Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Surgery

The branch of medical science that treats disease or injury by operative procedures.



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Chest Tube Insertion in ER
Chest tube insertion done by two physicians in ER - spontaneous pneumothorax secondary to barometric trauma.

Chest Tube Placement
Left pleural effusion, parapneumonic, loculated. Left chest tube placement.

Chest Tube Removal
Bilateral pleural effusion. Removal of bilateral #32 French chest tubes with closure of wound.

Chest Wall Mass Removal
Removal of chest wall mass. The area of the mass, which was on the anterior lower ribs on the left side was marked and then a local anesthetic was injected.

Chest Wall Tumor Resection
Resection of left chest wall tumor, partial resection of left diaphragm, left lower lobe lung wedge resection, left chest wall reconstruction with Gore-Tex mesh.

Cholangiopancreatography (Endoscopic)
Endoscopic retrograde cholangiopancreatography with brush cytology and biopsy.

Cholecystectomy - Open
Open cholecystectomy (attempted laparoscopic cholecystectomy).

Cholecystectomy & Cholangiogram.
Laparoscopic cholecystectomy with cholangiogram.

Cholecystectomy Laparoscopic
Laparoscopic cholecystectomy. Gallstone pancreatitis. Video laparoscopy revealed dense omental adhesions surrounding the gallbladder circumferentially.

Cholecystostomy Tube Placement
Placement of cholecystostomy tube under ultrasound guidance. Acute acalculous cholecystitis.

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NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples