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Preop robotic assisted laparoscopic prostatectomy?

Posted By: MT50 on 2007-11-13
In Reply to: s/l preop-robotic-cystolaparoscopic prostatectomy - word help

Subject: Preop robotic assisted laparoscopic prostatectomy?




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s/l preop-robotic-cystolaparoscopic prostatectomy
Subject: s/l preop-robotic-cystolaparoscopic prostatectomy

ideas?
Robotic prostatectomy
Subject: Robotic prostatectomy


Doing a robotic prostatectomy. Here's the sentence:


The lateral-most laparoscopic port was placed on the right, using the "Versa Steck" under direct vision.


Non-ESL American doctor, very clear, making it sound like 2 words, Versa and Steck.  I am finding Versatak and VersaStick which is home exercise equipment. Any ideas?  TIA!!!


doing robotic prostatectomy - s/l PROGRAFT?
Subject: doing robotic prostatectomy - s/l PROGRAFT?

The operation was begun and the majority of the operation was performed using bipolar fenestrated grasper in the left hand and with a monopolar scissor in the right hand.  The 4th arm of the robot was a PROGRAFT?
There is a company called da Vinci that makes this Robotic arm for this prostatectomy and it is list
Subject: There is a company called da Vinci that makes this Robotic arm for this prostatectomy and it is listed as ProGrasp (trademarked) so I believe you are right.


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

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

x
robotic?
Subject: robotic?


A guess -- lap. robotic, or... SM
Subject: A guess -- lap. robotic, or... SM

lap. robotic or lap/robotic or lap-robotic or something -- just a guess
WAG but maybe CyberKnife for robotic surgery ? sm
Subject: WAG but maybe CyberKnife for robotic surgery ? sm

They also use irradiation.
prostatectomy
Subject: prostatectomy

da Vinci prostatectomy
Lap radical prostatectomy sm
Subject: Lap radical prostatectomy sm

He says this:
We incised the urachus and umbilical ligaments and dropped the bladder down posteriorly. We incised the endopelvic fascia and preprostatic ligaments and placed 2 ligatures of 0 Vicryl around the s/l doors venous complex.

Venous complex is clear, but is that dorsal? First lapscc of these I have done. Stedman's GI/GU is not very good either.
Robotic CABG arterial stabilizer s/l S tech sm
Subject: Robotic CABG arterial stabilizer s/l S tech sm

Apparently NOT S-tek, S-tech, Estek or Estech that I can find. Thank you so much!


Pt with robotic hysterectomy. The s/l B-Care system was placed and the KOH cup was stitched.
Subject: Pt with robotic hysterectomy. The s/l B-Care system was placed and the KOH cup was stitched.

I can't document this anywhere.
Is it preop or pre-op?
Subject: Is it preop or pre-op?

nm
Re preop
Subject: Re preop

And don't ya just love it when 'the patient was preopped'?
preop KUB
Subject: preop KUB

nm
For preop all I have is
Subject: For preop all I have is

the following:


In the preoperative area the patient recieved IV sedation followed by a peribulbar injection of Xylocaine, Marcaine, and hyaluronidase.  A Honan balloon was placed on the eye.


scleral seroma sounds plausible ... but honestly, it sounds more like thera-scroma, or their scroma?


ts/l BLAZER ransurethral prostatectomy,
Subject: ts/l BLAZER ransurethral prostatectomy,


Prostatectomy...gland of (s/l) clocae? TIA NM
Subject: Prostatectomy...gland of (s/l) clocae? TIA NM


Preop diagnosis -see msg
Subject: Preop diagnosis -see msg

Right knee stiffness with subacute ACL injury.  Medial meniscal tear.  Possible ??___________ fracture. 


 


No mention in report of positive finding.


oops, that should say, "transurethral prostatectomy, " looking for s/l BLAZER
Subject: oops, that should say, "transurethral prostatectomy, " looking for s/l BLAZER


As preop antibiotic would be correct
Subject: As preop antibiotic would be correct

nm
preop diagnosis s/l dis-hor-sis of the sacrum at 7-24.6???. nm
Subject: preop diagnosis s/l dis-hor-sis of the sacrum at 7-24.6???. nm

d
When a doc says preop'd I transcribe prepared. nm
Subject: When a doc says preop'd I transcribe prepared. nm

.
Preop lumbar spondylosis...help!
Subject: Preop lumbar spondylosis...help!

