRECTOMY OPENING,The patient was brought to the operating room and appropriately identified. General anesthesia was induced by the anesthesiologist. The patient was prepped and draped in the usual sterile fashion. A lid speculum was used to provide exposure to the right eye. A limited conjunctival peritomy was create... | [
": 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 ... | 188 |
12 | Pars plana vitrectomy, membrane peel, 23-gauge, right eye. | PREOPERATIVE DIAGNOSES: , Epiretinal membrane, right eye. CME, right eye.,POSTOPERATIVE DIAGNOSES: , Epiretinal membrane, right eye. CME, right eye.,PROCEDURES: , Pars plana vitrectomy, membrane peel, 23-gauge, right eye.,PREOPERATIVE FINDINGS:, The patient had epiretinal membrane causing cystoid macular edema. Options... | [
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] | 189 |
13 | Unilateral transpedicular T11 vertebroplasty. | PREOPERATIVE DIAGNOSIS:, T11 compression fracture with intractable pain.,POSTOPERATIVE DIAGNOSIS:, T11 compression fracture with intractable pain.,OPERATION PERFORMED:, Unilateral transpedicular T11 vertebroplasty.,ANESTHESIA:, Local with IV sedation.,COMPLICATIONS:, None.,SUMMARY: , The patient in the operating room i... | [
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] | 190 |
14 | Insertion of a VVIR permanent pacemaker. This is an 87-year-old Caucasian female with critical aortic stenosis with an aortic valve area of 0.5 cm square and recurrent congestive heart failure symptoms mostly refractory to tachybrady arrhythmias | PROCEDURE PERFORMED:, Insertion of a VVIR permanent pacemaker.,COMPLICATIONS:, None.,ESTIMATED BLOOD LOSS: , Minimal.,SITE:, Left subclavian vein access.,INDICATION: , This is an 87-year-old Caucasian female with critical aortic stenosis with an aortic valve area of 0.5 cm square and recurrent congestive heart failure ... | [
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"ventricle",
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15 | Vitrectomy. A limited conjunctival peritomy was created with Westcott scissors to expose the supranasal and, separately, the supratemporal and inferotemporal quadrants. | DESCRIPTION OF OPERATION:, The patient was brought to the operating room and appropriately identified. Local anesthesia was obtained with a 50/50 mixture of 2% lidocaine and 0.75% bupivacaine given as a peribulbar block. The patient was prepped and draped in the usual sterile fashion. A lid speculum was used to provide... | [
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] | 192 |
16 | Combined closed vitrectomy with membrane peeling, fluid-air exchange, and endolaser, right eye. | PREOPERATIVE DIAGNOSIS: , Vitreous hemorrhage and retinal detachment, right eye.,POSTOPERATIVE DIAGNOSIS:, Vitreous hemorrhage and retinal detachment, right eye.,NAME OF PROCEDURE: , Combined closed vitrectomy with membrane peeling, fluid-air exchange, and endolaser, right eye.,ANESTHESIA: , Local with standby.,PROCEDU... | [
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] | 193 |
17 | Placement of left ventriculostomy via twist drill. Massive intraventricular hemorrhage with hydrocephalus and increased intracranial pressure. | PROCEDURE: , Placement of left ventriculostomy via twist drill.,PREOPERATIVE DIAGNOSIS:, Massive intraventricular hemorrhage with hydrocephalus and increased intracranial pressure.,POSTOPERATIVE DIAGNOSIS: , Massive intraventricular hemorrhage with hydrocephalus and increased intracranial pressure.,INDICATIONS FOR PROC... | [
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"intraventricular",
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] | 194 |
18 | Chronic venous hypertension with painful varicosities, lower extremities, bilaterally. Greater saphenous vein stripping and stab phlebectomies requiring 10 to 20 incisions, bilaterally. | PREOPERATIVE DIAGNOSIS: , Chronic venous hypertension with painful varicosities, lower extremities, bilaterally.,POSTOPERATIVE DIAGNOSIS: , Chronic venous hypertension with painful varicosities, lower extremities, bilaterally.,PROCEDURES,1. Greater saphenous vein stripping and stab phlebectomies requiring 10 to 20 inci... | [
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] | 195 |
19 | Fertile male with completed family. Elective male sterilization via bilateral vasectomy. | PROCEDURE: , Elective male sterilization via bilateral vasectomy.,PREOPERATIVE DIAGNOSIS: ,Fertile male with completed family.,POSTOPERATIVE DIAGNOSIS:, Fertile male with completed family.,MEDICATIONS: ,Anesthesia is local with conscious sedation.,COMPLICATIONS: , None.,BLOOD LOSS: , Minimal.,INDICATIONS: ,This 34-year... | [
"bilateral vasectomy",
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"fertile male",
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] | 196 |
20 | Desire for sterility. Vasectomy. The vas was identified, skin was incised, and no scalpel instruments were used to dissect out the vas. | PREOPERATIVE DIAGNOSIS:, Desire for sterility.,POSTOPERATIVE DIAGNOSIS:, Desire for sterility.,OPERATIVE PROCEDURES: , Vasectomy.,DESCRIPTION OF PROCEDURE: , The patient was brought to the suite, where after oral sedation, the scrotum was prepped and draped. Then, 1% lidocaine was used for anesthesia. The vas was ident... | [
"contralateral",
"desire for sterility",
"scalpel",
"sterility",
"surgery",
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] | 197 |
21 | Endoscopic third ventriculostomy. | PREOPERATIVE DIAGNOSIS: , Aqueductal stenosis.,POSTOPERATIVE DIAGNOSIS:, Aqueductal stenosis.,TITLE OF PROCEDURE: ,Endoscopic third ventriculostomy.,ANESTHESIA: , General endotracheal tube anesthesia.,DEVICES:, Bactiseal ventricular catheter with an Aesculap burr hole port.,SKIN PREPARATION: ,ChloraPrep.,COMPLICATIONS:... | [
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"burr hole port",
"endoscopic third ventriculostomy",
"endotracheal tube anesthesia",
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] | 198 |
22 | Burr hole and insertion of external ventricular drain catheter. | PREOPERATIVE DIAGNOSES:, Increased intracranial pressure and cerebral edema due to severe brain injury.,POSTOPERATIVE DIAGNOSES: , Increased intracranial pressure and cerebral edema due to severe brain injury.,PROCEDURE:, Burr hole and insertion of external ventricular drain catheter.,ANESTHESIA: , Just bedside sedatio... | [
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] | 199 |
23 | Vitreous hemorrhage, right eye. Vitrectomy, right eye. A Lancaster lid speculum was applied and the conjunctiva was opened 4 mm posterior to the limbus. | PREOPERATIVE DIAGNOSIS:, Vitreous hemorrhage, right eye.,POSTOPERATIVE DIAGNOSIS: , Vitreous hemorrhage, right eye.,PROCEDURE: ,Vitrectomy, right eye.,PROCEDURE IN DETAIL: ,The patient was prepared and draped in the usual manner for a vitrectomy procedure under local anesthesia. Initially, a 5 cc retrobulbar injection ... | [
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] | 200 |
24 | Normal vasectomy | DIAGNOSIS:, Desires vasectomy.,NAME OF OPERATION: , Vasectomy.,ANESTHESIA:, General.,HISTORY: , Patient, 37, desires a vasectomy.,PROCEDURE: , Through a midline scrotal incision, the right vas was identified and separated from the surrounding tissues, clamped, transected, and tied off with a 4-0 chromic. No bleeding wa... | [
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] | 201 |
25 | Normal vasectomy | DESCRIPTION:, The patient was placed in the supine position and was prepped and draped in the usual manner. The left vas was grasped in between the fingers. The skin and vas were anesthetized with local anesthesia. The vas was grasped with an Allis clamp. Skin was incised and the vas deferens was regrasped with another... | [
": 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 ... | 202 |
26 | Voluntary sterility. Bilateral vasectomy. The vas deferens was grasped with a vas clamp. Next, the vas deferens was skeletonized. It was clipped proximally and distally twice. | PREOPERATIVE DIAGNOSIS: , Voluntary sterility.,POSTOPERATIVE DIAGNOSIS: , Voluntary sterility.,OPERATIVE PROCEDURE:, Bilateral vasectomy.,ANESTHESIA:, Local.,INDICATIONS FOR PROCEDURE: ,A gentleman who is here today requesting voluntary sterility. Options were discussed for voluntary sterility and he has elected to pro... | [
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] | 203 |
27 | Laparoscopic-assisted vaginal hysterectomy. Abnormal uterine bleeding. Uterine fibroids. | PREOPERATIVE DIAGNOSES,1. Abnormal uterine bleeding.,2. Uterine fibroids.,POSTOPERATIVE DIAGNOSES,1. Abnormal uterine bleeding.,2. Uterine fibroids.,OPERATION PERFORMED: , Laparoscopic-assisted vaginal hysterectomy.,ANESTHESIA: , General endotracheal anesthesia.,DESCRIPTION OF PROCEDURE: ,After adequate general endotra... | [
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"... | 204 |
28 | Vacuum-assisted vaginal delivery of a third-degree midline laceration and right vaginal side wall laceration and repair of the third-degree midline laceration lasting for 25 minutes. | PREOPERATIVE DIAGNOSES,1. A 40 weeks 6 days intrauterine pregnancy.,2. History of positive serology for HSV with no evidence of active lesions.,3. Non-reassuring fetal heart tones.,POST OPERATIVE DIAGNOSES,1. A 40 weeks 6 days intrauterine pregnancy.,2. History of positive serology for HSV with no evidence of active le... | [
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] | 206 |
29 | Umbilical hernia repair template. The umbilical hernia carefully reduced back into the cavity, and the fascia was closed with interrupted vertical mattress sutures to approximate the fascia. | PREOPERATIVE DIAGNOSIS: , Umbilical hernia.,POSTOPERATIVE DIAGNOSIS: , Umbilical hernia.,PROCEDURE PERFORMED: , Repair of umbilical hernia.,ANESTHESIA: , General.,COMPLICATIONS: , None.,ESTIMATED BLOOD LOSS: , Minimal.,PROCEDURE IN DETAIL: ,The patient was prepped and draped in the sterile fashion. An infraumbilical in... | [
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] | 207 |
30 | Upper endoscopy with removal of food impaction. | PROCEDURE:, Upper endoscopy with removal of food impaction.,HISTORY OF PRESENT ILLNESS: , A 92-year-old lady with history of dysphagia on and off for two years. She comes in this morning with complaints of inability to swallow anything including her saliva. This started almost a day earlier. She was eating lunch and ha... | [
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] | 208 |
31 | Exam under anesthesia with uterine suction curettage. A 10-1/2 week pregnancy, spontaneous, incomplete abortion. | PREOPERATIVE DIAGNOSIS: , A 10-1/2 week pregnancy, spontaneous, incomplete abortion.,POSTOPERATIVE DIAGNOSIS:, A 10-1/2 week pregnancy, spontaneous, incomplete abortion.,PROCEDURE: , Exam under anesthesia with uterine suction curettage.,ANESTHESIA: , Spinal.,ESTIMATED BLOOD LOSS: , Less than 10 cc.,COMPLICATIONS:, None... | [
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] | 209 |
32 | Urgent cardiac catheterization with coronary angiogram. | PROCEDURE: , Urgent cardiac catheterization with coronary angiogram.,PROCEDURE IN DETAIL: , The patient was brought urgently to the cardiac cath lab from the emergency room with the patient being intubated with an abnormal EKG and a cardiac arrest. The right groin was prepped and draped in usual manner. Under 2% lidoca... | [
"angiogram",
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] | 210 |
33 | Uvulopalatopharyngoplasty and tonsillectomy. The patient with a history of obstructive sleep apnea who has been using CPAP, however, he was not tolerating used of the machine and requested a surgical procedure for correction of his apnea. | PREOPERATIVE DIAGNOSIS:, Obstructive sleep apnea.,POSTOPERATIVE DIAGNOSIS: ,Obstructive sleep apnea.,PROCEDURE PERFORMED:,1. Tonsillectomy.,2. Uvulopalatopharyngoplasty.,ANESTHESIA:, General endotracheal tube.,BLOOD LOSS: , Approximately 50 cc.,INDICATIONS: , The patient is a 41-year-old gentleman with a history of obs... | [
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] | 211 |
34 | Umbilical hernia repair. A standard curvilinear umbilical incision was made, and dissection was carried down to the hernia sac using a combination of Metzenbaum scissors and Bovie electrocautery. | PROCEDURE PERFORMED: , Umbilical hernia repair.,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% lidocaine without epinephrine. The patient was pre... | [
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] | 212 |
35 | A 21-year-old female was having severe cramping and was noted to have a blighted ovum with her first ultrasound in the office. | PREOPERATIVE DIAGNOSIS: , Blighted ovum, severe cramping.,POSTOPERATIVE DIAGNOSIS:, Blighted ovum, severe cramping.,OPERATION PERFORMED: , Vacuum D&C.,DRAINS: , None.,ANESTHESIA: , General.,HISTORY: , This 21-year-old white female gravida 1, para 0 who was having severe cramping and was noted to have a blighted ovum wi... | [
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] | 213 |
36 | Subcutaneous ulnar nerve transposition. A curvilinear incision was made over the medial elbow, starting proximally at the medial intermuscular septum, curving posterior to the medial epicondyle, then curving anteriorly along the path of the ulnar nerve. Dissection was carried down to the ulnar nerve. | PROCEDURE:, Subcutaneous ulnar nerve transposition.,PROCEDURE IN DETAIL: , After administering appropriate antibiotics and MAC anesthesia, the upper extremity was prepped and draped in the usual standard fashion. The arm was exsanguinated with Esmarch, and the tourniquet inflated to 250 mmHg.,A curvilinear incision was... | [
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] | 214 |
37 | Upper endoscopy with foreign body removal (Penny in proximal esophagus). | PROCEDURE:, Upper endoscopy with foreign body removal.,PREOPERATIVE DIAGNOSIS (ES):, Esophageal foreign body.,POSTOPERATIVE DIAGNOSIS (ES):, Penny in proximal esophagus.,ESTIMATED BLOOD LOSS:, None.,COMPLICATIONS:, None.,DESCRIPTION OF PROCEDURE: ,After informed consent was obtained, the patient was taken to the pediat... | [
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] | 215 |
38 | Bilateral tympanostomy with myringotomy tube placement. The patient is a 1-year-old male with a history of chronic otitis media with effusion and conductive hearing loss refractory to outpatient medical therapy. | PREOPERATIVE DIAGNOSES:,1. Chronic otitis media with effusion.,2. Conductive hearing loss.,POSTOPERATIVE DIAGNOSES:,1. Chronic otitis media with effusion.,2. Conductive hearing loss.,PROCEDURE PERFORMED: , Bilateral tympanostomy with myringotomy tube placement _______ split tube 1.0 mm.,ANESTHESIA: ,Total IV general ma... | [
