Medical Specialty: Surgery

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

Surgery
Abdominal Abscess I&D
Incision and drainage (I&D) of abdominal abscess, excisional debridement of nonviable and viable skin, subcutaneous tissue and muscle, then removal of foreign body.
Abdominal Exploration
Congenital chylous ascites and chylothorax and rule out infradiaphragmatic lymphatic leak. Diffuse intestinal and mesenteric lymphangiectasia.
Abdominosacrocolpopexy
Abdominosacrocolpopexy, enterocele repair, cystoscopy, and lysis of adhesions.
Abscess Excision
Excision of abscess, removal of foreign body. Repair of incisional hernia. Recurrent re-infected sebaceous cyst of abdomen. Abscess secondary to retained foreign body and incisional hernia.
AC Separation Revision & Hardware Removal
Removal of the hardware and revision of right AC separation. Loose hardware with superior translation of the clavicle implants. Arthrex bioabsorbable tenodesis screws.
Achilles Lengthening
Bilateral open Achilles lengthening with placement of short leg walking cast.
Achilles Tendon Repair
Achilles tendon rupture, left lower extremity. Primary repair left Achilles tendon. The patient was stepping off a hilo at work when he felt a sudden pop in the posterior aspect of his left leg. The patient was placed in posterior splint and followed up at ABC orthopedics for further care.
Adenocarcinoma & Mesothelioma
Grade 1 endometrial adenocarcinoma and low-grade mesothelioma of the ovary - Omentectomy, pelvic lymph node dissection, and laparoscopy.
Adenoidectomy
Adenoidectomy procedure
Adenoidectomy - 1
Adenoidectomy. Adenoid hypertrophy. The McIvor mouth gag was placed in the oral cavity and the tongue depressor applied.
Adenoidectomy & Tonsillectomy & Lingual Frenulectomy
Adenoidectomy and tonsillectomy and lingual frenulectomy. Chronic adenotonsillitis and ankyloglossia.
Adenotonsillectomy
Adenotonsillectomy, primary, patient under age 12.
Adenotonsillectomy - 1
Adenotonsillectomy. Recurrent tonsillitis. The adenoid bed was examined and was moderately hypertrophied. Adenoid curettes were used to remove this tissue and packs placed.
Adenotonsillectomy - 2
Adenotonsillectomy. Adenotonsillitis with hypertrophy. The patient is a very nice patient with adenotonsillitis with hypertrophy and obstructive symptoms. Adenotonsillectomy is indicated.
Adrenalectomy & Umbilical Hernia Repair
Laparoscopic hand-assisted left adrenalectomy and umbilical hernia repair. Patient with a 5.5-cm diameter nonfunctioning mass in his right adrenal.
Ahmed Shunt Placement
The Ahmed shunt was primed and placed in the superior temporal quadrant and it was sutured in place with two 8-0 nylon sutures. The knots were trimmed.
Angiogram & Angioplasty
Lower extremity angiogram, superficial femoral artery laser atherectomy and percutaneous transluminal balloon angioplasty, external iliac artery angioplasty and stent placement, and completion angiogram.
Angiography & Catheterization
Left heart catheterization, bilateral selective coronary angiography, left ventriculography, and right heart catheterization. Positive nuclear stress test involving reversible ischemia of the lateral wall and the anterior wall consistent with left anterior descending artery lesion.
Angiography & Catheterization - 1
Selective coronary angiography of the right coronary artery, left main LAD, left circumflex artery, left ventricular catheterization, left ventricular angiography, angioplasty of totally occluded mid RCA, arthrectomy using 6-French catheter, stenting of the mid RCA, stenting of the proximal RCA, femoral angiography and Perclose hemostasis.
Anterior Cervical Decompression
Herniated nucleus pulposus. Anterior cervical decompression, anterior spine instrumentation, anterior cervical spine fusion, and application of machined allograft.
Anterior Cervical Discectomy
Anterior cervical discectomy and removal of herniated disk and osteophytes and decompression of spinal cord and bilateral nerve root decompression. Harvesting of autologous bone from the vertebral bodies. Grafting of allograft bone for creation of arthrodesis.
Anterior Cervical Discectomy - 1
Anterior cervical discectomy, removal of herniated disc and osteophytes, bilateral C4 nerve root decompression, harvesting of bone for autologous vertebral bodies for creation of arthrodesis, grafting of fibular allograft bone for creation of arthrodesis, creation of arthrodesis via an anterior technique with fibular allograft bone and autologous bone from the vertebral bodies, and placement of anterior spinal instrumentation using the operating microscope and microdissection technique.
Anterior Cervical Discectomy - 2
Anterior cervical discectomy at C5-6 and placement of artificial disk replacement. Right C5-C6 herniated nucleus pulposus.
Anterior Cervical Discectomy - 3
Anterior cervical discectomy (two levels) and C5-C6 and C6-C7 allograft fusions. A C5-C7 anterior cervical plate fixation (Sofamor Danek titanium window plate) intraoperative fluoroscopy used and intraoperative microscopy used. Intraoperative SSEP and EMG monitoring used.
Anterior Cervical Discectomy - 4
C5-C6 anterior cervical discectomy, bone bank allograft, and anterior cervical plate. Left cervical radiculopathy.
Anterior Cervical Discectomy & Arthrodesis
Anterior cervical discectomy, arthrodesis, partial corpectomy, Machine bone allograft, placement of anterior cervical plate with a Zephyr. 7. Microscopic dissection.
Anterior Cervical Discectomy & Arthrodesis - 1
Arthrodesis - anterior interbody technique, anterior cervical discectomy, anterior instrumentation with a 23-mm Mystique plate and the 13-mm screws, implantation of machine bone implant. Disc herniation with right arm radiculopathy.
Anterior Cervical Discectomy & Arthrodesis - 2
Anterior cervical discectomy C4-C5 arthrodesis with 8 mm lordotic ACF spacer, corticocancellous, and stabilization with Synthes Vector plate and screws. Cervical spondylosis and herniated nucleus pulposus of C4-C5.
Anterior Cervical Discectomy & Decompression
Anterior cervical discectomy with decompression C6-C7, arthrodesis with anterior interbody fusion C6-C7, spinal instrumentation using Pioneer 20 mm plate and four 12 x 4.0 mm screws, PEEK implant 7 mm, and Allograft using Vitoss.
Anterior Cervical Discectomy & Decompression - 1
Anterior cervical discectomy with decompression, anterior cervical fusion, anterior cervical instrumentation, and Allograft C5-C6.
Anterior Cervical Discectomy & Fusion
Anterior cervical discectomy fusion C3-C4 and C4-C5 using operating microscope and the ABC titanium plates fixation with bone black bone procedure. Cervical spondylotic myelopathy with cord compression and cervical spondylosis.
Anterior Cervical Discectomy & Fusion - 1
Anterior cervical discectomy and fusion, C2-C3, C3-C4. Removal of old instrumentation, C4-C5. Fusion C3-C4 and C2-C3 with instrumentation using ABC plates.
Anterior Cervical Discectomy & Fusion - 2
Herniated nucleus pulposus, C5-C6, with spinal stenosis. Anterior cervical discectomy with fusion C5-C6.
Anterior Cervical Discectomy & Fusion - 3
Radical anterior discectomy with removal of posterior osteophytes, foraminotomies, and decompression of the spinal canal. Anterior cervical fusion. Utilization of allograft for purposes of spinal fusion. Application of anterior cervical locking plate.
Anterior Cervical Discectomy & Fusion - 4
Anterior cervical discectomy with decompression and arthrodesis with anterior interbody fusion. Spinal instrumentation using Pioneer 18-mm plate and four 14 x 4.3 mm screws (all titanium).
Anterior Cervical Discectomy & Fusion - 5
Anterior cervical discectomy at C5-C6 and C6-C7 for neural decompression and anterior interbody fusion at C5-C6 and C6-C7 utilizing Bengal cages x2. Anterior instrumentation by Uniplate construction C5, C6, and C7 with intraoperative x-ray x2.
Anterior Cervical Discectomy & Fusion - 6
Anterior cervical discectomy with decompression of spinal cord. Anterior cervical fusion. Anterior cervical instrumentation. Insertion of intervertebral device. Use of operating microscope.
Anterior Cervical Discectomy & Fusion - 7
C4-C5, C5-C6 anterior cervical discectomy and fusion. The patient is a 62-year-old female who presents with neck pain as well as upper extremity symptoms. Her MRI showed stenosis at portion of C4 to C6.
Anterior Cervical Discectomy & Fusion - 8
C5-C6 anterior cervical discectomy, allograft fusion, and anterior plating.
Anterior Cervical Discectomy & Fusion - 9
Herniated nucleus pulposus C5-C6. Anterior cervical discectomy fusion C5-C6 followed by instrumentation C5-C6 with titanium dynamic plating system, Aesculap. Operating microscope was used for both illumination and magnification.
Anterior Cervical Discectomy & Interbody Fusion
Anterior cervical discectomy with decompression, C5-C6, arthrodesis with anterior interbody fusion, C5-C6, spinal instrumentation, C5-C6 using Pioneer 18-mm plate and four 14 x 4.0 mm screws (all titanium), implant using PEEK 7 mm, and Allograft using Vitoss.
Anterior Cervical Discectomy & Interbody Fusion - 1
Anterior cervical discectomy for neural decompression and anterior interbody fusion at C4-C5, C5-C6, and C6-C7 utilizing Bengal cages times three.
Anterior Cervical Discectomy & Interbody Fusion - 2
Anterior cervical discectomy with spinal cord and spinal canal decompression and Anterior interbody fusion at C5-C6 utilizing Bengal cage.
Anterior Cervical Discectomy & Interbody Fusion - 3
Anterior cervical discectomy for neural decompression and anterior interbody fusion C5-C6 utilizing Bengal cage.
Anterior Cervical Discectomy & Osteophytectomy
Anterior cervical discectomy and osteophytectomy. Application of prosthetic interbody fusion device. Anterior cervical interbody arthrodesis. Anterior cervical instrumentation
Anterior Cruciate Ligament Reconstruction
Arthroscopy of the left knee was performed with the anterior cruciate ligament reconstruction. Removal of loose bodies. Medial femoral chondroplasty and meniscoplasty.
