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Laparoscopic hysterectomy...s/l circumcised incision made on cervix? nm

Posted By: MT in MI on 2007-06-18
In Reply to:

Subject: Laparoscopic hysterectomy...s/l circumcised incision made on cervix? nm

nm


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LAVH? laparoscopic assisted vaginal hysterectomy. NM
Subject: LAVH? laparoscopic assisted vaginal hysterectomy. NM

x
"standfield" incision?? hysterectomy-sm

The patient has a defect from her s/l "stand still", "standfield", "fan field" incicion due to a total abdominal hysterectomy.


 


Any ideas??  TIA


No, this is something they put on the incision area before closing such as after a hysterectomy. It
Subject: No, this is something they put on the incision area before closing such as after a hysterectomy. It

is Plasmax or mex platelet fraction.


T'd - in other words he made a T-shaped incision.
Subject: T'd - in other words he made a T-shaped incision.

x
sentence: Incision was made into -rose- fascia.
Subject: sentence: Incision was made into -rose- fascia.


endoscopically made incision with s/l 6-7.5 integrated scope
Subject: endoscopically made incision with s/l 6-7.5 integrated scope


In mean, listen to incision was made in ______ fascia and leave out the into.
Subject: In mean, listen to incision was made in ______ fascia and leave out the into.


Pt. undergoing nasal septoplasty. A s/l Helian-Scalene incision was made on the right.
Subject: Pt. undergoing nasal septoplasty. A s/l Helian-Scalene incision was made on the right.

I can't find this anywhere, but this guy an old, sloppy mumbler, who should be retired. Any ideas?
Incision made from ulnar border of the transfer tendon from the ???epidical fold??
Subject: Incision made from ulnar border of the transfer tendon from the ???epidical fold??


Would think it would be fungating lesion of the cervix which covers the entire portio of the cervix.
Subject: Would think it would be fungating lesion of the cervix which covers the entire portio of the cervix.


If he hasn't be circumcised, it might even be
Subject: If he hasn't be circumcised, it might even be

s
Incision, they first make a small incision for the port or trocar to go in for viewing the GI system
Subject: Incision, they first make a small incision for the port or trocar to go in for viewing the GI system

nm
Yes there is V-shaped incision and an inverted T-incision, so maybe they converted from a V to T
Subject: Yes there is V-shaped incision and an inverted T-incision, so maybe they converted from a V to T


Hysterectomy
Subject: Hysterectomy

Laparoscopic supracervical hysterectomy: Surgeon is entering peritoneum. She's opened the fascia, anchored it with Vicryl, attached CO2 and then she says something like "Lidopril" placed through. Pretty sure there are 3 syllables but she is swallowing the second half of the word. The "Lido" is fairly clear, but can't swear she isn't saying "Lighted". Anyone ever hear of lidocaine being placed with CO2 insufflation? After that, she placed 2 trocars and inspected the abdomen. Any idea what this is? I am stumped.
hysterectomy
Subject: hysterectomy

Partial hysterectomy followed by s/l "Second's procedure" to remove everything except on ovary. 
hysterectomy - I think - sm
Subject: hysterectomy - I think - sm

Patient had a tubal ligation, a _______ vh


I hear something like flay vh or filet vh - and assume it is a type of vaginal hysterectomy.


Any ideas? Thank you.


 


laparoscopic? nm
Subject: laparoscopic? nm

s
laparoscopic?
Subject: laparoscopic?


OB. She is a G3 P3 55P5 who wants a hysterectomy
Subject: OB. She is a G3 P3 55P5 who wants a hysterectomy


hysterectomy and "morsillation"
Subject: hysterectomy and "morsillation"

Typing about a hysterectomy is almost as bad as having one.  Okay, my problem is the doctor is talking about leiomyoma and s/l "morsillation" or "morphilation" or something like that. What is it?? Does anyone know?? HELP! It's my last dictation of the night and I'm falling asleep...


 


hysterectomy question...sm
Subject: hysterectomy question...sm

All the knots were tied s/l "intra-oc-cue-pour-ally".
sure not hysterectomy , just a guess
Subject: sure not hysterectomy , just a guess

good luck
laparoscopic edeseoliaisis

she underwent diagnostic laparoscopy with laparoscopic s/l ... ed e-see-oliasis


Help!!!


or...LPLND laparoscopic etc as above
Subject: or...LPLND laparoscopic etc as above

x
Re: Laparoscopic cholecystectomy
Subject: Re: Laparoscopic cholecystectomy

Patient having laparoscopic cholecystectomy.  Doctor dictates that he's outlined the risks to the patient, which include "injury to bowel, bile duct, or s/l BLEVUS."


I cannot locate "blevus" anywhere. HELP!