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... | 216 |
39 | Adenotonsillar hypertrophy and chronic otitis media. Tympanostomy and tube placement and adenoidectomy. | PREOPERATIVE DIAGNOSIS: , Adenotonsillar hypertrophy and chronic otitis media.,POSTOPERATIVE DIAGNOSIS:, Adenotonsillar hypertrophy and chronic otitis media.,PROCEDURE PERFORMED:,1. Tympanostomy and tube placement.,2. Adenoidectomy.,ANESTHESIA: ,General endotracheal.,DESCRIPTION OF PROCEDURE: ,The patient was taken to ... | [
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"tympanostomy"
] | 217 |
40 | Transurethral resection of the bladder tumor (TURBT), large. | PREOPERATIVE DIAGNOSIS: ,Bladder cancer.,POSTOPERATIVE DIAGNOSIS: , Bladder cancer.,OPERATION: ,Transurethral resection of the bladder tumor (TURBT), large.,ANESTHESIA:, General endotracheal.,ESTIMATED BLOOD LOSS: , Minimal.,FLUIDS: , Crystalloid.,BRIEF HISTORY: , The patient is an 82-year-old male who presented to the... | [
"bladder",
"bladder cancer",
"bladder tumor",
"insufficiency",
"surgery",
"transurethral resection",
"transurethral resection of the bladder tumor",
"tumor",
"turbt"
] | 218 |
41 | Decompression of the ulnar nerve, left elbow. Left cubital tunnel syndrome and ulnar nerve entrapment. | PREOPERATIVE DIAGNOSES: , Left cubital tunnel syndrome and ulnar nerve entrapment.,POSTOPERATIVE DIAGNOSES: , Left cubital tunnel syndrome and ulnar nerve entrapment.,PROCEDURE PERFORMED: , Decompression of the ulnar nerve, left elbow.,ANESTHESIA: , General.,FINDINGS OF THE OPERATION:, The ulnar nerve appeared to be si... | [
"cubital",
"cubital tunnel syndrome",
"decompression",
"fascia",
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"surgery",
"tunnel",
"ulnar",
"ulnar nerve",
"ulnar nerve decompression",
"ulnar nerve entrapment"
] | 219 |
42 | Transurethral electrosurgical resection of the prostate for benign prostatic hyperplasia. | PREOPERATIVE DIAGNOSIS:, Benign prostatic hyperplasia.,POSTOPERATIVE DIAGNOSIS:, Benign prostatic hyperplasia.,OPERATION PERFORMED: , Transurethral electrosurgical resection of the prostate.,ANESTHESIA: , General.,COMPLICATIONS:, None.,INDICATIONS FOR THE SURGERY:, This is a 77-year-old man with severe benign prostatic... | [
"anesthesia",
"benign prostatic hyperplasia",
"bladder",
"bladder diverticula",
"cystoscopy",
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"prostate",
"prostatic",
"resection",
"resection of the prostate",
"resectoscopic",
"surgery",
"transurethral",
"transurethra... | 220 |
43 | Tube Shunt - Ahmed valve model S2 implant with pericardial reinforcement - Sample/Template. | PREOPERATIVE DIAGNOSIS: ,Open angle glaucoma OX,POSTOPERATIVE DIAGNOSIS:, Open angle glaucoma OX,PROCEDURE:, Ahmed valve model S2 implant with pericardial reinforcement XXX eye,INDICATIONS: ,This is a XX-year-old (wo)man with glaucoma in the OX eye, uncontrolled by maximum tolerated medical therapy.,PROCEDURE: ,The ris... | [
"ahmed",
"ahmed valve",
"ahmed valve model",
"anterior chamber",
"bleeding",
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"cornea",
"corneal edema",
"corneal hemorrhage",
"diplopia",
"elevated pressure",
"eye",
"glaucoma",
"healon",
"hypotony",
"implant",
"infection",
"limbus",
"loss of the... | 221 |
44 | Laparoscopic tubal sterilization, tubal coagulation. | PROCEDURE: ,Laparoscopic tubal sterilization, tubal coagulation.,PREOPERATIVE DIAGNOSIS: , Request tubal coagulation.,POSTOPERATIVE DIAGNOSIS: , Request tubal coagulation.,PROCEDURE: ,Under general anesthesia, the patient was prepped and draped in the usual manner. Manipulating probe placed on the cervix, changed glove... | [
"cervical stab incision",
"cervix",
"endometriosis",
"laparoscopic",
"laparoscopic tubal sterilization",
"sterilization",
"surgery",
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"tubal sterilization"
] | 222 |
45 | Right ulnar nerve transposition, right carpal tunnel release, and right excision of olecranon bursa. Right cubital tunnel syndrom, carpal tunnel syndrome, and olecranon bursitis. | PREOPERATIVE DIAGNOSIS: ,1. Right cubital tunnel syndrome.,2. Right carpal tunnel syndrome.,3. Right olecranon bursitis.,POSTOPERATIVE DIAGNOSIS:, ,1. Right cubital tunnel syndrome.,2. Right carpal tunnel syndrome.,3. Right olecranon bursitis.,PROCEDURES:, ,1. Right ulnar nerve transposition.,2. Right carpal tunnel rel... | [
"bursa",
"carpal",
"carpal tunnel release",
"carpal tunnel syndrome",
"cubital tunnel syndrome",
"excision",
"excision of olecranon bursa",
"ligament",
"nerve",
"olecranon",
"olecranon bursitis",
"subcutaneous",
"surgery",
"syndrome",
"tourniquet",
"transposition",
"tunnel",
"ulnar... | 223 |
46 | Left canal wall down tympanomastoidectomy with ossicular chain reconstruction, microdissection, NIM facial nerve monitoring for three hours. | PREOPERATIVE DIAGNOSIS: , Left canal cholesteatoma.,POSTOPERATIVE DIAGNOSIS: , Left canal cholesteatoma.,OPERATIVE PROCEDURE:,1. Left canal wall down tympanomastoidectomy with ossicular chain reconstruction.,2. Microdissection.,3. NIM facial nerve monitoring for three hours.,COMPLICATIONS: ,None.,FINDINGS:, There is an... | [
"canal",
"canal wall",
"cartilage",
"cerumen",
"cholesteatoma",
"ear",
"ear canal",
"facial nerve",
"facial nerve monitoring",
"gelfoam",
"glasscock dressing",
"incus",
"microdissection",
"myringosclerosis",
"nim",
"ossicular chain reconstruction",
"surgery",
"titanium-porp",
"ty... | 224 |
47 | Desires permanent sterilization. Laparoscopic tubal ligation, Falope ring method. Normal appearing uterus and adnexa bilaterally. | PREOPERATIVE DIAGNOSIS:, Desires permanent sterilization.,POSTOPERATIVE DIAGNOSIS: , Desires permanent sterilization.,PROCEDURE: , Laparoscopic tubal ligation, Falope ring method.,ANESTHESIA: , General.,ESTIMATED BLOOD LOSS: , 10 mL.,COMPLICATIONS: , None.,INDICATIONS FOR SURGERY: ,A 35-year-old female, P4-0-0-4, who d... | [
"adnexa",
"cavity",
"laparoscope",
"laparoscopic",
"needle",
"permanent sterilization",
"sterilization",
"surgery",
"tenaculum",
"tubal ligation",
"uterine manipulator",
"uterus",
"veress needle"
] | 225 |
48 | Cystoscopy, transurethral resection of medium bladder tumor (4.0 cm in diameter), and direct bladder biopsy. | PREOPERATIVE DIAGNOSIS: ,Clinical stage Ta Nx Mx transitional cell carcinoma of the urinary bladder.,POSTOPERATIVE DIAGNOSIS: , Clinical stage Ta Nx Mx transitional cell carcinoma of the urinary bladder.,TITLE OF OPERATION: , Cystoscopy, transurethral resection of medium bladder tumor (4.0 cm in diameter), and direct b... | [
"acmi panendoscope",
"biopsy",
"bladder",
"bladder neck",
"bladder tumor",
"cold cup biopsy",
"cold cup biopsy forceps",
"cystoscopy",
"foley catheter",
"laryngeal mask",
"surgery",
"ta nx mx",
"transitional cell carcinoma",
"transurethral resection",
"tumor",
"urinary bladder"
] | 226 |
49 | True cut needle biopsy of the breast. This 65-year-old female on exam was noted to have dimpling and puckering of the skin associated with nipple discharge. On exam, she has a noticeable carcinoma of the left breast with dimpling, puckering, and erosion through the skin. | PREOPERATIVE DIAGNOSIS:, Carcinoma of the left breast.,POSTOPERATIVE DIAGNOSIS:, Carcinoma of the left breast.,PROCEDURE PERFORMED: , True cut needle biopsy of the breast.,GROSS FINDINGS: ,This 65-year-old female on exam was noted to have dimpling and puckering of the skin associated with nipple discharge. On exam, she... | [