Anterior Lumbar Fusion
Anterior lumbar fusion, L4-L5, L5-S1, PEEK vertebral spacer, structural autograft from L5 vertebral body, BMP and anterior plate. Severe low back pain.
Antibiotic-Impregnated Beads Placement
Irrigation and debridement of skin, subcutaneous tissue, fascia and bone associated with an open fracture and placement of antibiotic-impregnated beads. Open calcaneus fracture on the right.
Aortic Valve Replacement
Aortic valve replacement using a mechanical valve and two-vessel coronary artery bypass grafting procedure using saphenous vein graft to the first obtuse marginal artery and left radial artery graft to the left anterior descending artery.
Aortobifemoral Bypass
Aortoiliac occlusive disease. Aortobifemoral bypass. The aorta was of normal size and consistency consistent with arteriosclerosis. A 16x8 mm Gore-Tex graft was placed without difficulty. The femoral vessels were small somewhat thin and there was posterior packing, but satisfactory bypass was performed.
Aortobifemoral Bypass - 1
Dementia and aortoiliac occlusive disease bilaterally. Aortobifemoral bypass surgery utilizing a bifurcated Hemashield graft.
Aortogram - Leg claudication.
Aortogram with bilateral, segmental lower extremity run off. Left leg claudication. The patient presents with lower extremity claudication.
Appendectomy
Appendicitis, nonperforated. Appendectomy. A transverse right lower quadrant incision was made directly over the point of maximal tenderness.
Appendectomy - 1
Acute appendicitis, gangrenous. Appendectomy.
Appendectomy - 2
Acute appendicitis and 29-week pregnancy. Appendectomy.
Appendectomy - Laparoscopic
Laparoscopic appendectomy and peritoneal toilet and photos. Pelvic inflammatory disease and periappendicitis.
Appendectomy Laparoscopic
Laparoscopic appendectomy. Acute appendicitis.
Appendectomy Laparoscopic - 1
Laparoscopic appendectomy. Acute suppurative appendicitis. A CAT scan of the abdomen and pelvis was obtained revealing findings consistent with acute appendicitis. There was no evidence of colitis on the CAT scan.
Arthrodesis
Bilateral Crawford subtalar arthrodesis with open Achilles Z-lengthening and bilateral long-leg cast.
Arthroplasty
Hammertoe deformity, left fifth digit and ulceration of the left fifth digit plantolaterally. Arthroplasty of the left fifth digit proximal interphalangeal joint laterally and excision of plantar ulceration of the left fifth digit 3 cm x 1 cm in size.
Arthroplasty - Hammertoe
Arthroplasty of the right second digit. Hammertoe deformity of the right second digit.
Arthroscopic Debridement - Shoulder
Recurrent anterior dislocating left shoulder. Arthroscopic debridement of the left shoulder with attempted arthroscopic Bankart repair followed by open Bankart arthroplasty of the left shoulder.
Arthroscopic Debridement & Labral Repair - Hip
Femoroacetabular impingement. Left hip arthroscopic debridement, femoral neck osteoplasty, and labral repair.
Arthroscopic Meniscoplasty
Torn lateral meniscus and chondromalacia of the patella, right knee. Arthroscopic lateral meniscoplasty and patellar shaving of the right knee.
Arthroscopic Rotator Cuff Repair
Primary right shoulder arthroscopic rotator cuff repair with subacromial decompression.
Arthroscopic Rotator Cuff Repair - 1
Rotated cuff tear, right shoulder. Glenoid labrum tear. Arthroscopy with arthroscopic glenoid labrum debridement, subacromial decompression, and rotator cuff repair, right shoulder.
Arthroscopic Rotator Cuff Repair - 2
Arthroscopic rotator cuff repair, arthroscopic subacromial decompression, and arthroscopic extensive debridement, superior labrum anterior and posterior tear.
Arthroscopic SLAP lesion
Rotator cuff tear, right shoulder. Superior labrum anterior and posterior lesion (peel-back), right shoulder. Arthroscopy with arthroscopic SLAP lesion. Repair of soft tissue subacromial decompression rotator cuff repair, right shoulder.
Arthroscopic Subacromial Decompression - Shoulder
Arthroscopy with arthroscopic subacromial decompression of the left shoulder. Impingement syndrome, left shoulder. Rule out superior labrum anterior and posterior lesion, left shoulder.
Arthroscopy - Glenoid Labrum
Arthroscopy of the arthroscopic glenoid labrum, rotator cuff debridement shaving glenoid and humeral head, and biceps tenotomy, right shoulder. Massive rotator cuff tear, right shoulder, near complete biceps tendon tear of right shoulder, chondromalacia of glenohumeral joint or right shoulder, and glenoid labrum tear of right shoulder.
Arthroscopy - Shoulder
Partial rotator cuff tear, left shoulder. Arthroscopy of the left shoulder with arthroscopic rotator cuff debridement, soft tissue decompression of the subacromial space of the left shoulder.
Arthroscopy & Chondroplasty
Diagnostic arthroscopy with partial chondroplasty of patella, lateral retinacular release, and open tibial tubercle transfer with fixation of two 4.5 mm cannulated screws. Grade-IV chondromalacia patella and patellofemoral malalignment syndrome.
Arthroscopy Shoulder/Knee
Right shoulder arthroscopy, subacromial decompression, distal clavicle excision, bursectomy, and coracoacromial ligament resection, carpal tunnel release, left knee arthroscopy, and partial medial and lateral meniscectomy.
Arthroscopy, Arthrotomy, Bankart lesion repair
Diagnostic arthroscopy exam under anesthesia, left shoulder. Debridement of chondral injury, left shoulder. Debridement, superior glenoid, left shoulder. Arthrotomy. Bankart lesion repair. Capsular shift, left shoulder (Mitek suture anchors; absorbable anchors with nonabsorbable sutures).
Arthroscopy, Meniscoplasty, & Chondroplasty
Arthroscopy of the left knee, left arthroscopic medial meniscoplasty of medial femoral condyle, and chondroplasty of the left knee as well. Chondromalacia of medial femoral condyle. Medial meniscal tear, left knee.
Arthrotomy & I&D
Hemarthrosis, left knee, status post total knee replacement, rule out infection. Arthrotomy, irrigation and debridement, and polyethylene exchange, left knee. No complications were encountered throughout the procedure.
Arthrotomy & Ostectomy & Capsular Mass Excision
Excision of capsular mass and arthrotomy with ostectomy of lateral femoral condyle, right knee. Soft tissue mass and osteophyte lateral femoral condyle, right knee.
Arthrotomy & Subscapularis Tendon Repair
Arthrotomy, removal humeral head implant, right shoulder. Repair of torn subscapularis tendon (rotator cuff tendon) acute tear. Debridement glenohumeral joint. Biopsy and culturing the right shoulder.
Ash Split Venous Port
Ash split venous port insertion. The right anterior chest and supraclavicular fossa area, neck, and left side of chest were prepped with Betadine and draped in a sterile fashion.
Aspiration - Knee Joint
Erythema of the right knee and leg, possible septic knee. Aspiration through the anterolateral portal of knee joint.
Atrioventricular Septal Defect
The patient is a 5-1/2-year-old with Down syndrome, complex heart disease consisting of atrioventricular septal defect and tetralogy of Fallot with pulmonary atresia, discontinuous pulmonary arteries and bilateral superior vena cava with a left cava draining to the coronary sinus and a right aortic arch.
Austin Bunionectomy
Austin bunionectomy with internal screw fixation, first metatarsal, left foot.
Austin-Akin Bunionectomy
Austin-Akin bunionectomy with internal screw fixation of the first right metatarsophalangeal joint. Weil osteotomy with internal screw fixation, first right metatarsal. Arthroplasty, second right PIP joint.
Austin-Moore Bipolar Hemiarthroplasty
Austin-Moore bipolar hemiarthroplasty, left hip utilizing a medium fenestrated femoral stem with a medium 0.8 mm femoral head, a 50 mm bipolar cup. Displace subcapital fracture, left hip.
AV Fistula - 1
Venogram of the left arm and creation of left brachiocephalic arteriovenous fistula.
AV Fistula - 2
Creation of right brachiocephalic arteriovenous fistula.
AV Fistula - 3
Creation of AV fistula, left wrist in the anatomic snuffbox.
AV Fistula - 4
Creation of autologous right brachiobasilic arteriovenous fistula - first stage.
AV Fistula - 5
Left forearm arteriovenous fistula between cephalic vein and radial artery.
Axillary Dissection & Mass Excision
Left axillary dissection with incision and drainage of left axillary mass. Right axillary mass excision and incision and drainage. Bilateral axillary masses, rule out recurrent Hodgkin's disease.
Basilic Vein Transposition
Right basilic vein transposition. End-stage renal disease with need for a long-term hemodialysis access. Excellent flow through fistula following the procedure.
Bbunionectomy & Metatarsal Osteotomy
Tailor's bunionectomy with metatarsal osteotomy of the left fifth metatarsal. Excision of nerve lesion with implantation of the muscle belly of the left second interspace. Excision of nerve lesion in the left third interspace.
BCCa Excision - Canthus
Excision basal cell carcinoma, right medial canthus with frozen section, and reconstruction of defect with glabellar rotation flap.
BCCa Excision - Cheek
Excision of basal cell carcinoma. Closure complex, open wound. Bilateral capsulectomies. Bilateral explantation and removal of ruptured silicone gel implants
BCCa Excision - Lower Lid
Excision of large basal cell carcinoma, right lower lid, and repaired with used dorsal conjunctival flap in the upper lid and a large preauricular skin graft.
BCCa Excision - Nasal Tip
Excision of nasal tip basal carcinoma, previous positive biopsy.
Belly Button Piercing
Belly button piercing for insertion of belly button ring.
BICAP Cautery
Hematemesis in a patient with longstanding diabetes. Submucosal hemorrhage consistent with trauma from vomiting and grade 2 esophagitis. Mallory-Weiss tear, successful BICAP cautery.
