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Vascular Surgery help... See inside

Posted By: sm on 2007-10-15
In Reply to:

Subject: Vascular Surgery help... See inside

Doc says:
He is now approximately seven months status post placement of a ____ (s/l Zenith cuff) for an infrarenal aortic aneurysm. This was done in an ____ (s/l endo-edge or endo-etch) technique.


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vascular surgery
Subject: vascular surgery

Hi:


I just can't find this and am blank.  I know I have heard it before, but just cannot seem to get it.


The patient has had an endoluminal repair of an abdominal aortic aneurysm and has also had a left femoral-to-popliteal [s/l “n s i tu] bypass graft


thanks in advance


vascular surgery
Subject: vascular surgery

can't help with all but some i can.


1. Pfannstl fashion, wrong. Sterile fashion maybe?


2. Bull dogs


3. then closed, not enclosed


4. MAC local anesthesia


5. Potts scissors


hope that helped a little, wish I could hear it.


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Subject: Vascular surgery help needed--AV fistula involved

Hi,


I've got a vascular surgery that I need help on.  Most of the things I'm pretty sure of, but would like a seconding ear.  TIA


Right wrist "rest"--?? assuming AV fistula. 


ANESTHESIA:  @@Local with monitored anesthesia s/l--montra--garis bolus 20 cc. 


extremity was prepped and draped in a Pfannenstiel fashion.  The patient was given a low grade--?? of Ancef


The artery was then carefully dissected out proximally and distally and little side--?? branches were clipped to help obtain hemostasis ofr the anastomosis.  The


A pot--?? scissor was then used to form a hood.  It had been marked with a marking pen prior to division 


Markable--?? dogs were used to obtain control of the artery proximally and distally. 


Th vein was sewn to the arteries using a 6-0 pulling suture in a circumferential--?? fashuion. 


The wound was enclosed in layers using a 3-0 Vicryl suture in the subcutaneous layer in a running fashion and a 4-0 Vicryl running subventricular--?? closure. 


The patient was brought out and monitored in anesthesia care--?? and taken to the recovery room in stable condition. 


Sponge, needle, and instrument counts were reported to be correct at the end of the case--??.   


 


 


There is a Paritene mesh graft for vascular surgery
Subject: There is a Paritene mesh graft for vascular surgery


GYN surgery, doc says vascular cuff closed with angle SM
Subject: GYN surgery, doc says vascular cuff closed with angle SM


sutures using 0 Vicryl suture in a modified s/l "Talind" fashion....


TIA


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Subject: Vascular Surgery - partial Toomay/Teemay of the foot

Dr. Smith performed a partial Toomay/Teemay of the left foot, with the left hallux remaining
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Subject: orthopedic surgery -- see inside

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Patient post surgery Hys & BSO.  Medical consult.


Doc dictates -- Compression stockines and ____ in place.


The blank sounds like pneumovac.  Can anyone help me verify or give any suggestions.


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Subject: I think this is the type of incision used in Head and Neck Surgery. see inside

Schobinger 1957-(fig 3a and 3b) Higher horizontal incision allows easier access to oral cavity and
various modifications for posterior vertical limb.
Shorter superior flap allows midline lip splitting extension with less likelihood of loss of tip (Becker 1984, fig 3c)

Also found:

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NM
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I will relisten but I am sure that is probably what it is.  I am going through a divorce right now so I think my thoughts and general focus is a little jumbled-therefore the surgical bachelor!  Ha! 
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Subject: "Baloney disease"? - Peripheral vascular

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Subject: elevated systemic vascular resistance of 2020 .. sm

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Thanks!


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Inside
as part of the neurological exam, you have sensory testing and withdrawing to pain or (some kind of) stimuli would be correct. Not sure about the phraseology in your report, maybe 'withdrawal sensation' ??

See Inside
Subject: See Inside

I would type it as "1-year-5-month-old girl"
See inside (sm)
Subject: See inside (sm)

That is probably mosaicism or punctation.


 


Changes Associated with High Grade SIL



  1. Blood Vessel changes (Coarse punctation or mosaicism)
  2. Abnormal blood vessels
  3. Erosions
  4. Dense Acetowhite staining of epithelium