"breast",
"carcinoma",
"dimpling",
"discharge",
"nipple",
"puckering",
"surgery",
"true cut needle biopsy"
] | 227 |
50 | Nerve root decompression at L45 on the left side. Tun-L catheter placement with injection of steroid solution and Marcaine at L45 nerve roots left. Interpretation of radiograph. | PREOPERATIVE DIAGNOSIS:, Low Back Syndrome - Low back pain with left greater than right lower extremity radiculopathy.,POSTOPERATIVE DIAGNOSIS:, Same.,PROCEDURE:,1. Nerve root decompression at L45 on the left side.,2. Tun-L catheter placement with injection of steroid solution and Marcaine at L45 nerve roots left.,3. I... | [
"adhesions",
"c-arm",
"catheter",
"epimed",
"filling defect",
"injection",
"low back pain",
"low back syndrome",
"needle",
"negative aspiration",
"nerve",
"nerve root",
"nerve root decompression",
"omnipaque dye",
"root",
"steroid solution",
"surgery",
"tun l catheter"
] | 228 |
51 | Postpartum tubal ligation and removal of upper abdominal skin wall mass. | PREOPERATIVE DIAGNOSES:, Multiparity requested sterilization and upper abdominal wall skin mass., ,POSTOPERATIVE DIAGNOSES: ,Multiparity requested sterilization and upper abdominal wall skin mass.,OPERATION PERFORMED: , Postpartum tubal ligation and removal of upper abdominal skin wall mass.,ESTIMATED BLOOD LOSS:, Less... | [
"fallopian tube",
"postpartum",
"sterilization",
"surgery",
"tubal ligation"
] | 229 |
52 | Laparoscopic tubal fulguration. | A 1 cm infraumbilical skin incision was made. Through this a Veress needle was inserted into the abdominal cavity. The abdomen was filled with approximately 2 liters of CO2 gas. The Veress needle was withdrawn. A trocar sleeve was placed through the incision into the abdominal cavity. The trocar was withdrawn and repla... | [
": 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 ... | 230 |
53 | Laparoscopic bilateral tubal ligation with Falope rings. | DIAGNOSIS: , Multiparous female, desires permanent sterilization.,NAME OF OPERATION: , Laparoscopic bilateral tubal ligation with Falope rings.,ANESTHESIA: , General, ET tube.,COMPLICATIONS:, None.,FINDINGS: ,Normal female anatomy except for mild clitoromegaly and a posterior uterine fibroid.,PROCEDURE: , The patient w... | [
"anesthesia",
"bilateral tubal ligation",
"falope",
"falope ring applicator",
"falope rings",
"laparoscopic bilateral tubal ligation",
"laparoscopic bilateral tubal ligation with falope rings",
"ligation",
"sterilization",
"surgery",
"tubal",
"tubal ligation",
"veress needle"
] | 231 |
54 | Insertion of a triple-lumen central line through the right subclavian vein by the percutaneous technique. This lady has a bowel obstruction. She was being fed through a central line, which as per the patient was just put yesterday and this slipped out. | PREOPERATIVE DIAGNOSES,1. Bowel obstruction.,2. Central line fell off.,POSTOPERATIVE DIAGNOSES,1. Bowel obstruction.,2. Central line fell off.,PROCEDURE: , Insertion of a triple-lumen central line through the right subclavian vein by the percutaneous technique.,PROCEDURE DETAIL: , This lady has a bowel obstruction. She... | [
"bowel",
"bowel obstruction",
"central line",
"lumen",
"obstruction",
"percutaneous",
"subclavian vein",
"surgery",
"triple lumen central line"
] | 232 |
55 | Foraminal disc herniation of left L3-L4. Enlarged dorsal root ganglia of the left L3 nerve root. Transpedicular decompression of the left L3-L4 with discectomy. | PREOPERATIVE DIAGNOSIS: , Foraminal disc herniation of left L3-L4.,POSTOPERATIVE DIAGNOSES:,1. Foraminal disc herniation of left L3-L4.,2. Enlarged dorsal root ganglia of the left L3 nerve root.,PROCEDURE PERFORMED:, Transpedicular decompression of the left L3-L4 with discectomy.,ANESTHESIA:, General.,COMPLICATIONS: , ... | [
"anesthesia",
"disc herniation",
"discectomy",
"dorsal root ganglia",
"foraminal",
"foraminal disc herniation",
"lateral aspects",
"nerve",
"nerve root",
"surgery",
"transpedicular decompression"
] | 234 |
56 | Insertion of a right brachial artery arterial catheter and a right subclavian vein triple lumen catheter. Hyperpyrexia/leukocytosis, ventilator-dependent respiratory failure, and acute pancreatitis. | PREOPERATIVE DIAGNOSES:,1. Hyperpyrexia/leukocytosis.,2. Ventilator-dependent respiratory failure.,3. Acute pancreatitis.,POSTOPERATIVE DIAGNOSES:,1. Hyperpyrexia/leukocytosis.,2. Ventilator-dependent respiratory failure.,3. Acute pancreatitis.,PROCEDURE PERFORMED:,1. Insertion of a right brachial artery arterial cathe... | [
"arterial catheter",
"brachial",
"brachial artery",
"catheter",
"hyperpyrexia",
"leukocytosis",
"needle",
"pancreatitis",
"respiratory failure",
"subclavian vein",
"surgery",
"triple lumen catheter",
"ventilator-dependen"
] | 235 |
57 | Need for intravenous access. Insertion of a right femoral triple lumen catheter. he patient is also ventilator-dependent, respiratory failure with tracheostomy in place and dependent on parenteral nutrition secondary to dysphagia and also has history of protein-calorie malnutrition and the patient needs to receive tota... | PREOPERATIVE DIAGNOSIS: , Need for intravenous access.,POSTOPERATIVE DIAGNOSIS: , Need for intravenous access.,PROCEDURE PERFORMED: ,Insertion of a right femoral triple lumen catheter.,ANESTHESIA: , Includes 4 cc of 1% lidocaine locally.,ESTIMATED BLOOD LOSS: , Minimum.,INDICATIONS:, The patient is an 86-year-old Cauca... | [
"catheter",
"femoral triple lumen catheter",
"guidewire",
"intravenous access",
"lumen",
"respiratory",
"surgery",
"triple lumen catheter",
"ventilator"
] | 236 |
58 | Trigger finger release. A longitudinal incision was made over the digit's A1 pulley. Dissection was carried down to the flexor sheath with care taken to identify and protect the neurovascular bundles. The sheath was opened under direct vision with a scalpel, and then a scissor was used to release it under direct vision... | PROCEDURE: , Trigger finger release.,PROCEDURE IN DETAIL: , After administering appropriate antibiotics and MAC anesthesia, the upper extremity was prepped and draped in the usual standard fashion. The arm was exsanguinated with Esmarch, and the tourniquet inflated to 250 mmHg.,A longitudinal incision was made over the... | [
"a1 pulley",
"digital crease",
"finger",
"incision",
"neurovascular bundles",
"proximal digital",
"sheath",
"surgery",
"trigger",
"trigger finger",
"trigger finger release"
] | 237 |
59 | Trigger thumb release. A transverse incision was made over the MPJ crease of the thumb. Dissection was carried down to the flexor sheath with care taken to identify and protect the neurovascular bundles. | PROCEDURE: ,Trigger thumb release.,PROCEDURE IN DETAIL: , After administering appropriate antibiotics and MAC anesthesia, the upper extremity was prepped and draped in the usual sterile fashion. The arm was exsanguinated with Esmarch, and the tourniquet inflated to 250 mmHg.,A transverse incision was made over the MPJ ... | [
"a1 pulley",
"flexor sheath",
"incision",
"mpj crease",
"neurovascular",
"proximal",
"sheath",
"surgery",
"trigger thumb",
"trigger thumb release",
"triggering"
] | 238 |