Biceps Tendon Repair
Ruptured distal biceps tendon, right elbow. Repair of distal biceps tendon, right elbow.
Bifrontal Cranioplasty
Bifrontal cranioplasty, cranial defect greater than 10 cm in diameter in the frontal region.
Bilateral Carotid Cerebral Angiogram
Bilateral carotid cerebral angiogram and right femoral-popliteal angiogram.
Bilateral Inguinal Herniorrhaphy
3-1/2-year-old presents with bilateral scrotal swellings consistent with bilateral inguinal hernias.
Bilateral Myringotomies
Bilateral myringotomies, placement of ventilating tubes, nasal endoscopy, and adenoidectomy.
Bilateral Myringotomies - 1
Bilateral myringotomies with Armstrong grommet tubes, Adenoidectomy, and Tonsillectomy.
Bilateral Myringotomies - 2
Bilateral Myringotomy with placement of PE tubes
Bilateral Orbital Frontozygomatic Craniotomy
Bilateral orbital frontozygomatic craniotomy with bilateral orbital advancement with Z-osteotomies and bilateral forehead reconstruction with autologous graft.
Bilateral Tubal Occlusion - Laparoscopic
Desires permanent sterilization. Laparoscopic bilateral tubal occlusion with Hulka clips.
Bilateral Upper Lid Blepharoplasty
Bilateral upper lid blepharoplasty to correct bilateral upper eyelid dermatochalasis.
Bilateral Vasovasostomy
Bilateral vasovasostomy surgery sample.
BioArc Midurethral Sling
Cystoscopy, cystocele repair, BioArc midurethral sling.
Biopsy - Actinic Keratosis
Excisional biopsy of actinic keratosis and skin nevus, two-layer and one-layer plastic closures,
Biopsy - Axillary Lymph Node
Right axillary adenopathy, thrombocytopenia, and hepatosplenomegaly. Right axillary lymph node biopsy.
Biopsy - Cervical Lymph Node
Excisional biopsy of right cervical lymph node.
Biopsy - Skin Nevus
Excisional biopsy of skin nevus and two-layer plastic closure. Trichloroacetic acid treatment to left lateral nasal skin 2.5 cm to treat actinic keratosis.
Biventricular Cardioverter Defibrillator Implantation
Implantation of biventricular automatic implantable cardioverter defibrillator, fluoroscopic guidance for lead implantation for biventricular automatic implantable cardioverter defibrillator, coronary sinus venogram for left ventricular lead placement, and defibrillation threshold testing x2.
Bladder Biopsies & Fulguration
Cystoscopy, bladder biopsies, and fulguration. Bladder lesions with history of previous transitional cell bladder carcinoma, pathology pending.
Bladder Laceration Closure
Closure of bladder laceration, during cesarean section.
Blepharon & Entropion Repair
Repair of entropion, left upper lid, with excision of anterior lamella and cryotherapy. Repairs of blepharon, entropion, right lower lid with mucous membrane graft.
Blepharoplasty
Blepharoplasty procedure
Blepharoplasty - Direct Brow Repair
Blepharoplasty with direct brow repair.
Blepharoplasty - Lower Lid
Lower lid blepharoplasty.
Blepharoplasty - Quad
Quad blepharoplasty for blepharochalasia and lower lid large primary and secondary bagging.
BMT & Adenoidectomy
Bilateral myringotomy tubes and adenoidectomy.
BMT & T&A
Bilateral myringotomy and tube placement, tonsillectomy and adenoidectomy.
Bone Impacted Tooth Removal
Dentigerous cyst, left mandible associated with full bone impacted wisdom tooth #17. Removal of benign cyst and extraction of full bone impacted tooth #17.
Bone Removal - Metatarsal Head
Tailor's bunion, right foot. Removal of bone, right fifth metatarsal head.
Bony Impacted Teeth Removal
Surgical removal of completely bony impacted teeth #1, #16, #17, and #32. Completely bony impacted teeth #1, #16, #17, and #32.
Brachytherapy
Brachytherapy, iodine-125 seed implantation, and cystoscopy.
Brain Stimulator Electrode
Frontal craniotomy for placement of deep brain stimulator electrode. Microelectrode recording of deep brain structures. Intraoperative programming and assessment of device.
Breast Biopsy
Excisional breast biopsy with needle localization. The skin overlying the needle tip was incised in a curvilinear fashion.
Breast Biopsy - 1
Left excisional breast biopsy due to atypical ductal hyperplasia of left breast.
Breast Biopsy - 2
Needle localization and left breast biopsy for left breast mass.
Breast Excisional Biopsy
Right breast excisional biopsy with needle-localization. The patient is a 41-year-old female with abnormal mammogram with a strong family history of breast cancer requesting needle-localized breast biopsy for nonpalpable breast mass.
Breast Mass Excision
Excision of right breast mass. Right breast mass with atypical proliferative cells on fine-needle aspiration.
Breast Mass Excision - 1
Left breast mass and hypertrophic scar of the left breast. Excision of left breast mass and revision of scar. The patient is status post left breast biopsy, which showed a fibrocystic disease with now a palpable mass just superior to the previous biopsy site.
Breast Mass Excision - 2
Excision of left breast mass. The mass was identified adjacent to the left nipple. It was freely mobile and it did not seem to hold the skin.
Bronchoalveolar lavage.
Evaluation of airway for possible bacterial infection performed using bronchoalveolar lavage.
Bronchoscopy
Bronchoscopy. Atelectasis and mucous plugging.
Bronchoscopy - 1
Bronchoscopy, right upper lobe biopsies and right upper lobe bronchial washing as well as precarinal transbronchial needle aspiration.
Bronchoscopy - 2
Bronchoscopy for persistent cough productive of sputum requiring repeated courses of oral antibiotics over the last six weeks in a patient who is a recipient of a bone marrow transplant with end-stage chemotherapy and radiation-induced pulmonary fibrosis.
Bronchoscopy - 3
Fiberoptic bronchoscopy for diagnosis of right lung atelectasis and extensive mucus plugging in right main stem bronchus.
Bronchoscopy - 4
Rigid bronchoscopy with dilation, excision of granulation tissue tumor, application of mitomycin-C, endobronchial ultrasound.
Bronchoscopy - 5
Rigid bronchoscopy, removal of foreign body, excision of granulation tissue tumor, bronchial dilation , Argon plasma coagulation, placement of a tracheal and bilateral bronchial stents.
Bronchoscopy - 6
Bronchoscopy for hypoxia and increasing pulmonary secretions
Bronchoscopy - 7
Diagnostic fiberoptic bronchoscopy.
Bronchoscopy - 8
Bronchoscopy with brush biopsies. Persistent pneumonia, right upper lobe of the lung, possible mass.
Bronchoscopy - Fiberoptic
Fiberoptic bronchoscopy with endobronchial biopsies. A CT scan done of the chest there which demonstrated bilateral hilar adenopathy with extension to the subcarinal space as well as a large 6-cm right hilar mass, consistent with a primary lung carcinoma.
Bronchoscopy & Bronchoalveolar Lavage
Bronchoscopy with bronchoalveolar lavage. Refractory pneumonitis. A 69-year-old man status post trauma, slightly prolonged respiratory failure status post tracheostomy, requires another bronchoscopy for further evaluation of refractory pneumonitis.
Bronchoscopy & Foreign Body Removal
Plastic piece foreign body in the right main stem bronchus. Rigid bronchoscopy with foreign body removal.
Bronchoscopy & Lobectomy
Bronchoscopy with aspiration and left upper lobectomy. Carcinoma of the left upper lobe.
Bronchoscopy & Thoracotomy
Diagnostic bronchoscopy and limited left thoracotomy with partial pulmonary decortication and insertion of chest tubes x2. Bilateral bronchopneumonia and empyema of the chest, left.
Bronchoscopy Brushings
Bronchoscopy brushings, washings and biopsies. Patient with a bilateral infiltrates, immunocompromised host, and pneumonia.
Broviac Catheter Placement
Lumbar osteomyelitis and need for durable central intravenous access. Placement of left subclavian 4-French Broviac catheter.
Browlift, Blepharoplasty, & Rhytidectomy
Hairline biplanar temporal browlift, quadrilateral blepharoplasty, canthopexy, cervical facial rhytidectomy with purse-string SMAS elevation with submental lipectomy.
BTL & Salpingectomy
Repeat low transverse cervical cesarean section with delivery of a viable female neonate. Bilateral tubal ligation and partial salpingectomy. Lysis of adhesions.
Buccal Mucosal Lesion Excision
Wide local excision of left buccal mucosal lesion with full thickness skin graft closure in the left supraclavicular region and adjacent tissue transfer closure of the left supraclavicular grafting site
Bunionectomy - Austin - Akin
Austin/akin bunionectomy, right foot. Bunion, right foot. The patient states she has had a bunion deformity for as long as she can remember that has progressively become worse and more painful.
Bunionectomy & Akin Osteotomy
Bunion, left foot. Bunionectomy with first metatarsal osteotomy base wedge type with internal screw fixation and Akin osteotomy with internal wire fixation of left foot.
Bunionectomy & Arthrodesis
Bunionectomy, right foot with Biopro hemi implant, right first metatarsophalangeal joint. Arthrodesis, right second, third, and fourth toes with external rod fixation. Hammertoe repair, right fifth toe. Extensor tenotomy and capsulotomy, right fourth metatarsophalangeal joint. Modified Tailor's bunionectomy, right fifth metatarsal.
Bunionectomy & Flexor Tenotomy
Bunionectomy with distal first metatarsal osteotomy and internal screw fixation, right foot. Proximal interphalangeal joint arthroplasty, bilateral fifth toes. Distal interphalangeal joint arthroplasty, bilateral third and fourth toes. Flexor tenotomy, bilateral third toes.
Bunionectomy & Metatarsal Osteotomy
Bunionectomy, SCARF type, with metatarsal osteotomy and internal screw fixation, left and arthroplasty left second toe. Bunion left foot and hammertoe, left second toe.
