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a stapler used in a laparoscopic gastric bypass

Posted By: Stumped on 2007-09-04
In Reply to:

Subject: a stapler used in a laparoscopic gastric bypass

I'm doing an op note dictated by an ESL and he's referring to a stapler that he's using to create the anastomosis in a laparoscopic gastric bypass.  It sounds something like Acolumn, Ecolint or Acumint stapler.  I'm so stumped and would welcome any hints on how to figure out what the heck he's saying!


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Rou-en-Y = gastric bypass surgery....
Subject: Rou-en-Y = gastric bypass surgery....

There is also the LAP-BAND (adjustable gastric band) which is the other gastric bypass surgery but the one with the least risks versus the Roux-en-Y.


 



is pt having gastric bypass surgery or had it?
Subject: is pt having gastric bypass surgery or had it?


I work for gastric bypass mds and it's always
Subject: I work for gastric bypass mds and it's always


Does this make sense? Gastric bypass, sm
Subject: Does this make sense? Gastric bypass, sm

I cannot confirm this "type" of trocar. It does not s/l "Veirs"-type trocar to me.

An incision was made above and to the left of the umbilicus, through which a #5/12 Visiport US Surgical trocar was inserted under direct vision into the peritoneal cavity. This was followed by placing another #5/12 trocar in the left upper quadrant. Another #5/12 trocar was placed in the epigastric region to the right of the midline. Another #5/12 trocar _____**s/l "varices"-type trocar was placed between the supraumbilical and the left upper quadrant trocar site. The abdomen was insufflated, and all the trocar sites were placed under direct vision.


Gastric bypass proc, dictator says laparoties? nm
Subject: Gastric bypass proc, dictator says laparoties? nm


s/l ugly stick was angled near the spleen - gastric bypass nm
Subject: s/l ugly stick was angled near the spleen - gastric bypass nm

nm
S/L ? Orville tube or anvil/open gastric bypass (nm)
Subject: S/L ? Orville tube or anvil/open gastric bypass (nm)


Need type of stapler for Roux-en-Y, s/l Waitler GIA stapler (nm)
Subject: Need type of stapler for Roux-en-Y, s/l Waitler GIA stapler (nm)


I'm guessing here - could be - gastric ulcers, gastric erosions, hemorrhages.
Subject: I'm guessing here - could be - gastric ulcers, gastric erosions, hemorrhages.


Aortoiliac bypass graft versus aortic-iliac bypass graft
Subject: Aortoiliac bypass graft versus aortic-iliac bypass graft

Can someone tell me whether aortoiliac bypass graft or aortic-iliac bypass graft is proper? I seem to find it both ways when I do a Google search.  Is there a difference? 
GIA stapler
Subject: GIA stapler

The doc is dictating a bowel resection, is using a GIA and then a TA stapler.  Would he be saying a GIA 80, 3.5 stapler, or a GIA 83.5 stapler?  I have been typing is as GIA 80, 3.5 stapler right up until today, when it struck me that I may be wrong.  Help, Anyone?  Thanks!


LDS stapler. nm
Subject: LDS stapler. nm

xx
there is a 3M stapler, but
Subject: there is a 3M stapler, but

can't get the 3 crow's feet.
Milton Red Stapler
Subject: Milton Red Stapler

I apologize for stepping on your toes.  I only posted those reports to get a little help.  I did not post any names of people, places, or anything confidential.


However, I do appreciate your concern.  It sounds to me that probably you are trying to start some type of drama as you are accustomed to doing all over these boards.  However, I am not going to enable that.


Have a nice day.


It's not my day, now need a 35-mm s/l Blulow GIA stapler (nm)
Subject: It's not my day, now need a 35-mm s/l Blulow GIA stapler (nm)


white-loaded GIA stapler NM
Subject: white-loaded GIA stapler NM

xx
blue blood stapler? tks.. no msg
Subject: blue blood stapler? tks.. no msg

xx
A blue load stapler, perhaps. nm
Subject: A blue load stapler, perhaps. nm

nm
Echelon™ 60 ENDOPATH® Stapler? nm
Subject: Echelon™ 60 ENDOPATH® Stapler? nm



s/l LES stapler to resect the omentum. Can't document. nm
Subject: s/l LES stapler to resect the omentum. Can't document. nm

.
Surgical stapler for sigmoid colectomy
Subject: Surgical stapler for sigmoid colectomy

sounds like Eschelon stapler?
My docs use the Ethicon Echelon stapler frequently. Is this it?
Subject: My docs use the Ethicon Echelon stapler frequently. Is this it?

nm
Axillary-femoral bypass, axillary femoral bypass, or axillofemoral
Subject: Axillary-femoral bypass, axillary femoral bypass, or axillofemoral


laparoscopic? nm
Subject: laparoscopic? nm

s
laparoscopic?
Subject: laparoscopic?


laparoscopic edeseoliaisis

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Help!!!


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

x
Re: Laparoscopic cholecystectomy
Subject: Re: Laparoscopic cholecystectomy

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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
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Subject: laparoscopic instrument, help!

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Subject: laparoscopic grasper?


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....
Gastric dye?
Subject: Gastric dye?


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Subject: Laparoscopic cholecystectomy "with grams"?

x
Sounds like laparoscopic perfen endometriosis...
Subject: Sounds like laparoscopic perfen endometriosis...

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laparoscopic bone dowel technique
Subject: laparoscopic bone dowel technique

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Doc says "the patient had a laparoscopic s/l Ni-Fun for GERD. Is this
Subject: Doc says "the patient had a laparoscopic s/l Ni-Fun for GERD. Is this

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gastric atony nm
Subject: gastric atony nm


or even gastric paresis? nm
Subject: or even gastric paresis? nm

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could it be that he is saying gastric polyposia?
Subject: could it be that he is saying gastric polyposia?


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Subject: perhaps it is "on gastric"

xx