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Can you hear "BTL?" bilateral tubal ligation

Posted By: PoodleLady on 2008-11-04
In Reply to: C-section with s/l DPS? - jss

Subject: Can you hear "BTL?" bilateral tubal ligation




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bilateral tubal ligation method???
Subject: bilateral tubal ligation method???

is it Parkland method for a bilateral tubal ligation?  I am having some trouble here. 
Pomeroy tubal ligation
Subject: Pomeroy tubal ligation

zzzz
s/o esher tubal ligation. thanks.
Subject: s/o esher tubal ligation. thanks.

nm
Is it Parkman tubal ligation? TIA nm
Subject: Is it Parkman tubal ligation? TIA nm

nm


Here's a tubal ligation op report if that helps.
Subject: Here's a tubal ligation op report if that helps.

Laparoscopic Bilateral Tubal Ligation Report


Preoperative Diagnosis: Multiparous female desiring permanent sterilization.


Title of Operation: Laparoscopic bilateral tubal ligation with Falope rings


Laparoscopic Bilateral Tubal Ligation


Anesthesia: General endotracheal


Findings At Surgery: Normal uterus, tubes, and ovaries. Icon


Description of Operative Procedure


After informed consent, the patient was taken to the operating room where general anesthesia was administered. The patient was examined under anesthesia and found to have a normal uterus with normal adnexa. She was placed in the dorsal lithotomy position and prepped and draped in sterile fashion. A bivalve speculum was placed in the vagina, and the anterior lip of the cervix was grasped with a single toothed tenaculum. A laparoscopic bilateral tubal ligation uterine manipulator was placed into the endocervical canal and articulated with the tenaculum. The speculum was removed from the vagina.Icon


An infraumbilical incision was made with a scalpel, then while tenting upon the abdomen, a Verres needle was admitted into the intra-abdominal cavity. A saline drop test was performed and noted to be within normal limits. Pneumoperitoneum was attained with 4 liters of carbon dioxide. The Verres needle was removed, and a 10 mm trocar and sleeve were advanced into the intra-abdominal cavity while tenting up on the abdomen. The laparoscope was inserted and proper location was confirmed. A second incision was made 2 cm above the symphysis pubis, and a 5 mm trocar and sleeve were inserted into the abdomen under laparoscopic visualization without complication.


A survey revealed normal pelvic and abdominal anatomy. A Falope ring applicator was advanced through the second trocar sleeve, and the left Fallopian tube was identified, followed out to the fimbriated end, and grasped 4 cm from the cornual region. The Falope ring was applied to a knuckle of tube and good blanching was noted at the site of application. No bleeding was observed from the mesosalpinx. The Falope ring applicator was reloaded, and a Falope ring was applied in a similar fashion to the opposite tube. Carbon dioxide was allowed to escape from the abdomen.


The instruments were removed, and the skin incisions were closed with #3-O Vicryl in a subcuticular fashion. The instruments were removed from the vagina, and excellent hemostasis was noted. The patient tolerated the procedure well, and sponge, lap and needle counts were correct times two. The patient was taken to the recovery room in stable condition.


tubal ligation Hoka ? technique
Subject: tubal ligation Hoka ? technique

I found a bunch of techniques, but not this one.


 


s/l belcor clamp...used in tubal ligation
Subject: s/l belcor clamp...used in tubal ligation

nm
Koshi clips for a tubal ligation?
Subject: Koshi clips for a tubal ligation?

Thanks for the help.
Tubal ligation - s/l "OB lap strips were inserted". TIA nm
Subject: Tubal ligation - s/l "OB lap strips were inserted". TIA nm

nm
Stedman's shows Parkland tubal ligation (nm)
Subject: Stedman's shows Parkland tubal ligation (nm)

nm
Laparoscopic tubal ligation using Falope ring.
Subject: Laparoscopic tubal ligation using Falope ring.


Tubal ligation with s/l Sochi or Hochi clips?
Subject: Tubal ligation with s/l Sochi or Hochi clips?

nm
a Krise??? manipulator was placed into the endocervical canal? Tubal Ligation...
Subject: a Krise??? manipulator was placed into the endocervical canal? Tubal Ligation...


Is typing biapical ok or should I put bilateral apical as he does say bilateral towards the end of t
Subject: Is typing biapical ok or should I put bilateral apical as he does say bilateral towards the end of the dictation?