Bunionectomy & Osteotomy
Bunionectomy with distal first metatarsal osteotomy and internal screw fixation, right foot. Akin bunionectomy, right toe with internal wire fixation.
Bunions and Calluses
A 60-year-old female presents today for care of painful calluses and benign lesions.
CABG
Coronary artery bypass grafting times three utilizing the left internal mammary artery, left anterior descending and reversed autogenous saphenous vein graft to the posterior descending branch of the right coronary artery and obtuse marginal coronary artery, total cardiopulmonary bypass, cold blood potassium cardioplegia, antegrade and retrograde, for myocardial protection.
CABG - 1
Coronary bypass graft x2 utilizing left internal mammary artery, the left anterior descending, reverse autogenous reverse autogenous saphenous vein graft to the obtuse marginal. Total cardiopulmonary bypass, cold-blood potassium cardioplegia, antegrade for myocardial protection.
CABG - 2
Coronary artery bypass grafting (CABG) x2, left internal mammary artery to the left anterior descending and reverse saphenous vein graft to the circumflex, St. Jude proximal anastomosis used for vein graft. Off-pump Medtronic technique for left internal mammary artery, and a BIVAD technique for the circumflex.
CABG - Redo
Redo coronary bypass grafting x3, right and left internal mammary, left anterior descending, reverse autogenous saphenous vein graft to the obtuse marginal and posterior descending branch of the right coronary artery. Total cardiopulmonary bypass, cold-blood potassium cardioplegia, antegrade for myocardial protection. Placement of a right femoral intraaortic balloon pump.
CABG x4
Coronary artery bypass grafting (CABG) x4. Progressive exertional angina, three-vessel coronary artery disease, left main disease, preserved left ventricular function.
Calcaneal Lengthening Osteotomy
Left calcaneal lengthening osteotomy with allograft, partial plantar fasciotomy, posterior subtalar and tibiotalar capsulotomy, and short leg cast placed.
Capsulotomy & Flat Advancement, Left Breast
Capsulotomy left breast and flat advancement V to Y, left breast, for correction of lower pole defect (breast assymetry) status post previous breast surgery.
Cardiac Allograft Transplant
Orthostatic cardiac allograft transplantation utilizing total cardiopulmonary bypass, open sternotomy covered with Ioban, insertion of Mahurkar catheter for hemofiltration via the left common femoral vein.
Cardiac Cath & Coronary Angiography
Left Cardiac Catheterization, Left Ventriculography, Coronary Angiography and Stent Placement.
Cardiac Cath & Selective Coronary Angiography
Left cardiac catheterization with selective right and left coronary angiography. Post infarct angina.
Cardiac Catheterization
Left heart catheterization, LV cineangiography, selective coronary angiography, and right heart catheterization with cardiac output by thermodilution technique with dual transducer.
Cardiac Catheterization - 1
Cardiac Catheterization - An obese female with a family history of coronary disease and history of chest radiation for Hodgkin disease, presents with an acute myocardial infarction with elevated enzymes.
Cardiac Catheterization - 10
Left Heart Catheterization. Chest pain, coronary artery disease, prior bypass surgery. Left coronary artery disease native. Patent vein graft with obtuse marginal vessel and also LIMA to LAD. Native right coronary artery is patent, mild disease.
Cardiac Catheterization - 11
Patient with significant angina with moderate anteroapical ischemia on nuclear perfusion stress imaging only. He has been referred for cardiac catheterization.
Cardiac Catheterization - 12
Cardiac catheterization. Coronary artery disease plus intimal calcification in the mid abdominal aorta without significant stenosis.
Cardiac Catheterization - 2
The patient with atypical type right arm discomfort and neck discomfort.
Cardiac Catheterization - 3
White male with onset of chest pain, with history of on and off chest discomfort over the past several days.
Cardiac Catheterization - 4
Percutaneous intervention with drug-eluting stent placement to the ostium of the PDA.
Cardiac Catheterization - 5
Left heart catheterization with coronary angiography, vein graft angiography and left ventricular pressure measurement and angiography.
Cardiac Catheterization - 6
Right heart and left heart catheterization by way of right femoral artery, right femoral vein, and right internal jugular vein.
Cardiac Catheterization - 7
Left heart catheterization, left ventriculogram, selective coronary arteriography, aortic arch angiogram, right iliofemoral angiogram, #6 French Angio-Seal placement.
Cardiac Catheterization - 8
Left heart cardiac catheterization.
Cardiac Catheterization - 9
Cardiac catheterization and coronary intervention report.
Cardiac Consult & Cardioversion
Patient with a history of atrial fibrillation in the past, more recently who has had atrial flutter. The patient has noted some lightheadedness as well as chest discomfort and shortness of breath when atrial flutter recurred.
Cardioversion
Cardioversion. An 86-year-old woman with a history of aortic valve replacement in the past with paroxysmal atrial fibrillation
Cardioversion - Direct Current
Direct current cardioversion. Successful direct current cardioversion with restoration of sinus rhythm from atrial fibrillation with no immediate complication.
Cardioversion - Direct Current - 1
Direct-current cardioversion. This is a 53-year-old gentleman with history of paroxysmal atrial fibrillation for 3 years. Successful DC cardioversion of atrial fibrillation.
Cardioversion - Unsuccessful
Cardioversion. Unsuccessful direct current cardioversion with permanent atrial fibrillation.
Carious Teeth Extraction
Carious teeth and periodontal disease affecting all remaining teeth and partial bony impacted tooth #32. Extraction of teeth.
Carotid Endarterectomy
Right carotid stenosis and prior cerebrovascular accident. Right carotid endarterectomy with patch angioplasty.
Carotid Endarterectomy - 1
Right common carotid endarterectomy, internal carotid endarterectomy, external carotid endarterectomy, and Hemashield patch angioplasty of the right common, internal and external carotid arteries.
Carotid Endarterectomy & Angioplasty.
Left carotid endarterectomy with endovascular patch angioplasty. Critical left carotid stenosis. The external carotid artery was occluded at its origin. When the endarterectomy was performed, the external carotid artery back-bled nicely. The internal carotid artery had good backflow bleeding noted.
Carpal Ligament Reconstruction
Carpal tunnel release with transverse carpal ligament reconstruction. A longitudinal incision was made in line with the fourth ray, from Kaplan's cardinal line proximally to 1 cm distal to the volar wrist crease. The dissection was carried down to the superficial aponeurosis.
Carpal Ligament Release - 1
Endoscopic release of left transverse carpal ligament.
Carpal Ligament Release - 2
Endoscopic release of left transverse carpal ligament. Steroid injection, stenosing tenosynovitis of right middle finger.
Carpal Tunnel Release
Carpal tunnel release. Nerve conduction study tests diagnostic of carpal tunnel syndrome. The patient failed to improve satisfactorily on conservative care, including anti-inflammatory medications and night splints.
Carpal Tunnel Release - 1
Right carpal tunnel release.
Carpal Tunnel Release - 2
Left endoscopic carpal tunnel release and endotracheal fasciotomy.
Carpal Tunnel Release - 3
Left carpal tunnel release, left ulnar nerve anterior submuscular transposition at the elbow, lengthening of the flexor pronator muscle mass in the proximal forearm to accommodate the submuscular position of the ulnar nerve.
Carpal Tunnel Release - 4
Right open carpal tunnel release and cortisone injection, left carpal tunnel.
Carpal Tunnel Release - 5
Bilateral open carpal tunnel release.
Carpal Tunnel Release - 6
Left carpal tunnel release. Left carpal tunnel syndrome. Severe compression of the median nerve on the left at the wrist.
Carpal Tunnel Release - 7
Right carpal tunnel syndrome. Right carpal tunnel release.
Carpal Tunnel Release - 8
Right carpal tunnel release and right index and middle fingers release A1 pulley. Right carpal tunnel syndrome and right index finger and middle fingers tenosynovitis.
Carpal Tunnel Release - 9
Right carpal tunnel release. Right carpal tunnel syndrome. This is a 54-year-old female who was complaining of right hand numbness and tingling of the median distribution and has elected to undergo carpal tunnel surgery secondary to failure of conservative management.
Carpal Tunnel Release - Endoscopic
Carpal tunnel syndrome. Endoscopic carpal tunnel release. After administering appropriate antibiotics and MAC anesthesia, the upper extremity was prepped and draped in the usual standard fashion, the arm was exsanguinated with Esmarch, and the tourniquet inflated to 250 mmHg.
Carpal Tunnel Release - Open
Carpal tunnel syndrome. Open carpal tunnel release. A longitudinal incision was made in line with the 4th ray. The dissection was carried down to the superficial aponeurosis, which was cut. The distal edge of the transverse carpal ligament was identified with a hemostat.
Cartilage Loose Body Removal
Left knee arthroscopy with removal of the cartilage loose body and microfracture of the medial femoral condyle with chondroplasty.
Cataract Extraction
Cataract extraction with lens implantation, right eye. The lens was inspected and found to be free of defects, folded, and easily inserted into the capsular bag, and unfolded.
Cataract Extraction - 1
Extracapsular cataract extraction with posterior chamber intraocular lens placement by phacoemulsification. A peribulbar block was given to the eye using 8 cc of a mixture of 0.5% Marcaine without epinephrine mixed with Wydase plus one-half of 2% lidocaine without epinephrine.
Cataract Extraction - 2
Extracapsular cataract extraction with phacoemulsification and implantation of a posterior chamber intraocular lens, left eye.
Cataract Extraction & Vitrectomy
Cataract to right eye. Cataract extraction with intraocular lens implant of the right eye, anterior vitrectomy of the right eye.
Cataract Surgery
Normal cataract surgery.
Catheter Placement
Ultrasound-guided placement of multilumen central venous line, left femoral vein.
Cauterization - Epistaxis
Cauterization of epistaxis, left nasal septum. Fiberoptic nasal laryngoscopy. Atrophic dry nasal mucosa. Epistaxis. Atrophic laryngeal changes secondary to inhaled steroid use.
