rectum was moblilized from the sacral ala using blunt dissection

• rectum was moblilized from the sacral ala using blunt dissection - PRiddy
  • is ala the correct term???? - PRiddy
    • sacral ala is an accurate term, but... - moon1010

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She has been very edematous and very sick for the first few days here.  Her cardiac function seemed to recover and over several days, she was able to ______ sufficiently to decrease the amount of edema that she had had.

All I can hear is blunt?!

Thanks!

I know that sudden dissection can't be right but when transcribing a breast biopsy procedure that what it sounds like.  What else could it be?  It doesn't sound like sharp or blunt....what else could sound like sudden?  Any help would be appreciated. 

Thanks

__ ectomy.  Here is the context:

status post a recent composite resection including a right neck dissection and ___medivalectomy___ and free flap reconstruction with a fibular free flap. 

Maybe my ears are not working right tonight!! Imagine that after being at this for 13 hours today!  Okay - many interuptions (I homeschool too), stopping to fix supper etc.  but needless to say -- I'm tired!!

There is a history of hypertension, (s/l thoratic aortic dissection) ?

Thanks

I have never done an op note and have certainly never done a groin node dissection!  There are no sample reports available.  I have done this doctor before in his clinical setting and he is one of my favorites, but no op notes - the problem is a very poor quality recording - and in an area that I do not have experience!!  HELP!!  Each line is a separate issue.  Some I just need some verifcation that I did it right.

We dissected the lymph node bearing tissue off of the external __s/l dish__ muscle, exposed the femoral nerve artery and vein. 

We used hemoclips and silk ___ for hemostasis and controlled lymphatic vessels.

We dissected along the superficial femoral artery and femoral nerve to __revolve?__ the lymph node bearing tissue from this area.   

We irrigated __and assured?__ hemostasis

We identified the ureter which was reflected medially.

assured hemostasis placing __ FloSeal __ along the obturator foramen area and there was no sign of bleeding

We closed the fascia with a running loop #1 _PDS__ suture. 

closing the femoral canal defect with an interrupted, figure of 8, Ethibond suture.

Thanks for any help or reassurance!!!

is anyone familiar with a procedure for aortic dissection that sounds like bentile or ventile procedure? 

"underoging an emergent bentile procedure for an acute aortic dissection"

That's the only thing I can think of that would sound like that.

Can you believe that QA said it should be:

1.  Right-sided fifth lumbar-first sacral herniated nucleus pulposus.

Thanks for the responses though!