Thanks very much! 


maybe saying *LAGB* for laparoscopic
Subject: maybe saying *LAGB* for laparoscopic

they don't USUALLY say that though - it's either LAP-BAND they say or laparoscopic adjustable gastric band (but they never say LAGB though she might be saying that?!) or Roux-en-Y gastric bypass........
s/l laparoscopic Frickman
Subject: s/l laparoscopic Frickman

Help -- am on vacation without my OB/GYN books -- and cannot find it on Google or here either.  s/l She underwent a laparoscopic Frickman --  I am doing an Op report for rectal prolapse. 
Laparoscopic banding
Subject: Laparoscopic banding

Does anyone do a lot of these procedures and have some good reference sites bookmarked that they'd care to share?  I'm stumped by the same ESL that got me yesterday with the Echelon stapler.  I can't tell if he's saying 10 band or thin band here.  I don't even know if there is such a thing as a 10 band!!!


At this point, the 12-mm trocar in the left upper quadrant was dilated, and a s/l 10 or thin band was introduced into the abdomen. The s/l 10 or thin band was passed through the pars flaccida approach


maybe laparoscopic assisted ??? nm
Subject: maybe laparoscopic assisted ??? nm

.
It's usually laparoscopic or open. Don't know
Subject: It's usually laparoscopic or open. Don't know

s
laparoscopic instrument, help!
Subject: laparoscopic instrument, help!

s/l biston or beeston...laparoscopic ACL and PCL repairs...help!
laparoscopic grasper?
Subject: laparoscopic grasper?


"maliporous" cervix ????
Subject: "maliporous" cervix ????

Definately NOT malodorous.....any ideas??  Google only pulled up one site!  Thanks!!
nullipara cervix
Subject: nullipara cervix

nm
OB/GYN help...SL "poorshoe" of the cervix
Subject: OB/GYN help...SL "poorshoe" of the cervix


The cervix was virgil? sm
Subject: The cervix was virgil? sm

I'm not used to doing GYN reports.  It virgil right?  TIA


Is it possibly cervix?
Subject: Is it possibly cervix?


Cervix is oliparous?
Subject: Cervix is oliparous?

The patient has never been pregnant and under the physical exam the doctor states the cervix is "oliparous"? I have heard of nonparous but not anything that sounds like this- any guesses? 
THAT's it...total abdl hysterectomy and...sm
Subject: THAT's it...total abdl hysterectomy and...sm

total abdominal hysterectomy and bilateral salpingo-oophorectomy a.k.a. TAH/BSO 
Pt having hysterectomy. s/l fibrillar cotton placed..nm
Subject: Pt having hysterectomy. s/l fibrillar cotton placed..nm


hysterectomy surgical clamp
Subject: hysterectomy surgical clamp

Help! Doing a hysterectomy, doc says "next, the s/l minahans were used to clamp just below the level of the cervix bilaterally"
Total Hysterectomy....s/l corneal
Subject: Total Hysterectomy....s/l corneal

Okay...so I know we do not have a cornea in our vagina, but I can't think of the word...he says " the cuff was closed with a series of interrupted sutures at each of the s/l corneals....any help??


thanks in advance!!


laparoscopic cholecystectomy with "CVEE" ??
Subject: laparoscopic cholecystectomy with "CVEE" ??

Any clues what this might be?  My best guess is "CVEE"??


Thanks!


laparoscopic cholecystectomy with cholangiogram(s)? nm
Subject: laparoscopic cholecystectomy with cholangiogram(s)? nm


s/l laparoscopic culpa plier
Subject: s/l laparoscopic culpa plier

Sentence: This was carefully separated and clipped using a laparoscopic 'culpa plier'.

Please help.
laparoscopic clip applier
Subject: laparoscopic clip applier


lap chole - as in laparoscopic cholecystectomy
Subject: lap chole - as in laparoscopic cholecystectomy


doing laparoscopic cholecystectomy, 3 and 1? clips.
Subject: doing laparoscopic cholecystectomy, 3 and 1? clips.

The cystic duct was then identified and skeletonized.  Once it was clearly identified it was divided between 3 and 1 clips.???
he's saying lap-chole (laparoscopic cholecystectomy)
Subject: he's saying lap-chole (laparoscopic cholecystectomy)

in case that got cut off above, it's laparoscopic cholecystectomy....
s/l "Osfinder" evaluation of cervix
Preoperative diagnosis is:
RECURRENT HIGH-GRADE SQUAMOUS INTRAEPITHELIAL LESION FOLLOWING CONE BIOPSY AND CERVICAL STENOSIS PENDING PATHOLOGY.

Procedure is:
EXAMINATION UNDER ANESTHESIA, **OSFINDER** EVALUATION AND DILATATION OF THE CERVIX.

vVery muffled, but "--finder" seems clear (??).
Cervix 690 minus 1 with swelling. sm
Subject: Cervix 690 minus 1 with swelling. sm

Should I type this as 6.90 minus 1 with swelling? Just had the same doctor with another patient coming in with labor, and she says "Cervix is 390 and 0." That should be 3.90, meaning the cervical length, right? But what about this patient of 690 minus 1 with swelling? Is that cervical length of 6.90? Thank you.