I can't figure out what this doctor is saying! Please help.
"This was palpated in the (superior osectivar?!) incision, and the incision actually needed to be extended several mm to facilitate dissection. ...
Bard 3DMax left medium mesh was inserted uncurled and tacked on the superior edge using (___) from the anterior superior iliac spine to the pubis with good coverage.
s/l it ends in "fix" or chlorofix or thorofix or ...thicks instead of fix.
This could be a long shot in asking but I thought perhaps there might be a certain type of something that is used to tack it. It doesn't s/l suture.
Thanks. ...
She underwent chemoradiation therapy, followed by APR with end colostomy, s/l "stratus" exclusion of the pelvic brim, s/l "stratus" pelvic floor reconstruction, posterior vaginectomy, and reconstruction on 02/10/2011. ...
Dr. did an exploratory laparotomy with control of enterocutaneous fistula with tube drainage and removal of Vicryl mesh and closure of the abdominal wall with s/l fraters artificial mesh. ...
but this is my 2nd report today with this and both times they have been saying wihat sounds like See-cure or Ce-cure. I am not able to document this. All help greatly appreciated in advance! ...
I'm working on an operative report w/ a patient that has a s/l eventual hernia. I have no clue what he's saying, and he says it over and over...it always sounds the same. Does anyone have any ideas? ...
Surgery for umbilical hernia. Surgeon says incarcerans contains omentum. Obviously incarcerans means contents in a hernial defect, but incarcerans is found nowhere, Google doesn't even get one hit, not in any of my reference books, old or new. Anyone out there able to document this word as actually existing? Thanks! ...
The preperitoneum was taken down. The hernia was indeed medial to the epigastric vessels. The preperitoneal fat was further reduced. The hernia sac was completely reduced out of that area. A space was then created in the preperitoneum. A 4 x 6 inch Composix mesh was then introduced, secured to the ileopubic tract laterally and then also medially. The peritoneum was then closed over this with additional absorbable tacks. He tolerated this quite well.
I'm not finding "preperitoneum" anywhere ...
With the preperitoneal contents replaced into the preperitoneal space, the preperitoneal space was then developed. Then using the ___ s/l "calves ear" mesh, Prolene, this was placed into this defect with the balloon blown up and the mesh then affixed to the fascial edges circumferentially with 0 Vicryl suture. ...
Okay.. weird one..
the dictation says, there is a moderate sized ......... sounds like "direct site" type diaphragmatic hernia..
any clues? the dictator is very mumbly here..
Thanks! ...