60 | Insertion of transesophageal echocardiography probe and unsuccessful insertion of arterial venous lines. | INDICATIONS FOR PROCEDURE:, Impending open heart surgery for closure of ventricular septal defect in a 4-month-old girl.,Procedures were done under general anesthesia. The patient was already in the operating room under general anesthesia. Antibiotic prophylaxis with cefazolin and gentamicin was already given prior to ... | [
"antibiotic prophylaxis",
"arterial",
"arterial venous lines",
"cefazolin",
"echocardiography",
"echocardiography probe",
"groin",
"groins",
"impending open heart surgery",
"insertion",
"probe",
"surgery",
"transesophageal",
"transesophageal echocardiography",
"transesophageal echocardio... | 239 |
61 | Transurethral resection of a medium bladder tumor (TURBT), left lateral wall. | PREOPERATIVE DIAGNOSIS: , Bladder tumor.,POSTOPERATIVE DIAGNOSIS: , Bladder tumor.,PROCEDURE PERFORMED: , Transurethral resection of a medium bladder tumor (TURBT), left lateral wall.,ANESTHESIA: , Spinal.,SPECIMEN TO PATHOLOGY: , Bladder tumor and specimen from base of bladder tumor.,DRAINS: , A 22-French 3-way Foley ... | [
"bladder",
"bladder tumor",
"cystoscopic",
"foley catheter",
"hematuria",
"hemostasis",
"lithotomy",
"resection",
"resectoscope",
"surgery",
"transurethral",
"tumor",
"turbt"
] | 240 |
62 | Tracheotomy for patient with respiratory failure. | PREOPERATIVE DIAGNOSIS: , Respiratory failure.,POSTOPERATIVE DIAGNOSIS: ,Respiratory failure.,OPERATIVE PROCEDURE: , Tracheotomy.,ANESTHESIA: ,General inhalational.,DESCRIPTION OF PROCEDURE: , The patient was taken to the operating room, placed supine on the operating table. General inhalational anesthesia was administ... | [
"bivona tube",
"cricoid cartilage",
"duoderm",
"respiratory failure",
"surgery",
"tracheal",
"tracheotomy",
"tracheotomy tube"
] | 241 |
63 | Trabeculectomy with mitomycin C - Sample/Template. | PREOPERATIVE DIAGNOSIS:, Open angle glaucoma OX,POSTOPERATIVE DIAGNOSIS:, Open angle glaucoma OX,PROCEDURE:, Trabeculectomy with mitomycin C, XXX eye 0.3 c per mg times three minutes.,INDICATIONS: ,This is a XX-year-old (wo)man with glaucoma in the OX eye, uncontrolled by maximum tolerated medical therapy.,PROCEDURE: ,... | [
"angle",
"anterior chamber",
"balanced salt solution",
"bleeding",
"chamber",
"conjunctival",
"corneal edema",
"corneal hemorrhage hypotony",
"diplopia",
"elevated pressure",
"eye",
"flap",
"glaucoma",
"infection",
"iridectomy",
"kelly-descemet punch",
"loss of the eye",
"loss of v... | 242 |
64 | Tracheostomy and thyroid isthmusectomy. Ventilator-dependent respiratory failure and multiple strokes. | PREOPERATIVE DIAGNOSES:,1. Ventilator-dependent respiratory failure.,2. Multiple strokes.,POSTOPERATIVE DIAGNOSES:,1. Ventilator-dependent respiratory failure.,2. Multiple strokes.,PROCEDURES PERFORMED:,1. Tracheostomy.,2. Thyroid isthmusectomy.,ANESTHESIA: , General endotracheal tube.,BLOOD LOSS: , Minimal, less than ... | [
"bovie cautery",
"cartilage",
"cricoid cartilage",
"endotracheal tube",
"isthmusectomy",
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"thyroid",
"thyroid gland",
"thyroid isthmusectomy",
"tracheal",
"tracheostomy",
"ventilator",
"ventilator depend... | 243 |
65 | Tracheostomy change. A #6 Shiley with proximal extension was changed to a #6 Shiley with proximal extension. Ventilator-dependent respiratory failure and laryngeal edema. | PREOPERATIVE DIAGNOSES:,1. Ventilator-dependent respiratory failure.,2. Laryngeal edema.,POSTOPERATIVE DIAGNOSES:,1. Ventilator-dependent respiratory failure.,2. Laryngeal edema.,PROCEDURE PERFORMED: , Tracheostomy change. A #6 Shiley with proximal extension was changed to a #6 Shiley with proximal extension.,INDICATIO... | [
"cannula",
"edema",
"laryngeal",
"laryngeal edema",
"nasogastric",
"proximal extension",
"respiratory",
"respiratory failure",
"shiley",
"surgery",
"tracheostomy",
"ventilator",
"ventilator-dependent"
] | 244 |
66 | Neck exploration; tracheostomy; urgent flexible bronchoscopy via tracheostomy site; removal of foreign body, tracheal metallic stent material; dilation distal trachea; placement of #8 Shiley single cannula tracheostomy tube. | PREOPERATIVE DIAGNOSES,Airway obstruction secondary to severe subglottic tracheal stenosis with foreign body in the trachea.,POSTOPERATIVE DIAGNOSES,Airway obstruction secondary to severe subglottic tracheal stenosis with foreign body in the trachea.,OPERATION PERFORMED,Neck exploration; tracheostomy; urgent flexible b... | [
"airway",
"alteration of voice",
"bronchi",
"bronchoscopy",
"cannula",
"cartilage",
"cricoid",
"flexible",
"foreign body",
"laryngology",
"mainstem",
"obstruction",
"perichondrium",
"shiley",
"shiley single cannula",
"shiley single cannula tracheostomy",
"single cannula tracheostomy"... | 245 |
67 | Total thyroidectomy with removal of substernal extension on the left. Thyroid goiter with substernal extension on the left. | PREOPERATIVE DIAGNOSIS: ,Thyroid goiter with substernal extension on the left.,POSTOPERATIVE DIAGNOSIS:, Thyroid goiter with substernal extension on the left.,PROCEDURE PERFORMED:, Total thyroidectomy with removal of substernal extension on the left.,THIRD ANESTHESIA: , General endotracheal.,ESTIMATED BLOOD LOSS: , App... | [
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"berry's",
"berry's ligament",
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"ligament",
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"surgery",
"thyroid",
"thyroid goiter",
"thyroidectomy",
"total thyroidectomy"
] | 246 |
68 | Left thyroid mass. Left total thyroid lumpectomy. The patient with a history of a left thyroid mass nodule that was confirmed with CT scan along with thyroid uptake scan, which demonstrated a hot nodule on the left anterior pole. | PREOPERATIVE DIAGNOSIS:, Left thyroid mass.,POSTOPERATIVE DIAGNOSIS:, Left thyroid mass.,PROCEDURE PERFORMED:, Left total thyroid lumpectomy.,ANESTHESIA,: General endotracheal.,ESTIMATED BLOOD LOSS: , Less than 50 cc.,COMPLICATIONS:, None.,INDICATIONS FOR PROCEDURE:, The patient is a 76-year-old Caucasian female with a... | [
"berry's ligament",
"gland",
"metzenbaum scissors",
"parathyroid glands",
"surgery",
"thyroid",
"thyroid gland",
"thyroid lumpectomy",
"thyroid mass",
"thyroid mass nodule",
"thyroid uptake scan",
"total",
"total thyroid lumpectomy"
] | 247 |
69 | Total knee replacement. A midline incision was made, centered over the patella. Dissection was sharply carried down through the subcutaneous tissues. A median parapatellar arthrotomy was performed. | PROCEDURES: , Total knee replacement.,PROCEDURE DESCRIPTION:, The patient was bought to the operating room and placed in the supine position. After induction of anesthesia, a tourniquet was placed on the upper thigh. Sterile prepping and draping proceeded. The tourniquet was inflated to 300 mmHg. A midline incision was... | [
"component",
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"femoral",
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"knee",
"parapatellar arthrotomy",
"patella",
"proximal medial tibia",
"subcutaneous tissues",
"surgery",
"tibial plateau",
"total knee replacement"
] | 248 |