Pt with bilateral breast reconstruction. She had bilateral
Subject: Pt with bilateral breast reconstruction. She had bilateral

s/l NoWet sponges in the area of both breasts. Ideas????
bilateral conjunctivae...example...bilateral knees..nm
Subject: bilateral conjunctivae...example...bilateral knees..nm


tubal
Subject: tubal

Could it be laparoscopy?
tubal question
Subject: tubal question

Balfour clamp
tubal ostia???
Subject: tubal ostia???

x
Could the pt possibly be thinking a tubal could help her? sm
Is a PA or nurse dictating this?  A lot of times they direct-quote patients. 
she had a tubal pregnancy with a s/l liposcopy..thank you
Subject: she had a tubal pregnancy with a s/l liposcopy..thank you


yep, just google Essure tubal occlusion
Subject: yep, just google Essure tubal occlusion


OB.. switching her to Femcon for a s/l tubal birth control pill..?? thanks
Subject: OB.. switching her to Femcon for a s/l tubal birth control pill..?? thanks


Bilateral? TAH, BSO.
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I would think that because it is bilateral--sm
Subject: I would think that because it is bilateral--sm

to me...it would sound better if it was *there ARE cerumen impactions bilaterally which are removed.* Since bilateral already denotes plural, I, personally would use the plural form. JMO.
bilateral?
Subject: bilateral?

xxx
bilateral?
Subject: bilateral?


No, definitely not saying bilateral. Thanks!
Subject: No, definitely not saying bilateral. Thanks!


i mean, if bilateral is before is it singular and sm
Subject: i mean, if bilateral is before is it singular and sm

how do you hand bilaterally.  I am very confused on the singular and plural regarding these because doctors say it both ways. 


For example, examination of the hip, knee, and ankle is normal bilaterally...singular.


So, is it always singular when you use these words? or an equivalent (left and right lower extremity or extremities, etc)


I have been doing this for 3 months but this seems to keep coming up and i am hearing it dictated both ways.  Thanks ahead of time for any help :)


bilateral s/l orkasinilis.sm
Subject: bilateral s/l orkasinilis.sm

HEENT:  Extraocular movements intact.  He has bilateral s/l orkasinilis.  Pupils are mid and reactive to light stimulus. 
bilateral hallucis.
Subject: bilateral hallucis.

x
equilateral? bilateral? nm
Subject: equilateral? bilateral? nm

s
bilateral s/l qua toes? TIA.nm
Subject: bilateral s/l qua toes? TIA.nm

xx
Bilateral mastectomy
Subject: Bilateral mastectomy


bilateral mastectomy
Subject: bilateral mastectomy


Bilateral mastectomy
Subject: Bilateral mastectomy

Only one mastectomy is being performed each on the right and left side. The same thing for bilateral tubal ligation, you would not put bilateral tubal ligations. If a person had four breasts and two were being removed from each side, then it would be bilateral mastectomies!
bilateral eyes
Subject: bilateral eyes

Okay, doc keeps correcting me when I correct his dictation, stating bilateral knees, bilateral breasts, etc. to bilateral knee, bilateral breast - am I wrong?  It seems redundant his way.  He said today bilateral eyes but it seems to type bilateral eye is just weird.  Would you type just eyes or bilateral eye or bilateral eyes?  Thanks,
maybe bilateral edema? n/m
Subject: maybe bilateral edema? n/m


bilateral foot?
Subject: bilateral foot?

or bilateral feet?
bilateral feet
Subject: bilateral feet

decreased skin turgor of bilateral feet


cold skin temperature on bilateral feet


bilateral hips DDH
Subject: bilateral hips DDH

please help: We found s/l soaked-bedded over the spica with urine matter...pls ASAP


are you sure it isn't just "BSO" (bilateral
Subject: are you sure it isn't just "BSO" (bilateral

salpingo-oophorectomy) ??
Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
Subject: Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?


use of bilateral with pleural forms
Subject: use of bilateral with pleural forms

That's always ben a puzzle to me too, but I think that either way might be acceptable. The qualifying adjective (bilateral) suggests an "augmentation" was performed on both sides, and more often than not, MDs will dictate singular nouns following bilateral. Sometimes, though, if it sounds strange, I will use the pleural, i.e., one of my docs says "bilateral lower extremity" which I change to extremities. Would be interested in further input or if AAMT has a directive on this.
for example, doc dictated bilateral tibea and sm
Subject: for example, doc dictated bilateral tibea and sm

i have heard "cornea and iris of both eyes" instead of corneas and irises of both eyes.  I am just looking for some kind of general rule to know what to do because i find that the doctors now even less about grammar than i do LOL  i am unsure if a doctor is talking about something plural like both eyes or both extremities of bilateral if what you are talking about should be made plural or singular.  Does that make sense?  I am sorry....complicated question.
Should it be...distal comma bilateral or distal no comma bilateral? nm
nm
s/l bilateral hydrous(?) diverticula
Subject: s/l bilateral hydrous(?) diverticula

On a DS, doc says "This 45 year-old male has bilateral ureteroceles and bilateral (s/l) hydrous(?) diverticula".  Have heard of ureteroceles and diverticula but not hydrous diverticula.(?)  Thanks for any help.
The only thing that comes to mild is bilateral
Subject: The only thing that comes to mild is bilateral

nm
Bilateral basal sl dyzostomy
Subject: Bilateral basal sl dyzostomy


bilateral inguinal hernia Q
Subject: bilateral inguinal hernia Q

On physical exam-- 

Bilateral inguinal hernia is right graded and left - s/l plus 1 plus 1 is show benign. Help!


he also has Bilateral inguinal hernia
Subject: he also has Bilateral inguinal hernia