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Vascular Surgery - partial Toomay/Teemay of the foot

Posted By: Dave on 2007-08-24
In Reply to:

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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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.


Vascular surgery help!
Subject: Vascular surgery help!

The patient was extubated. She is making excellent urine. Her foot is warm but swollen with s/l booleye on her lower extremity.
Vascular Surgery help... See inside
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.
Raby sheath? Vascular surgery
Subject: Raby sheath? Vascular surgery

He placed a Raby sheath or Rabey or Rabi??? in a vascular surgery procedure, some kind of popliteal bypass.
Surgery was complicated by a partial distal femur fracture which was stabilized using a sm
Subject: Surgery was complicated by a partial distal femur fracture which was stabilized using a sm

s/l dull millis cable. Thanks for any help

Vascular surgery help needed--AV fistula involved
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


Foot surgery
Subject: Foot surgery

The tendons were retracted laterally.  At this time the s/l Mclaren elevary was introduced and the flexor plate was released.
Foot surgery help?
Subject: Foot surgery help?

release of the lateral sesamoid ligament, and an adductor s/l re-tenectomy? was performed
Foot surgery
Subject: Foot surgery

PROCEDURE: Calcaneal osteotomy (s/o Coleman slide), with looping of the anterior tibialis on the talus head.
Surgery - s/l roma on her foot.
Subject: Surgery - s/l roma on her foot.

Thanks for the help.
There is McGlamry elevator used in foot surgery?
Subject: There is McGlamry elevator used in foot surgery?


Foot/ankle surgery question
Subject: Foot/ankle surgery question

The doc says a couple times that a well-padded tourniquet was used with what sounds like "webro" beneath was placed around the patient's left upper ankle but not inflated at this time.


Just cannot get the word...please help? Thanks


MTP joint surgery. Foot elevated and exsanguinated and tourniquet inflated to 230 TOR
Subject: MTP joint surgery. Foot elevated and exsanguinated and tourniquet inflated to 230 TOR

Any ideas on the "TOR"?  I'm really stumped on this,  It's probably something simple..... 
Owen silk(s) (sutures). Hear it alot on foot surgery. nm
Subject: Owen silk(s) (sutures). Hear it alot on foot surgery. nm

s
foot surgery - s/l anesthesia delivered in a male nerve block fashion
Subject: foot surgery - s/l anesthesia delivered in a male nerve block fashion

nm
Patient with gangrene of foot. On exam, the entire foot is ulcerated with s/l us-i-nest debris.
Subject: Patient with gangrene of foot. On exam, the entire foot is ulcerated with s/l us-i-nest debris.

:-)
AFO-ankle foot orthosis for drop foot. nm
Subject: AFO-ankle foot orthosis for drop foot. nm

nm
denture fixed partial? or partial fixed etc? nm
Subject: denture fixed partial? or partial fixed etc? nm


if they say *foot* - give 'em foot....nm
Subject: if they say *foot* - give 'em foot....nm


She has a prosthetic *above?* right foot for right foot drop.
Subject: She has a prosthetic *above?* right foot for right foot drop.

,,
perhaps partial? nm
Subject: perhaps partial? nm


?partial - not sure if possible
Subject: ?partial - not sure if possible

..
Guessing at partial? nm
Subject: Guessing at partial? nm

x
concerning partial glossectomy
Subject: concerning partial glossectomy

The phrase he uses is enteral partial glossectomy.  Am I hearing the enteral word correctly?  I cannot verify this and it really does not sound right because enteral would be referring more to the intestine.  I'm thinking it is another word and I'm just not catching it tonight.


Honestly - the last 10 days have been simply cram-packed with all kinds of things and I am run down and just about brain dead tonight!  I'm sure you all can relate but if someone could help with this word, I'd appreciate it!!  Thanks to all!


Here's a partial sample
Subject: Here's a partial sample

Procedure:  Patient was brought to the operating room where general anesthesia was administered.  Examination under anesthesia revealed a uterus of approximately 8 to 10 week size.  No adnexal masses were appreciated.  Patient was prepped and draped in the usual manner for vaginal surgery.  A weighted retractor was placed in the posterior aspect of the vagina.  Anterior lip of cervix grasped with tenaculum.  The cervix was then progressively dilated with Pratt dilators, and a #8 curved suction curette easily introduced into the uterine cavity.  Products of conception were then evacuated.  The uterine cavity was then sharply curetted and additional tissues sent to pathology.  The tenaculum and retractor were then removed, and procedure was thus completed.  Estimated blood loss was minimal.  Patient tolerated the procedure well and taken to recovery room in stable condition.


Could it be partial-thickness?
Subject: Could it be partial-thickness?


partial colectomy? nm
Subject: partial colectomy? nm


maybe partial sphincterotomy
Subject: maybe partial sphincterotomy


maybe saying interval partial glossectomy sm
Subject: maybe saying interval partial glossectomy sm

as they often say interval  (procedure) prior to another procedure etc. Does that make sense??  Sorry. Trying to help. May be it though.
partial length orthotic
Subject: partial length orthotic


s/l inter partial seizures? nm
Subject: s/l inter partial seizures? nm


there is partial or wedge resection...
Subject: there is partial or wedge resection...

x
possibly partial seizures?
Subject: possibly partial seizures?

Sub-Categories of Types of Seizures
Generalized Seizures Non-Epileptic Seizures
Partial Seizures Status Epilepticus

Pt had a transhiatal partial esophagectomy
Subject: Pt had a transhiatal partial esophagectomy

for what s/l esophageal sears?
s/l gastric grafin enema for partial SBO ...
Subject: s/l gastric grafin enema for partial SBO ...

TIA!
hard, partial banked orthotic
Subject: hard, partial banked orthotic

They gave her a hard, partial "s/l banked" orthotic. She complains of pain around the plantar heel area.
also can type partial words into dictionary
Subject: also can type partial words into dictionary

you can type just part of a word into the dictionary search, and it will bring words up that have those letters in it - even if they are in the middle of the word.

cool website
"great toe partial-nail avulsion..." ? nm
Subject: "great toe partial-nail avulsion..." ? nm


does it sound like partial medial meniscectomy?
Subject: does it sound like partial medial meniscectomy?


s/l linear partial tear also does this paragraph
Subject: s/l linear partial tear also does this paragraph

make sense?


There is a focal tear of the posterior supraspinatus tendon noted. No other tear or retraction evident. There is also S/L linear partial tear of the long head of the biceps tendon noted. Mild degenerative changes to the glenohumeral joint also indicated. TIA.
vascular nm
Subject: vascular nm

nm
vascular?
Subject: vascular?


could vascular be getting
Subject: could vascular be getting

nm
Pt with complex partial epilepsy with s/l "second regeneralization" nm
Subject: Pt with complex partial epilepsy with s/l "second regeneralization" nm


peripheral vascular
Subject: peripheral vascular

It should be peripheral vascular. The Stedmans Cardiology book answers all of those questions. It's a great book.
VASCULAR EXAM:
Subject: VASCULAR EXAM:

Pulses +2. No streaking S/L" blances with palpitation"  I have no idea what she is trying to say.. Not sure if the no streaking goes with the "blances" part or not...
Sorry. All I can think of is vascular studies etc. nm
Subject: Sorry. All I can think of is vascular studies etc. nm


vascular and subarachnoid
Subject: vascular and subarachnoid