70 | Short flap trabeculectomy with lysis of conjunctival scarring, tenonectomy, peripheral iridectomy, paracentesis, watertight conjunctival closure, and 0.5 mg/mL mitomycin x2 minutes, left eye. Uncontrolled open angle glaucoma and conjunctival scarring, left eye. | PREOPERATIVE DIAGNOSES,1. Uncontrolled open angle glaucoma, left eye.,2. Conjunctival scarring, left eye.,POSTOPERATIVE DIAGNOSES,1. Uncontrolled open angle glaucoma, left eye.,2. Conjunctival scarring, left eye.,PROCEDURES: , Short flap trabeculectomy with lysis of conjunctival scarring, tenonectomy, peripheral iridec... | [
"conjunctival",
"conjunctival scarring",
"cornea",
"eye",
"glaucoma",
"iridectomy",
"open angle",
"paracentesis",
"scarring",
"scleral",
"surgery",
"tenonectomy",
"trabeculectomy",
"uncontrolled open angle glaucoma",
"watertight conjunctival closure"
] | 249 |
71 | Tracheostomy with skin flaps and SCOOP procedure FastTract. Oxygen dependency of approximately 5 liters nasal cannula at home and chronic obstructive pulmonary disease. | PREOPERATIVE DIAGNOSES:,1. Oxygen dependency.,2. Chronic obstructive pulmonary disease.,POSTOPERATIVE DIAGNOSES:,1. Oxygen dependency.,2. Chronic obstructive pulmonary disease.,PROCEDURES PERFORMED:,1. Tracheostomy with skin flaps.,2. SCOOP procedure FastTract.,ANESTHESIA: , Total IV anesthesia.,ESTIMATED BLOOD LOSS: ,... | [
"cartilages",
"chronic obstructive pulmonary disease",
"cricoid cartilage",
"dependency",
"isthmus",
"nasal cannula",
"oxygen",
"oxygen dependency",
"scoop",
"scoop procedure",
"scoop procedure fasttract",
"surgery",
"thyroid isthmus",
"tracheostomy"
] | 250 |
72 | Right total knee arthroplasty - Osteoarthritis, right knee. | PREOPERATIVE DIAGNOSIS (ES):, Osteoarthritis, right knee.,POSTOPERATIVE DIAGNOSIS (ES):, Osteoarthritis, right knee.,PROCEDURE:, Right total knee arthroplasty.,DESCRIPTION OF THE OPERATION:, The patient was brought to the Operating Room and after the successful placement of an epidural, as well as general anesthesia, a... | [
"arthroplasty",
"baseplate",
"femoral",
"knee",
"knee arthroplasty",
"osteoarthritis",
"patella",
"retinacular parapatellar",
"surgery",
"tibia",
"total knee",
"total knee arthroplasty"
] | 251 |
73 | Total left knee replacement. Degenerative arthritis of the left knee. Degenerative ware of three compartments of the trochlea, the medial, as well as the lateral femoral condyles as well was the plateau. | PREOPERATIVE DIAGNOSIS: ,Degenerative arthritis of the left knee.,POSTOPERATIVE DIAGNOSIS:, Degenerative arthritis of the left knee.,PROCEDURE PERFORMED: , Total left knee replacement on 08/19/03. The patient also underwent a bilateral right total knee replacement in the same sitting and that will be dictated by Dr. X.... | [
"arthritis",
"cementation",
"cruciate",
"cutting",
"degenerative arthritis",
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"femur",
"knee",
"knee replacement",
"nexgen",
"polyethylene",
"proximal tibia",
"surgery",
"tibial",
"total knee replacement"
] | 252 |
74 | NexGen left total knee replacement. Degenerative arthritis of left knee. The patient is a 72-year-old female with a history of bilateral knee pain for years progressively worse and decreasing quality of life and ADLs. | PREOPERATIVE DIAGNOSIS: , Degenerative arthritis of left knee.,POSTOPERATIVE DIAGNOSIS:, Degenerative arthritis of left knee.,PROCEDURE PERFORMED: , NexGen left total knee replacement.,ANESTHESIA: , Spinal.,TOURNIQUET TIME: Approximately 66 minutes.,COMPLICATIONS:, None.,ESTIMATED BLOOD LOSS: , Approximately 50 cc.,COM... | [
"all-poly patella",
"arthritis",
"bony fragments",
"degenerative arthritis",
"epicondyle axis",
"knee",
"nexgen",
"nexgen cruciate",
"nexgen stemmed tibial component",
"patella",
"patella button",
"patellar tendon",
"proximal tibia",
"surgery",
"tibial",
"total knee replacement"
] | 253 |
75 | Right total knee arthroplasty using a Biomet cemented components, 62.5-mm right cruciate-retaining femoral component, 71-mm Maxim tibial component, and 12-mm polyethylene insert with 31-mm patella. All components were cemented with Cobalt G. | PREOPERATIVE DIAGNOSIS:, Severe degenerative joint disease of the right knee.,POSTOPERATIVE DIAGNOSIS: , Severe degenerative joint disease of the right knee.,PROCEDURE:, Right total knee arthroplasty using a Biomet cemented components, 62.5-mm right cruciate-retaining femoral component, 71-mm Maxim tibial component, an... | [
"arthoplasty",
"biomet",
"cemented",
"cobalt g",
"cruciate",
"degenerative joint disease",
"femoral",
"knee",
"ligament",
"osteoarthritis",
"patella",
"polyethylene",
"surgery",
"tibial",
"total knee arthroplasty"
] | 254 |
76 | Infected right hip bipolar arthroplasty, status post excision and placement of antibiotic spacer. Removal of antibiotic spacer and revision total hip arthroplasty. | PREOPERATIVE DIAGNOSIS: , Infected right hip bipolar arthroplasty, status post excision and placement of antibiotic spacer.,POSTOPERATIVE DIAGNOSIS:, Infected right hip bipolar arthroplasty, status post excision and placement of antibiotic spacer.,PROCEDURES:,1. Removal of antibiotic spacer.,2. Revision total hip arthr... | [
"acetabulum",
"antibiotic",
"antibiotic spacer",
"arthroplasty",
"bipolar arthroplasty",
"femoral",
"femur",
"hip",
"infected",
"placement of antibiotic spacer",
"revision",
"scar tissue",
"soft tissue",
"spacer",
"surgery",
"total",
"total hip arthroplasty"
] | 255 |
77 | Right knee total arthroplasty. Degenerative osteoarthritis, right knee. | PREOPERATIVE DIAGNOSIS:, Degenerative osteoarthritis, right knee.,POSTOPERATIVE DIAGNOSIS: , Degenerative osteoarthritis, right knee.,PROCEDURE PERFORMED: ,Right knee total arthroplasty.,ANESTHESIA: , The procedure was done under a subarachnoid block anesthetic in the supine position with a tourniquet utilized.,TOTAL T... | [
"arthroplasty",
"degenerative",
"degenerative osteoarthritis",
"drill",
"knee",
"osteoarthritis",
"subcutaneous",
"surgery",
"tourniquet"
] | 256 |
78 | Total hip arthroplasty on the left. Left hip degenerative arthritis. Severe degenerative changes within the femoral head as well as the acetabulum, anterior as well as posterior osteophytes. | PREOPERATIVE DIAGNOSIS: , Left hip degenerative arthritis.,POSTOPERATIVE DIAGNOSIS: , Left hip degenerative arthritis.,PROCEDURE PERFORMED: ,Total hip arthroplasty on the left.,ANESTHESIA: ,General.,BLOOD LOSS: , 800 cc.,The patient was positioned with the left hip exposed on the beanbag.,IMPLANT SPECIFICATION: , A 54 ... | [
"acetabulum",
"arthroplasty",
"attachment",
"degenerative arthritis",
"femoral",
"femoral head",
"femoral neck",
"gluteus medius",
"head",
"hip",
"surgery",
"tensor fascia lata",
"total hip arthroplasty",
"vastus lateralis"
] | 257 |
79 | Total hip replacement. An incision was made, centered over the greater trochanter. Dissection was sharply carried down through the subcutaneous tissues. | PROCEDURE:, Total hip replacement.,PROCEDURE DESCRIPTION:, The patient was bought to the operating room and placed in the supine position. After induction of anesthesia, the patient was turned on the side and secured in the hip table. An incision was made, centered over the greater trochanter. Dissection was sharply ca... | [
"acetabulum",
"ethibond",
"femoral head",
"femur",
"gluteus maximus",
"hip",
"incision",
"range-of-motion",
"subcutaneous",
"subcutaneous tissues",
"surgery",
"total hip replacement",
"trochanter"
] | 258 |