Hi guys. I have a couple of questions on this report.

Under description of procedure: After sterile prepped and draped, local anesthetic wheals were raised. There were cephalocaudad and oblique projections of the intersections of the superior articular process of L5 and the sacral ala....

First of all, I'm sure he says "after sterile prepped and draped.... Even though this doesn't make much sense, is that correct?
========================================================
My second question is...local anesthetic wheals were raised. There were cephalocaudad and oblique projections.....

it sounds like he says over cephalocaudad and oblique projections....but that doesn't make much sense. Which way is correct? Is it with the period after wheals were raised?
==========================================================
Lastly, 22-gauge bend tip spinal needles were directed to these intersections.... Is bend tip spinal needles correct?

Thanks for any suggestions. I have been reading posts on here for awhile now but have never posted anything. You guys are the greatest and I hope that one day I can be the successful MT some of you are! Thanks for your help.
s/l dorsal benovein complex (prostatectomy report)
Subject: s/l dorsal benovein complex (prostatectomy report)

nm
video-assisted technique
Subject: video-assisted technique

maybe? I don't do a lot of cardiac caths, but that is one suggestion in my Stedman's cardiac book, and I know they tend to slur that phrase.
VAC or V.A.C. - (vacuum assisted closure) nm
Subject: VAC or V.A.C. - (vacuum assisted closure) nm


Preop H & P for foot. Missing 2 words below.....
Subject: Preop H & P for foot. Missing 2 words below.....

She has no paralysis, s/l vastusy or atrophy.  Dermatologically, her temperature is warm, hair growth to the digits and s/l tergurus are supple.
Could it be scleral seroma? Did he give a preop dx?
Subject: Could it be scleral seroma? Did he give a preop dx?

x
which was preop(eratively) popping through the skin??
Subject: which was preop(eratively) popping through the skin??

wild guess
I did Google it, but I don't see where it has anything to do w/surgery risk. Would it be preop l
Subject: I did Google it, but I don't see where it has anything to do w/surgery risk. Would it be preop labs


VAC = vacuum-assisted closure device....nm
Subject: VAC = vacuum-assisted closure device....nm


VAC = vacuum-assisted closure (device)...nm
Subject: VAC = vacuum-assisted closure (device)...nm


Coapt-Tite stent ? in male pat. for urinary incontinence after prostatectomy
Subject: Coapt-Tite stent ? in male pat. for urinary incontinence after prostatectomy

nm
Video assisted thoracic surgery - OnQ pump? nm
Subject: Video assisted thoracic surgery - OnQ pump? nm


I was under the impression that VAC is an acronym for vacuum-assisted closure.
Subject: I was under the impression that VAC is an acronym for vacuum-assisted closure.

Both Stedmans acronyms and Tessier surgical have it as VAC.
video-assisted thoracic surgery (VATS),
Subject: video-assisted thoracic surgery (VATS),

chylous leak
video assisted thoroscopy and pleurodesis for **PPS** syndrome
Subject: video assisted thoroscopy and pleurodesis for **PPS** syndrome


maybe VATS - video-assisted thoracoscopic surgery
Subject: maybe VATS - video-assisted thoracoscopic surgery


VATS, video-assisted thoracic surgery
Subject: VATS, video-assisted thoracic surgery


"VATS" ?? (video-assisted thoracoscopic surgery)
Subject: "VATS" ?? (video-assisted thoracoscopic surgery)


X-rays reviewed that show questionable volar **assisted* scaphoid fracture. Thanks
Subject: X-rays reviewed that show questionable volar **assisted* scaphoid fracture. Thanks


VAC or V.A.C. (vacuum assisted closure) white and black foam. see link. Hope this helps.
Subject: VAC or V.A.C. (vacuum assisted closure) white and black foam. see link. Hope this helps.

http://www.kci1.com/88.asp
laparoscopic? nm
Subject: laparoscopic? nm

s
laparoscopic?
Subject: laparoscopic?


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.