Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Surgery
Sample Name: Removal of Venous Port

Description: Acute lymphocytic leukemia in remission, removal of venous port.
(Medical Transcription Sample Report)

PREOPERATIVE DIAGNOSIS: Acute lymphocytic leukemia in remission.

POSTOPERATIVE DIAGNOSIS: Acute lymphocytic leukemia in remission.

OPERATION PERFORMED: Removal of venous port.

ANESTHESIA: General.

INDICATIONS: This 9-year-old young lady presented with ALL in Orange County and had a port placed at that time. She subsequently has now undergone chemotherapy here and is now off therapy. She no longer needs her venous port so, comes to the operating room today for its removal.

OPERATIVE PROCEDURE: After the induction of general anesthetic, the exit site was prepped and draped in usual manner. The previous incision was opened by excising the old scar. The port pocket was then opened and the port was removed from the pocket. There was a resistance to the catheter being removed and so therefore, we began following the catheter along its path opening the tract until finally the catheter seemed to come free and could be pulled out without difficulty. The port pocket was then closed using a #3-0 Vicryl in subcutaneous tissue, #5-0 subcuticular Monocryl in the skin. Sterile dressing was applied. Young lady was awakened and taken to the recovery room in satisfactory condition.

Keywords: surgery, removal of venous port, acute lymphocytic leukemia, venous port, lymphocytic, leukemia, venous,
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