80 | Right hip osteoarthritis. Total hip replacement on the right side. | PREOPERATIVE DIAGNOSIS: , Right hip osteoarthritis.,POSTOPERATIVE DIAGNOSIS: , Right hip osteoarthritis.,PROCEDURES PERFORMED: , Total hip replacement on the right side using the following components:,1. Zimmer trilogy acetabular system 10-degree elevated rim located at the 12 o'clock position.,2. Trabecular metal modu... | [
"acetabular",
"acetabulum",
"anesthesia",
"components",
"dislocation",
"epidural catheter",
"extremity",
"fascia",
"fascia lata",
"femoral",
"fossa",
"hemostasis",
"hemostasis was achieved",
"hemovac",
"hip",
"hip osteoarthritis",
"hip replacement",
"medium sized",
"medium sized ... | 259 |
81 | Total abdominal hysterectomy (TAH) with a uterosacral vault suspension. Enlarged fibroid uterus and abnormal uterine bleeding. | PREOPERATIVE DIAGNOSES:,1. Enlarged fibroid uterus.,2. Abnormal uterine bleeding.,POSTOPERATIVE DIAGNOSES:,1. Enlarged fibroid uterus.,2. Abnormal uterine bleeding.,PROCEDURE PERFORMED: , Total abdominal hysterectomy with a uterosacral vault suspension.,ANESTHESIA: , General with endotracheal tube as well as spinal wit... | [] | 260 |
82 | Aortic stenosis. Insertion of a Toronto stentless porcine valve, cardiopulmonary bypass, and cold cardioplegia arrest of the heart. | PREOPERATIVE DIAGNOSIS:, Aortic stenosis.,POSTOPERATIVE DIAGNOSIS: ,Aortic stenosis.,PROCEDURES PERFORMED,1. Insertion of a **-mm Toronto stentless porcine valve.,2. Cardiopulmonary bypass.,3. Cold cardioplegia arrest of the heart.,ANESTHESIA: , General endotracheal anesthesia.,ESTIMATED BLOOD LOSS: , 300 cc.,INTRAVENO... | [
"aorta",
"aortic",
"atrial",
"bypass",
"cardioplegia",
"cardiopulmonary",
"cardiopulmonary bypass",
"chest",
"coronary",
"coronary ostia",
"heart",
"insertion",
"porcine",
"porcine valve",
"prolene",
"retrograde cardioplegia",
"stentless",
"surgery",
"sutures",
"toronto",
"to... | 261 |
83 | Total abdominal hysterectomy.. Severe menometrorrhagia unresponsive to medical therapy, anemia, and symptomatic fibroid uterus. | PREOPERATIVE DIAGNOSES:,1. Severe menometrorrhagia unresponsive to medical therapy.,2. Anemia.,3. Symptomatic fibroid uterus.,POSTOPERATIVE DIAGNOSES:,1. Severe menometrorrhagia unresponsive to medical therapy.,2. Anemia.,3. Symptomatic fibroid uterus.,PROCEDURE: , Total abdominal hysterectomy.,ANESTHESIA: ,General.,ES... | [
"abdominal",
"anemia",
"fibroid",
"fibroid uterus",
"hemostasis",
"menometrorrhagia",
"rectus abdominis muscles",
"surgery",
"suture ligature",
"therapy",
"total abdominal hysterectomy",
"uterus"
] | 262 |
84 | Total abdominal hysterectomy. Enlarged fibroid uterus, pelvic pain, and pelvic endometriosis. On laparotomy, the uterus did have multiple pedunculated fibroids. | PREOPERATIVE DIAGNOSES:,1. Enlarged fibroid uterus.,2. Pelvic pain.,POSTOPERATIVE DIAGNOSES:,1. Enlarged fibroid uterus.,2. Pelvic pain.,3. Pelvic endometriosis.,PROCEDURE PERFORMED: ,Total abdominal hysterectomy.,ANESTHESIA: , General endotracheal and spinal with Astramorph.,COMPLICATIONS: , None.,ESTIMATED BLOOD LOSS... | [
"abdominal",
"astramorph",
"endometriosis",
"enlarged fibroid",
"fibroids",
"hysterectomy",
"infundibulopelvic",
"laparotomy",
"ligament",
"metzenbaum scissors",
"pedunculated",
"pelvic endometriosis",
"pelvic pain",
"peritoneum",
"scissors",
"surgery",
"total abdominal hysterectomy"... | 264 |
85 | Tonsillectomy and adenoidectomy. Chronic adenotonsillitis. The patient is a 9-year-old Caucasian male with history of recurrent episodes of adenotonsillitis that has been refractory to outpatient antibiotic therapy. | POSTOPERATIVE DIAGNOSIS:, Chronic adenotonsillitis.,PROCEDURE PERFORMED: , Tonsillectomy and adenoidectomy.,ANESTHESIA: ,General endotracheal tube.,ESTIMATED BLOOD LOSS:, Minimum, less than 5 cc.,SPECIMENS:, Right and left tonsils 2+, adenoid pad 1+. There was no adenoid specimen.,COMPLICATIONS: , None.,HISTORY: , The ... | [
"adenoid",
"adenoidectomy",
"adenotonsillitis",
"cautery",
"chronic adenotonsillitis",
"hemostasis",
"oropharynx",
"suction",
"suction cautery",
"surgery",
"tonsillar",
"tonsillar fossa",
"tonsillar fossae",
"tonsillectomy",
"tonsils"
] | 265 |
86 | Tonsillectomy and adenoidectomy and Left superficial nasal cauterization. Recurrent tonsillitis. Deeply cryptic hypertrophic tonsils with numerous tonsillolith. Residual adenoid hypertrophy and recurrent epistaxis. | PREOPERATIVE DIAGNOSES,1. Recurrent tonsillitis.,2. Deeply cryptic hypertrophic tonsils with numerous tonsillolith.,3. Residual adenoid hypertrophy and recurrent epistaxis.,POSTOPERATIVE DIAGNOSES,1. Recurrent tonsillitis.,2. Deeply cryptic hypertrophic tonsils with numerous tonsillolith.,3. Residual adenoid hypertroph... | [
"adenoid hypertrophy",
"adenoidectomy",
"cauterization",
"cryptic hypertrophic tonsils",
"epistaxis",
"hypertrophic",
"hypertrophic tonsils",
"hypertrophy",
"intubation",
"nasal",
"nasal cauterization",
"surgery",
"tonsillectomy",
"tonsillitis",
"tonsillolith",
"tonsils"
] | 266 |
87 | Tonsillectomy and adenoidectomy. Obstructive adenotonsillar hypertrophy with chronic recurrent pharyngitis. | PREOPERATIVE DIAGNOSIS:, Obstructive adenotonsillar hypertrophy with chronic recurrent pharyngitis.,POSTOPERATIVE DIAGNOSIS: , Obstructive adenotonsillar hypertrophy with chronic recurrent pharyngitis.,SURGICAL PROCEDURE PERFORMED: , Tonsillectomy and adenoidectomy.,ANESTHESIA: , General endotracheal technique.,SURGICA... | [
"adenoidectomy",
"adenotonsillar",
"electrocautery",
"fossa",
"hypertrophic",
"hypertrophy",
"obstructive",
"obstructive adenotonsillar hypertrophy",
"oropharynx",
"pads",
"pharyngitis",
"surgery",
"tonsillectomy",
"tonsils",
"uvula"
] | 267 |
88 | Tonsillectomy and adenoidectomy. McIvor mouth gag was placed in the oral cavity, and a tongue depressor applied. | PROCEDURE PERFORMED: , Tonsillectomy and adenoidectomy.,ANESTHESIA:, General endotracheal.,DESCRIPTION OF PROCEDURE: , The patient was taken to the operating room and prepped and draped in the usual fashion after induction of general endotracheal anesthesia. The McIvor mouth gag was placed in the oral cavity, and a ton... | [
"adenoidectomy",
"gauze roll",
"mcivor mouth gag",
"nasal passage",
"nasopharynx",
"palate",
"surgery",
"tongue",
"tonsillectomy"
] | 268 |
89 | Tonsillectomy, uvulopalatopharyngoplasty, and septoplasty for obstructive sleep apnea syndrome with hypertrophy of tonsils and of uvula and soft palate with deviation of nasal septum | PREOPERATIVE DIAGNOSIS:, Obstructive sleep apnea syndrome with hypertrophy of tonsils and of uvula and soft palate.,POSTOPERATIVE DIAGNOSIS:, Obstructive sleep apnea syndrome with hypertrophy of tonsils and of uvula and soft palate with deviation of nasal septum.,OPERATION:, Tonsillectomy, uvulopalatopharyngoplasty, an... | [
"afrin drops",
"anterior tonsillar pillars",
"bayonet cautery",
"cottle elevator",
"cpap",
"crowe-davis",
"freer elevator",
"hypertrophy",
"hypertrophy of tonsils",
"incision",
"mouth gag",
"nasal",
"nasal passage",
"nasal septum",
"nasopharynx",
"nostrils",
"obstructive sleep apnea"... | 269 |
90 | Tonsillectomy. Chronic tonsillitis. | PREOPERATIVE DIAGNOSIS:, Chronic tonsillitis.,POSTOPERATIVE DIAGNOSIS: , Chronic tonsillitis.,PROCEDURE: ,Tonsillectomy.,DESCRIPTION OF PROCEDURE: , Under general orotracheal anesthesia, a Crowe-Davis mouth gag was inserted and suspended. Tonsils were removed by electrocautery dissection and the tonsillar beds were inj... | [
"anesthesia",
"chronic tonsillitis",
"crowe-davis",
"mouth gag",
"surgery",
"tonsillectomy",
"tonsillitis"
] | 270 |
91 | Tonsillectomy. Tonsillitis. McIvor mouth gag was placed in the oral cavity and a tongue depressor applied. | PREOPERATIVE DIAGNOSIS: , Tonsillitis.,POSTOPERATIVE DIAGNOSIS: ,Tonsillitis.,PROCEDURE PERFORMED: ,Tonsillectomy.,ANESTHESIA: , General endotracheal.,DESCRIPTION OF PROCEDURE: ,The patient was taken to the operating room and prepped and draped in the usual fashion. After induction of general endotracheal anesthesia, t... | [
"anterior tonsillar",
"fossa",
"mcivor mouth gag",
"metzenbaum",
"metzenbaum scissors",
"oral cavity",
"palate",
"pillar",
"surgery",
"tongue",
"tonsillar",
"tonsillar pillar",
"tonsillectomy",
"tonsillitis"
] | 271 |
92 | Tonsillectomy, adenoidectomy, and removal of foreign body (rock) from right ear. | PREOPERATIVE DIAGNOSES:, Hypertrophy of tonsils and adenoids, and also foreign body of right ear.,POSTOPERATIVE DIAGNOSES:, Hypertrophy of tonsils and adenoids, and also foreign body of right ear.,OPERATIONS:, Tonsillectomy, adenoidectomy, and removal of foreign body (rock) from right ear.,ANESTHESIA:, General.,HISTORY... | [
"adenoid bed",
"adenoidectomy",
"adenoids",
"afrin drops",
"canal",
"catgut",
"crowe-davis",
"dissection",
"drum",
"ear",
"foreign body",
"hypertrophy",
"middle ear",
"mouth gag",
"nasopharynx",
"orotracheal",
"suction electrocautery",
"surgery",
"throat",
"tonsillectomy",
"t... | 272 |
93 | Tonsillectomy & adenoidectomy. Chronic tonsillitis with symptomatic tonsil and adenoid hypertrophy. | PREOPERATIVE DIAGNOSIS: , Chronic tonsillitis with symptomatic tonsil and adenoid hypertrophy.,POSTOPERATIVE DIAGNOSIS: , Chronic tonsillitis with symptomatic tonsil and adenoid hypertrophy.,OPERATION PERFORMED: , Tonsillectomy & adenoidectomy.,ANESTHESIA: , General endotracheal.,FINDINGS: , The tonsils were 3+ enlarge... | [
"adenoid hypertrophy",
"adenoidectomy",
"adenoids",
"chronic tonsillitis",
"endotracheal",
"gold laser",
"hypertrophy",
"surgery",
"symptomatic",
"tonsil",
"tonsillectomy",
"tonsillitis"
] | 273 |
94 | Total thyroidectomy. The patient is a female with a history of Graves disease. Suppression was attempted, however, unsuccessful. She presents today with her thyroid goiter. | PREOPERATIVE DIAGNOSIS: , Thyroid goiter.,POSTOPERATIVE DIAGNOSIS: ,Thyroid goiter.,PROCEDURE PERFORMED: , Total thyroidectomy.,ANESTHESIA:,1. General endotracheal anesthesia.,2. 9 cc of 1% lidocaine with 1:100,000 epinephrine.,COMPLICATIONS:, None.,PATHOLOGY: , Thyroid.,INDICATIONS: ,The patient is a female with a his... | [
"dissection",
"graves disease",
"kitner",
"superior",
"surgery",
"thyroid goiter",
"thyroidectomy",
"total thyroidectomy"
] | 274 |
95 | Thromboendarterectomy of right common, external, and internal carotid artery utilizing internal shunt and Dacron patch angioplasty closure. Coronary artery bypass grafting x3 utilizing left internal mammary artery to left anterior descending, and reverse autogenous saphenous vein graft to the obtuse marginal, posterior... | OPERATIVE PROCEDURE,1. Thromboendarterectomy of right common, external, and internal carotid artery utilizing internal shunt and Dacron patch angioplasty closure.,2. Coronary artery bypass grafting x3 utilizing left internal mammary artery to left anterior descending, and reverse autogenous saphenous vein graft to the ... | [
"artery",
"bypass",
"cabg",
"cardiopulmonary bypass",
"carotid",
"carotid artery",
"coronary",
"coronary artery bypass",
"internal carotid",
"mammary",
"obtuse",
"papaverine-soaked",
"prolene",
"prolene suture",
"running prolene",
"running prolene suture",
"surgery",
"sutured",
"... | 275 |
96 | Excisional biopsy with primary closure of a 4 mm right lateral base of tongue lesion. Right lateral base of tongue lesion, probable cancer. | PREOPERATIVE DIAGNOSIS: , Right lateral base of tongue lesion, probable cancer.,POSTOPERATIVE DIAGNOSIS: , Right lateral base of tongue lesion, probable cancer.,PROCEDURE PERFORMED: ,Excisional biopsy with primary closure of a 4 mm right lateral base of tongue lesion.,ANESTHESIA: , General.,FINDINGS: , An ulceration in... | [
"biopsy",
"excisional biopsy",
"mouth",
"surgery",
"tongue lesion"
] | 276 |
97 | Transforaminal lumbar interbody fusion, placement of intervertebral prosthetic device. | PREOPERATIVE DIAGNOSIS (ES):, L4-L5 and L5-S1 degenerative disk disease/disk protrusions/spondylosis with radiculopathy.,POSTOPERATIVE DIAGNOSIS (ES):, L4-L5 and L5-S1 degenerative disk disease/disk protrusions/spondylosis with radiculopathy.,PROCEDURE:,1. Left L4-L5 and L5-S1 Transforaminal Lumbar Interbody Fusion (TL... | [
"bmp",
"capstone",
"danek capstone",
"danek m8",
"degenerative disk disease",
"disk",
"disk protrusions",
"disk space",
"interbody",
"intervertebral prosthetic device",
"kerrison",
"kerrison rongeurs",
"lumbar",
"matchstick burr",
"pedicle",
"pedicle screw",
"radiculopathy",
"ronge... | 277 |
98 | Total thyroidectomy for goiter. Multinodular thyroid goiter with compressive symptoms and bilateral dominant thyroid nodules proven to be benign by fine needle aspiration. | TITLE OF OPERATION: ,Total thyroidectomy for goiter.,INDICATION FOR SURGERY: ,This is a 41-year-old woman who notes that compressive thyroid goiter and symptoms related to such who wishes to undergo surgery. Risks, benefits, alternatives of the procedures were discussed in great detail with the patient. Risks include b... | [
"goiter",
"multinodular",
"multinodular thyroid goiter",
"parathyroid glands",
"surgery",
"thyroid artery",
"thyroid goiter",
"thyroid nodules",
"thyroidectomy",
"total thyroidectomy"
] | 278 |
99 | History of compartment syndrome, right lower extremity, status post 4 compartments fasciotomy, to do incision for compartment fasciotomy. Wound debridement x2, including skin, subcutaneous, and muscle. Insertion of tissue expander to the medial and lateral wound. | PREOPERATIVE DIAGNOSES: , History of compartment syndrome, right lower extremity, status post 4 compartments fasciotomy, to do incision for compartment fasciotomy.,POSTOPERATIVE DIAGNOSES: , History of compartment syndrome, right lower extremity, status post 4 compartments fasciotomy, to do incision for compartment fas... | [
"compartment",
"compartment fasciotomy",
"compartment syndrome",
"fasciotomy",
"insertion of tissue expander",
"lateral wound",
"medial wound",
"muscle",
"subcutaneous",
"surgery",
"tension controller",
"tissue",
"tissue expander",
"wound",
"wound debridement"
] | 279 |
100 | Thrombectomy AV shunt, left forearm and patch angioplasty of the venous anastomosis. Thrombosed arteriovenous shunt, left forearm with venous anastomotic stenosis. | PREOPERATIVE DIAGNOSIS: , Thrombosed arteriovenous shunt left forearm.,POSTOPERATIVE DIAGNOSIS: ,Thrombosed arteriovenous shunt, left forearm with venous anastomotic stenosis.,PROCEDURE: ,Thrombectomy AV shunt, left forearm and patch angioplasty of the venous anastomosis.,ANESTHESIA: , Local.,SKIN PREP: , Betadine.,DRA... | [
"anastomosis",
"angioplasty",
"arteriovenous",
"av",
"av shunt",
"forearm",
"patch angioplasty",
"shunt",
"surgery",
"thrombectomy",
"thrombosed",
"vein",
"venous",
"venous anastomosis"
] | 280 |
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