Cavernosaphenous Shunt - Priapism
Refractory priapism. Cavernosaphenous shunt. The patient presented with priapism x48 hours on this visit. The patient underwent corporal aspiration and Winter's shunt both of which failed
Cecal Polyp Resection
Laparoscopic resection of cecal polyp. Local anesthetic was infiltrated into the right upper quadrant where a small incision was made. Blunt dissection was carried down to the fascia which was grasped with Kocher clamps.
Cemented Arthroplasty
Left total knee cemented arthroplasty. Severe tricompartmental osteoarthritis, left knee with varus deformity.
Cemented Hemiarthroplasty & Biopsy
Left hip cemented hemiarthroplasty and biopsy of the tissue from the fracture site and resected femoral head sent to the pathology for further assessment.
Central Line Insertion
Central line insertion. Empyema thoracis and need for intravenous antibiotics.
Central Line Placement
Right subclavian triple lumen central line placement
Central Venous & Arterial Line
Insertion of central venous line and arterial line and transesophageal echocardiography probe.
Cesarean Section
Cesarean Section. An incision was made as noted above in the findings and carried down through the subcutaneous tissue, muscular fascia and peritoneum.
Cesarean Section & BTL
Repeat low-transverse cesarean section, bilateral tubal ligation (BTL), extensive anterior abdominal wall/uterine/bladder adhesiolysis. Term pregnancy and desires permanent sterilization.
Cheek-Neck Facelift
Temporal cheek-neck facelift and submental suction assisted lipectomy to correct facial and neck skin ptosis and cheek, neck, and jowl lipotosis, and facial rhytides.
Chest Closure
Delayed primary chest closure. Open chest status post modified stage 1 Norwood operation. The patient is a newborn with diagnosis of hypoplastic left heart syndrome who 48 hours prior to the current procedure has undergone a modified stage 1 Norwood operation.
Chest Tube Insertion
Right hemothorax. Insertion of a #32 French chest tube on the right hemithorax. This is a 54-year-old female with a newly diagnosed carcinoma of the cervix. The patient is to have an Infuse-A-Port insertion.
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.
Cineangiography
Left and right coronary system cineangiography, cineangiography of SVG to OM and LIMA to LAD. Left ventriculogram and aortogram. Percutaneous intervention of the left circumflex and obtuse marginal branch with plano balloon angioplasty unable to pass stent.
Cineangiography - 1
Left and right coronary system cineangiography. Left ventriculogram. PCI to the left circumflex with a 3.5 x 12 and a 3.5 x 8 mm Vision bare-metal stents postdilated with a 3.75-mm noncompliant balloon x2.
Circumcision
The patient had spraying of urine and ballooning of the foreskin with voiding.
Circumcision - 1
Circumcision in an older person
Circumcision - 2
Circumcision procedure (neotal)
Circumcision - 3
Circumcision procedure in a baby
Circumcision - 4
Normal Circumcision
Circumcision - 5
Release of ventral chordee, circumcision, and repair of partial duplication of urethral meatus.
Circumcision - 6
Circumcision. A dorsal slit was made, and the prepuce was dissected away from the glans penis.
Circumcision - 7
Normal penis. The foreskin was normal in appearance and measured 1.6 cm. There was no bleeding at the circumcision site.
Circumcision - Child
Circumcision. The child appeared to tolerate the procedure well. Care instructions were given to the parents.
Circumcision - Infant
Circumcision. Normal male phallus. The infant is without evidence of hypospadias or chordee prior to the procedure.
Circumcision - Newborn
Newborn circumcision. The penile foreskin was removed using Gomco.
Circumcision & Chordee Release
Circumcision and release of ventral chordee.
Clear Corneal Temporal Incision
Clear corneal temporal incision (no stitches). A lid speculum was placed in the fissure of the right eye.
Cleft Repair
Repair of bilateral cleft of the palate with vomer flaps.
Cleft Repair - Soft Palate
Cleft soft palate. Repair of cleft soft palate and excise accessory ear tag, right ear.
Closed ORIF - Ankle
Trimalleolar ankle fracture and dislocation right ankle. A comminuted fracture involving the lateral malleolus, as well as a medial and posterior malleolus fracture as well. Closed open reduction and internal fixation of right ankle.
Closed Reduction - 1
Right distal both-bone forearm fracture. Closed reduction under conscious sedation and application of a splint was warranted.
Closed Reduction - 2
Left distal both-bone forearm fracture. Closed reduction with splint application with use of image intensifier.
Closed Reduction - Mandible Fracture
Bilateral open mandible fracture, open left angle and open symphysis fracture. Closed reduction of mandible fracture with MMF.
Closed Reduction Percutaneous Pinning
Closed reduction percutaneous pinning, left distal humerus. Closed type-III supracondylar fracture, left distal humerus. Tethered brachial artery, left elbow.
Closing Wedge Osteotomy
Closing wedge osteotomy, fifth metatarsal with internal screw fixation, right foot.
Closure of Amputation Wounds
Left upper extremity amputation. This 3-year-old male suffered amputation of his left upper extremity with complications of injury. He presents at this time for further attempts at closure. Left abdominal flap 5 x 5 cm to left forearm, debridement of skin, subcutaneous tissue, muscle, and bone, closure of wounds, placement of VAC negative pressure wound dressing.
Closure of Complex Lacerations
Closure of multiple complex lacerations. Multiple complex lacerations of the periorbital area.
Coarctation of Aorta
Juxtaductal coarctation of the aorta, dilated cardiomyopathy, bicuspid aortic valve, patent foramen ovale.
Collar Tubes
Collar Tubes technique
Colonoscopy
Iron deficiency anemia. Diverticulosis in the sigmoid.
Colonoscopy - 1
Colonoscopy due to rectal bleeding, constipation, abnormal CT scan, rule out inflammatory bowel disease.
Colonoscopy - 10
Colon cancer screening and family history of polyps. Sigmoid diverticulosis and internal hemorrhoids.
Colonoscopy - 11
Colonoscopy. The Olympus video colonoscope was inserted through the anus and was advanced in retrograde fashion through the sigmoid colon, descending colon, around the splenic flexure, into the transverse colon, around the hepatic flexure, down the ascending colon, into the cecum.
Colonoscopy - 12
Colonoscopy. The Olympus video colonoscope then was introduced into the rectum and passed by directed vision to the cecum and into the terminal ileum.
Colonoscopy - 13
History of polyps. Total colonoscopy and photography. Normal colonoscopy, left colonic diverticular disease. 3+ benign prostatic hypertrophy.
Colonoscopy - 14
Colonoscopy. History of colon polyps and partial colon resection, right colon. Mild diverticulosis of the sigmoid colon. Hemorrhoids.
Colonoscopy - 15
Colonoscopy. Change in bowel habits and rectal prolapse. Normal colonic mucosa to the cecum.
Colonoscopy - 16
Colonoscopy. Rectal bleeding and perirectal abscess. Normal colonoscopy to the terminal ileum. Opening in the skin at the external anal verge, consistent with drainage from a perianal abscess, with no palpable abscess at this time, and with no evidence of fistulous connection to the bowel lumen.
Colonoscopy - 17
Universal diverticulosis and nonsurgical internal hemorrhoids. Total colonoscopy with photos. The patient is a 62-year-old white male who presents to the office with a history of colon polyps and need for recheck.
Colonoscopy - 18
Possible inflammatory bowel disease. Polyp of the sigmoid colon.. Total colonoscopy with photography and polypectomy.
Colonoscopy - 19
Colonoscopy with terminal ileum examination. Iron deficiency anemia. Following titrated intravenous sedation the flexible video endoscope was introduced into the rectum and advanced to the cecum without difficulty.
Colonoscopy - 2
Colonoscopy in a patient with prior history of anemia and abdominal bloating.
Colonoscopy - 20
Screening colonoscopy. Tiny polyps. If adenomatous, repeat exam in five years.
Colonoscopy - 21
Colonoscopy and biopsies, epinephrine sclerotherapy, hot biopsy cautery, and snare polypectomy. Colon cancer screening. Family history of colon polyps.
Colonoscopy - 22
Mild-to-moderate diverticulosis. She was referred for a screening colonoscopy. There is no family history of colon cancer. No evidence of polyps or malignancy.
Colonoscopy - 3
Colonoscopy to evaluate prior history of neoplastic polyps.
Colonoscopy - 4
Colonoscopy - Diarrhea, suspected irritable bowel
Colonoscopy - 5
Colonoscopy due to hematochezia and personal history of colonic polyps.
Colonoscopy - 6
Colonoscopy to screen for colon cancer
Colonoscopy - 7
Patient with history of adenomas and irregular bowel habits.
Colonoscopy - 8
Patient with active flare of Inflammatory Bowel Disease, not responsive to conventional therapy including sulfasalazine, cortisone, local therapy.
Colonoscopy - 9
Patient with history of polyps.
Colonoscopy & Esophagogastroduodenoscopy
Colonoscopy to cecum with snare polypectomy and esophagogastroduodenoscopy with biopsies. Hematochezia, refractory dyspepsia, colonic polyps at 35 cm and 15 cm, diverticulosis coli, and acute and chronic gastritis.
Colonoscopy & Polypectomy - 1
Total colonoscopy and polypectomy
Colonoscopy & Polypectomy - 2
Colonoscopy, conscious sedation, and snare polypectomy.
Colonoscopy & Polypectomy - 3
Total colonoscopy with biopsy and snare polypectomy.
Colonoscopy Template - 1
Common description of colonoscopy
Colonoscopy Template - 2
Common description of colonoscopy
Colonoscopy Template - 3
Common description of colonoscopy
Colonoscopy Template - 4
Common description of colonoscopy
Colonoscopy Template - 5
Common description of colonoscopy
Colonoscopy with Biopsy
A woman referred for colonoscopy secondary to heme-positive stools. Procedure done to rule out generalized diverticular change, colitis, and neoplasia.
Colonoscopy with Biopsy - 1
The patient with a recent change in bowel function and hematochezia.
Colonoscopy with Biopsy - 2
Small internal hemorrhoids and Ileal colonic anastomosis.
Colonoscopy with Biopsy - 3
Colonoscopy with multiple biopsies, including terminal ileum, cecum, hepatic flexure, and sigmoid colon.
Colonoscopy with Biopsy - 4
Colonoscopy with random biopsies and culture.
Colonoscopy With Photos
Colonoscopy with photos. The patient is an 85-year-old female who was admitted to the hospital with a markedly decreased hemoglobin and blood loss anemia. She underwent an EGD and attempted colonoscopy; however, due to a very poor prep, only a flexible sigmoidoscopy was performed at that time. A coloscopy is now being performed for completion.
Colpocleisis
Colpocleisis and rectocele repair.
Completion Thyroidectomy
Completion thyroidectomy with limited right paratracheal node dissection.
Complex Cyanotic Congenital Heart Disease
A 10-1/2-year-old born with asplenia syndrome with a complex cyanotic congenital heart disease characterized by dextrocardia bilateral superior vena cava, complete atrioventricular septal defect, a total anomalous pulmonary venous return to the right-sided atrium, and double-outlet to the right ventricle with malposed great vessels, the aorta being anterior with a severe pulmonary stenosis.
Condylectomy
Lateral and plantar condylectomy, fifth left metatarsal.
Condyloma Cauterization
Cauterization of peri and intra-anal condylomas. Extensive perianal and intra-anal condyloma which are likely represent condyloma acuminata.
Cone Biopsy
Cervical cone biopsy, dilatation & curettage
Control of Parapharyngeal Hemorrhage
Postoperative hemorrhage. Examination under anesthesia with control of right parapharyngeal space hemorrhage. The patient is a 35-year-old female with a history of a chronic pharyngitis and obstructive adenotonsillar hypertrophy.
Coronary Angiography
Selective coronary angiography, left heart catheterization with hemodynamics, LV gram with power injection, right femoral artery angiogram, closure of the right femoral artery using 6-French AngioSeal.
Coronary Angiography & Abdominal Aortography
Selective coronary angiography. Placement of overlapping 3.0 x 18 and 3.0 x 8 mm Xience stents in the proximal right coronary artery. Abdominal aortography.
Cranial Vault Reconstruction
Anterior cranial vault reconstruction with fronto-orbital bar advancement.
Craniotomy
Right-sided craniotomy for evacuation of a right frontal intracranial hemorrhage. Status post orbitozygomatic resection of a pituitary tumor with a very large intracranial component basically a very large skull-based brain tumor.
Craniotomy - Biparietal
Biparietal craniotomy, insertion of left lateral ventriculostomy, right suboccipital craniectomy and excision of tumor.
Craniotomy - Burr Hole
Right burr hole craniotomy for evacuation of subdural hematoma and placement of subdural drain.
Craniotomy - Frontal Zygomatic
Bilateral orbital frontal zygomatic craniotomy (skull base approach), bilateral orbital advancement with (C-shaped osteotomies down to the inferior orbital rim) with bilateral orbital advancement with bone grafts, bilateral forehead reconstruction with autologous graft.
Craniotomy - Frontotemporal
Right frontotemporal craniotomy and evacuation of hematoma, biopsy of membranes, microtechniques.
Craniotomy - Frontotemporal - 1
Acute left subdural hematoma. Left frontal temporal craniotomy for evacuation of acute subdural hematoma. CT imaging reveals an acute left subdural hematoma, which is hemispheric.
Craniotomy - Occipital
Occipital craniotomy, removal of large tumor using the inner hemispheric approach, stealth system operating microscope and CUSA.
Craniotomy - Retrosigmoid
Left retrosigmoid craniotomy and excision of acoustic neuroma.
Craniotomy - Temporal
Left temporal craniotomy and removal of brain tumor.
Craniotomy & Neuronavigation
Right frontal craniotomy with resection of right medial frontal brain tumor. Stereotactic image-guided neuronavigation and microdissection and micro-magnification for resection of brain tumor.
Cryosurgical Ablation of Prostate
Cystoscopy, cryosurgical ablation of the prostate.
CT-Guided Biopsy - Kidney
CT-guided needle placement, CT-guided biopsy of right renal mass, and embolization of biopsy tract with gelfoam.
CT-Guided Needle Placement Biopsy
CT of abdomen with and without contrast. CT-guided needle placement biopsy.
Culdoplasty & Vaginal Hysterectomy
Laparoscopic assisted vaginal hysterectomy, bilateral salpingo-oophorectomy, culdoplasty, and cystoscopy. Chronic pelvic inflammatory disease, pelvic adhesions, pelvic pain, fibroid uterus, and enterocele.
Cystic Suprasellar Tumor Resection
Endoscopic and microsurgical transnasal resection of cystic suprasellar tumor.
Cysto & Double-J Stent Insersion
Residual stone status post right percutaneous nephrolithotomy, attempted second-look nephrolithotomy, cysto with insertion of 6-French variable length double-J stent.
Cysto Stent Removal
Right lower pole renal stone and possibly infected stent. Cysto stent removal.
Cystolithalopaxy
Holmium laser cystolithalopaxy. A diabetic male in urinary retention with apparent neurogenic bladder and intermittent self-catheterization, recent urinary tract infections. The cystoscopy showed a large bladder calculus, short but obstructing prostate.
Cystoprostatectomy
Exploratory laparotomy, resection of small bowel lesion, biopsy of small bowel mesentery, bilateral extended pelvic and iliac lymphadenectomy (including preaortic and precaval, bilateral common iliac, presacral, bilateral external iliac lymph nodes), salvage radical cystoprostatectomy (very difficult due to previous chemotherapy and radiation therapy), and continent urinary diversion with an Indiana pouch.
Cystopyelogram
Cystopyelogram, left ureteroscopy, laser lithotripsy, stone basket extraction, stent exchange with a string attached.
Cystopyelogram - 1
Cystopyelogram, clot evacuation, transurethral resection of the bladder tumor x2 on the dome and on the left wall of the bladder.
Cystoscopy
Cystoscopy under anesthesia, bilateral HIT/STING with Deflux under general anesthetic.
Cystoscopy & Bladder Biopsy
Cystoscopy and Bladder biopsy with fulguration. History of bladder tumor with abnormal cytology and areas of erythema.
Cystoscopy & TURP
Cystoscopy. Transurethral resection of the prostate.
Cystoscopy & Visual Urethrotomy
Cystoscopy & Visual urethrotomy procedure
Cystoscopy, Ureteropyelogram, & Ureteral Barbotage
Right hydronephrosis, right flank pain, atypical/dysplastic urine cytology, extrarenal pelvis on the right, no evidence of obstruction or ureteral/bladder lesions. Cystoscopy, bilateral retrograde ureteropyelograms, right ureteral barbotage for urine cytology, and right ureterorenoscopy.
Cystourethroscopy & Retrograde Pyelogram
Cystourethroscopy, bilateral retrograde pyelogram, and transurethral resection of bladder tumor of 1.5 cm in size. Recurrent bladder tumor and history of bladder carcinoma.
Cystourethroscopy & Retrograde Pyelogram - 1
Cystourethroscopy, right retrograde pyelogram, right ureteral pyeloscopy, right renal biopsy, and right double-J 4.5 x 26 mm ureteral stent placement. Right renal mass and ureteropelvic junction obstruction and hematuria.
Cystourethroscopy & TURP
Benign prostatic hypertrophy and urinary retention. Cystourethroscopy and transurethral resection of prostate (TURP).
Cystourethroscopy & TURP - 1
Cystourethroscopy and tTransurethral resection of prostate (TURP). Urinary retention and benign prostate hypertrophy. This is a 62-year-old male with a history of urinary retention and progressive obstructive voiding symptoms and enlarged prostate 60 g on ultrasound, office cystoscopy confirmed this.
Cystourethroscopy & Urethral Dilation
Cystourethroscopy, urethral dilation, and bladder biopsy and fulguration. Urinary hesitancy and weak stream, urethral narrowing, mild posterior wall erythema.
D&C & Hysteroscopy
Enlarged fibroid uterus, hypermenorrhea, and secondary anemia. Dilatation and curettage and hysteroscopy.
D&C & Hysteroscopy - 1
Dilation and curettage (D&C) and hysteroscopy. A female presents 7 months status post spontaneous vaginal delivery, has had abnormal uterine bleeding since her delivery with an ultrasound showing a 6 cm x 6 cm fundal mass suspicious either for retained products or endometrial polyp.
D&C & Hysteroscopy Followup
D&C and hysteroscopy. Abnormal uterine bleeding, enlarged fibroid uterus, hypermenorrhea, intermenstrual spotting, and thickened endometrium per ultrasound of a 2 cm lining. 6. Grade 1+ rectocele.
D&C & Laparoscopy
Enlarged fibroid uterus, infertility, pelvic pain, and probable bilateral tubal occlusion. Dilatation and curettage and laparoscopy and injection of indigo carmine dye.
D&C & Laparoscopy - 1
Dilation and curettage (D&C), laparoscopy, and harmonic scalpel ablation of lesion which is suspicious for endometriosis. Chronic pelvic pain, hypermenorrhea, desire for future fertility, failed conservative medical therapy, possible adenomyosis, left hydrosalpinx, and suspicion for endometriosis.
D&C & Laparoscopy - 2
Dilation and curettage (D&C), laparoscopy, enterolysis, lysis of the pelvic adhesions, and left salpingo-oophorectomy. Complex left ovarian cyst, bilateral complex adnexae, bilateral hydrosalpinx, chronic pelvic inflammatory disease, and massive pelvic adhesions.
D&C & Tubal Pregnancy Removal
Complex right lower quadrant mass with possible ectopic pregnancy. Right ruptured tubal pregnancy and pelvic adhesions. Dilatation and curettage and laparoscopy with removal of tubal pregnancy and right partial salpingectomy.
D&C, Laparoscopy, & Salpingectomy
Dilation and curettage (D&C), laparoscopy, right salpingectomy, lysis of adhesions, and evacuation of hemoperitoneum. Pelvic pain, ectopic pregnancy, and hemoperitoneum.
DDDR Permanent Pacemaker
DDDR permanent pacemaker, insertion of a steroid-eluting screw in right atrial lead, insertion of a steroid-eluting screw in right ventricular apical lead, pulse generator insertion, model Sigma,
de Quervain Release - Carpal
Carpal tunnel syndrome and de Quervain's stenosing tenosynovitis. Carpal tunnel release and de Quervain's release. A longitudinal incision was made in line with the 4th ray, from Kaplan's cardinal line proximally to 1 cm distal to the volar wrist crease. The dissection was carried down to the superficial aponeurosis.
de Quervain Release - Wrist
Wrist de Quervain stenosing tenosynovitis. de Quervain release. Fascial lengthening flap of the 1st dorsal compartment.
Debridement - Foot Ulcer
Debridement of left lateral foot ulcer with excision of infected and infarcted interosseous space muscle tendons and fat. Sharp excision of left distal foot plantar fascia.
Debridement - Shoulder
Incision and drainage with extensive debridement, left shoulder. Removal total shoulder arthroplasty (uncemented humeral Biomet component; cemented glenoid component). Implantation of antibiotic beads, left shoulder.
Debridement Necrotic Tissue
Debridement of the necrotic tissue of the left lower abdomen as well as the left peritoneal area. Pannus and left peritoneal specimen sent to Pathology.
Debridements
Debridement of wound, fasciotomies, debridement of muscle from the anterior compartment, and application of vacuum-assisted closure systems to fasciotomy wounds, as well as traumatic wound.
Decompressive Laminectomy
Decompressive laminectomy at T12 with bilateral facetectomies, decompression of T11 and T12 nerve roots bilaterally with posterolateral fusion supplemented with allograft bone chips and pedicle screws and rods with crosslink Synthes ClickX System.
Delayed ORIF
Delayed open reduction internal fixation with plates and screws, 6-hole contoured distal fibular plate and screws reducing posterolateral malleolar fragment as well as medial malleolar fragment.
Delivery Note
Delivery is a normal spontaneous vaginal delivery of an intrauterine fetal demise. Fetal position is right occiput anterior.
Delivery Note - 1
Spontaneous controlled sterile vaginal delivery performed without episiotomy.
Delivery Note - 10
The patient had ultrasound done on admission that showed gestational age of 38-2/7 weeks. The patient progressed to a normal spontaneous vaginal delivery over an intact perineum.
Delivery Note - 2
Pitocin was started quickly to allow for delivery as quickly as possible. Baby was delivered with a single maternal pushing effort with retraction by the forceps.
Delivery Note - 3
Delivery was via spontaneous vaginal delivery. Nuchal cord x1 were tight and reduced. Infant was DeLee suctioned at perineum.
Delivery Note - 4
She progressed in labor throughout the day. Finally getting the complete and began pushing. Pushed for about an hour and a half when she was starting to crown.
Delivery Note - 5
Artificial rupture of membrane was performed for clear fluid. She did receive epidural anesthesia. She progressed to complete and pushing.
Delivery Note - 6
Her pregnancy is complicated by preterm contractions. She was on bedrest since her 34th week. She was admitted here and labor was confirmed with rupture of membranes.
Delivery Note - 7
The patient presented to Labor and Delivery with complaints of spontaneous rupture of membranes. She was found to be positive for Nitrazine pull and fern. At that time, she was not actually contracting.
Delivery Note - 8
Her cervix on admission was not ripe, so she was given a dose of Cytotec 25 mcg intravaginally and in the afternoon, she was having frequent contractions and fetal heart tracing was reassuring. At a later time, Pitocin was started.
Delivery Note - 9
She required augmentation with Pitocin to achieve a good active phase. She achieved complete cervical dilation.
Dental Prophylaxis
Dental prophylaxis under general anesthesia.
Dental Restoration
Dental restoration. Dental caries. Cavities have been noted by his parents and pediatrician that have been noted to be pretty severe.
Dental Restorations & Extractions
Dental restorations and extractions. Dental caries. He has had multiple severe carious lesions that warrant multiple extractions at this time.
Diabetic Foot Care
An 83-year-old diabetic female presents today stating that she would like diabetic foot care.
Diagnostic Arthroscopy
Torn rotator cuff and subacromial spur with impingement syndrome, right shoulder. Diagnostic arthroscopy with subacromial decompression and open repair of rotator cuff using three Panalok suture anchors.
Diagnostic Laparoscopy
The patient is a 22-year-old woman with a possible ruptured ectopic pregnancy.
Diagnostic Laparoscopy - 1
Diagnostic laparoscopy. Acute pelvic inflammatory disease and periappendicitis. The patient appears to have a significant pain requiring surgical evaluation. It did not appear that the pain was pelvic in nature, but more higher up in the abdomen, more towards the appendix.
Dilatation & Curettage - D&C
Fractional dilatation and curettage
Dilation & Evacuation
Dilation and evacuation. 12 week incomplete miscarriage. The patient unlike her visit in the ER approximately 4 hours before had some tissue in the vagina protruding from the os, this was teased out and then a D&E was performed yielding significant amount of central tissue.
Direct Laryngoscopy
Direct laryngoscopy and bronchoscopy.
Discectomy, Osteophytectomy, & Foraminotomy
Anterior cervical discectomy, osteophytectomy, foraminotomies, spinal cord decompression, fusion with machined allografts, Eagle titanium plate, Jackson-Pratt drain placement, and intraoperative monitoring with EMGs and SSEPs
Diskectomy
Redo L4-5 diskectomy, left - recurrent herniation L4-5 disk with left radiculopathy.
Diskectomy & Fusion
Degenerative disk disease at L4-L5 and L5-S1. Anterior exposure diskectomy and fusion at L4-L5 and L5-S1.
Diverticulectomy & Laparotomy
Diagnostic laparotomy, exploratory laparotomy, Meckel's diverticulectomy, open incidental appendectomy, and peritoneal toilet.
Dorsal Extensor Compartment Release
Stenosing tenosynovitis first dorsal extensor compartment/de Quervain tendonitis. Release of first dorsal extensor compartment.
Dorsal Ganglion - Excision
Excision dorsal ganglion, right wrist. The extensor retinaculum was then incised and the extensor tendon was dissected and retracted out of the operative field.
Dorsal Ramus & Branch Block
Bilateral L5 dorsal ramus block and bilateral S1, S2, and S3 lateral branch block for sacroiliac joint pain. Fluoroscopic pillar view was used to identify the bony landmarks of the sacrum and sacroiliac joint and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.
Double Lumen Port Inserstion
Insertion of a double lumen port through the left femoral vein, radiological guidance. Open exploration of the left subclavian and axillary vein. Metastatic glossal carcinoma, needing chemotherapy and a port.
Dressing Change
Traumatic injury to bilateral upper extremities. Dressing change under anesthesia. This 6 year old was involved in a traumatic accident. She presents today for evaluation and dressing change.
Dual Chamber Generator Replacement
Dual chamber generator replacement. The patient is a pleasant patient who presented to the office, recently was found to be at ERI and she has been referred for generator replacement.
Dual Chamber ICD Implantation
Dual Chamber ICD Implantation, fluoroscopy, defibrillation threshold testing, venography.
Dupuytren Disease Excision
Excision of Dupuytren disease of the right hand extending out to the proximal interphalangeal joint of the little finger. The patient is a 51-year-old male with left Dupuytren disease, which is causing contractions both at the metacarpophalangeal and the PIP joint as well as significant discomfort.
Ear Cartilage Graft
Left ear cartilage graft, repair of nasal vestibular stenosis using an ear cartilage graft, cosmetic rhinoplasty, left inferior turbinectomy.
Ear Examination
Right ear examination under anesthesia. Right tympanic membrane perforation along with chronic otitis media.
Ear Laceration Repair
Repair of left ear laceration deformity Y-V plasty 2 cm. Repair of right ear laceration deformity, complex repair 2 cm.
EGD - 1
Problems with dysphagia to solids and had food impacted in the lower esophagus. Upper endoscopy to evaluate the esophagus.
EGD - 2
Esophagogastroduodenoscopy, patient with dysphagia.
EGD - Colonoscopy - Polypectomy
Esophagogastroduodenoscopy and colonoscopy with polypectomy
EGD & Colonoscopy
EGD and colonoscopy. Blood loss anemia, normal colon with no evidence of bleeding, hiatal hernia, fundal gastritis with polyps, and antral mass.
EGD & PEG Tube Placement
EGD with PEG tube placement using Russell technique. Protein-calorie malnutrition, intractable nausea, vomiting, and dysphagia, and enterogastritis.
EGD Template - 1
Common description of EGD.
EGD Template - 2
Common description of EGD.
EGD Template - 3
Common description of EGD.
EGD Template - 4
Common description of EGD
EGD with Biopsy - 1
Patient admitted because of recurrent nausea and vomiting, with displacement of the GEJ feeding tube.
EGD with Biopsy - 2
Esophagogastroduodenoscopy with biopsy. Patient has had biliary colic-type symptoms for the past 3-1/2 weeks, characterized by severe pain, and brought on by eating greasy foods.
EGD with Dilation
EGD with dilation for dysphagia.
EGD With Photos & Biopsies.
EGD with photos and biopsies. This is a 75-year-old female who presents with difficulty swallowing, occasional choking, and odynophagia. She has a previous history of hiatal hernia. She was on Prevacid currently.
Elbow Manipulation
Left elbow manipulation and hardware removal of left elbow.
Electrofulguration - Bladder Tumor
Cystoscopy, TUR, and electrofulguration of recurrent bladder tumors.
Electronystagmogram
Abnormal electronystagmogram demonstrating prominent nystagmus on position testing in the head hanging right position.
Emergency C-section.
Emergency cesarean section.
Endoscopic Carpal Tunnel & de Quervain's Release
Endoscopic carpal tunnel release and de Quervain's release. Left carpal tunnel syndrome and de Quervain's tenosynovitis.
Endoscopic Carpal Tunnel Rlease
Endoscopic carpal tunnel release. Left carpal tunnel syndrome.
Endoscopic Sinus Surgery
Ethmoidectomy, antrostomy with polyp removal, turbinectomy, and septoplasty.
Endoscopy
Upper gastrointestinal endoscopy.
Endoscopy - 1
Upper endoscopy, patient with dysphagia.
Endoscopy - 2
Melena and solitary erosion over a fold at the GE junction, gastric side.
Endoscopy - 3
Patient with dysphagia.
Endoscopy - 4
Intermittent rectal bleeding with abdominal pain.
Endoscopy Template
Normal upper GI endoscopy.
Endoscopy With Biopsy
Upper endoscopy with biopsy. The patient admitted for coffee-ground emesis, which has been going on for the past several days. An endoscopy is being done to evaluate for source of upper GI bleeding.
Endotracheal Intubation
Endotracheal intubation. Respiratory failure. The patient is a 52-year-old male with metastatic osteogenic sarcoma. He was admitted two days ago with small bowel obstruction.
Endotracheal Intubation - 1
Endotracheal intubation. The patient was intubated secondary to respiratory distress and increased work of breathing and falling saturation on 15 liters nonrebreather. PCO2 was 29 and pO2 was 66 on the 15 liters.
Endovascular Abdominal Aortic Aneurysm Repair
The patient was brought to the OR with the known 4 cm abdominal aortic aneurysm + 2.5 cm right common iliac artery aneurysm.
Epidermal Autograft
A 60% total body surface area flame burns, status post multiple prior excisions and staged graftings. Epidermal autograft on Integra to the back and application of allograft to areas of the lost Integra, not grafted on the back.
Epididymectomy
Epididymectomy
Epidural Hematoma Evacuation
Evacuation of epidural hematoma and insertion of epidural drain. Epidural hematoma, cervical spine. Status post cervical laminectomy, C3 through C7 postop day #10. Central cord syndrome and acute quadriplegia.
Epidurogram
Right L4, attempted L5, and S1 transforaminal epidurogram for neural mapping.
Epigastric Herniorrhaphy
Epigastric herniorrhaphy. Epigastric hernia.
ERCP
Endoscopic retrograde cholangiopancreatography (ERCP) with brush cytology and biopsy.
Escharotomy
Lateral escharotomy of right upper arm burn eschar and medial escharotomy of left upper extremity burns and eschar.
Esophageal Foreign Body Removal
Direct laryngoscopy and esophagoscopy with removal of foreign body
Esophagogastrectomy, Jejunostomy, & Chest Tubes
Ivor-Lewis esophagogastrectomy, feeding jejunostomy, placement of two right-sided 28 French chest tubes, and right thoracotomy.
Esophagogastroduodenoscopy
Esophagogastroduodenoscopy with biopsy and snare polypectomy - Iron-deficiency anemia
Esophagogastroduodenoscopy - 1
Esophagogastroduodenoscopy with biopsy, a 1-year-10-month-old with a history of dysphagia to solids.
Esophagogastroduodenoscopy - 10
Esophagogastroduodenoscopy with antral biopsies for H. pylori x2 with biopsy forceps. Nausea and vomiting and upper abdominal pain.
Esophagogastroduodenoscopy - 11
Esophagogastroduodenoscopy with bile aspirate. Recurrent right upper quadrant pain with failure of antacid medical therapy. Normal esophageal gastroduodenoscopy.
Esophagogastroduodenoscopy - 12
Esophagogastroduodenoscopy, photography, and biopsy. Gastroesophageal reflux disease, hiatal hernia, and enterogastritis.
Esophagogastroduodenoscopy - 13
Esophagogastroduodenoscopy performed in the emergency department.
Esophagogastroduodenoscopy - 2
Esophagogastroduodenoscopy with biopsy.
Esophagogastroduodenoscopy - 3
Esophagogastroduodenoscopy and colonoscopy with biopsy and polypectomy.
Esophagogastroduodenoscopy - 4
Esophagogastroduodenoscopy with biopsy and colonoscopy with biopsy.
Esophagogastroduodenoscopy - 5
Esophagogastroduodenoscopy. The Olympus video panendoscope was advanced under direct vision into the esophagus. The esophagus was normal in appearance and configuration. The gastroesophageal junction was normal.
Esophagogastroduodenoscopy - 6
Esophagogastroduodenoscopy. The Olympus video gastroscope was then introduced into the upper esophagus and passed by direct vision to the descending duodenum.
Esophagogastroduodenoscopy - 7
Positive peptic ulcer disease. Gastritis. Esophagogastroduodenoscopy with photography and biopsy. The patient had a history of peptic ulcer disease, epigastric abdominal pain x2 months, being evaluated at this time for ulcer disease.
Esophagogastroduodenoscopy - 8
Chronic abdominal pain and heme positive stool, antral gastritis, and duodenal polyp. Esophagogastroduodenoscopy with photos and antral biopsy.
Esophagogastroduodenoscopy - 9
Esophagogastroduodenoscopy with biopsy of one of the polyps and percutaneous endoscopic gastrostomy tube placement. Malnutrition and dysphagia with two antral polyps and large hiatal hernia.
Esophagogastroduodenoscopy & Gastrostomy Tube Insertion
Esophagogastroduodenoscopy with photo. Insertion of a percutaneous endoscopic gastrostomy tube. Neuromuscular dysphagia. Protein-calorie malnutrition.
Esophagogastroduodenoscopy with Biopsies
Esophagogastroduodenoscopy with biopsies. Gastroesophageal reflux disease, chronic dyspepsia, alkaline reflux gastritis, gastroparesis, probable Billroth II anastomosis, and status post Whipple's pancreaticoduodenectomy.
Esophagogastroduodenoscopy with Biopsies - 1
Esophagogastroduodenoscopy with gastric biopsies. Antral erythema; 2 cm polypoid pyloric channel tissue, questionable inflammatory polyp which was biopsied; duodenal erythema and erosion.
Esophagogastroduodenoscopy with Biopsies -2
Esophagogastroduodenoscopy with pseudo and esophageal biopsy. Hiatal hernia and reflux esophagitis. The patient is a 52-year-old female morbidly obese black female who has a long history of reflux and GERD type symptoms including complications such as hoarseness and chronic cough.
Esophagoscopy & Foreign Body Removal
Esophageal foreign body, US penny. Esophagoscopy with foreign body removal. The patient had a penny lodged in the proximal esophagus in the typical location.
Esophagoscopy & Foreign Body Removal - 1
Esophagoscopy with removal of foreign body. Esophageal foreign body, no associated comorbidities are noted.
Ethmoidectomy & Nasal Polypectomy
Functional endoscopic sinus surgery, bilateral maxillary antrostomy, bilateral total ethmoidectomy, bilateral nasal polypectomy, and right middle turbinate reduction.
Excision - Actinic Neoplasm
Excision of the left upper cheek actinic neoplasm and left lower cheek upper neck skin neoplasm with two-layer plastic closures
Excision - Hydradenitis
Excision of bilateral chronic hydradenitis.
Excision - Keratotic Neoplasm
Excision of the left temple keratotic neoplasm and left nasolabial fold defect and right temple keratotic neoplasm.
Excision - Skin Neoplasm
Excision of left upper cheek skin neoplasm and left lower cheek skin neoplasm with two-layer closure. Shave excision of the right nasal ala skin neoplasm.
Excision - Soft Tissue Mass
Excision of soft tissue mass on the right flank. This 54-year-old male was evaluated in the office with a large right flank mass. He would like to have this removed.
Excision of Squamous Cell Carcinoma
Re-excision of squamous cell carcinoma site, right hand.
Exploratory Laparotomy
Leaking anastomosis from esophagogastrectomy. Exploratory laparotomy and drainage of intra-abdominal abscesses with control of leakage.
Exploratory Laparotomy - 1
Exploratory laparotomy, lysis of adhesions and removal, reversal of Hartmann's colostomy, flexible sigmoidoscopy, and cystoscopy with left ureteral stent.
Exploratory Laparotomy - 2
Exploratory laparotomy. Extensive lysis of adhesions. Right salpingo-oophorectomy. Pelvic mass, suspected right ovarian cyst.
Exploratory Laparotomy & Colon Resection
Exploratory laparotomy, low anterior colon resection, flexible colonoscopy, and transverse loop colostomy and JP placement. Colovesical fistula and intraperitoneal abscess.
Exploratory Laparotomy & Hernia Repair
Exploratory laparotomy, release of small bowel obstruction, and repair of periumbilical hernia. Acute small bowel obstruction and incarcerated umbilical Hernia.
Extensor Tendon Repair
Left little finger extensor tendon laceration. Repair of left little extensor tendon.
External Cephalic Version
External cephalic version. A 39-week intrauterine pregnancy with complete breech presentation.
Extraoral I&D
Left masticator space infection secondary to necrotic tooth #17. Extraoral incision and drainage of facial space infection and extraction of necrotic tooth #17.
Eyelid Squamous Cell Carcinoma Excision
Excision of right upper eyelid squamous cell carcinoma with frozen section and full-thickness skin grafting from the opposite eyelid.
Facet Arthrogram & Injection
Bilateral facet Arthrogram and injections at L34, L45, L5S1. Interpretation of radiograph. Low Back Syndrome - Low Back Pain.
Facetectomy & Foraminotomy
Bilateral C3-C4, C4-C5, C5-C6, and C6-C7 medial facetectomy and foraminotomy with technical difficulty, total laminectomy C3, C4, C5, and C6, excision of scar tissue, and repair of dural tear with Prolene 6-0 and Tisseel.
Facial Laceration Closure
Left supraorbital deep complex facial laceration measuring 6x2 cm. Plastic closure of deep complex facial laceration measuring 6x2 cm. The patient is a 23-year-old male who was intoxicated and hit with an unknown object to his forehead. The patient subjectively had loss of consciousness on the scene and minimal bleeding from the left supraorbital laceration site.
Fat Harvesting
Incompetent glottis. Fat harvesting from the upper thigh, micro-laryngoscopy, fat injection thyroplasty.
Femoral Artery Cannulation & Aortogram
Right common femoral artery cannulation, cnscious sedation using IV Versed and IV fentanyl, retrograde bilateral coronary angiography, abdominal aortogram with pelvic runoff, left external iliac angiogram with runoff to the patient's left foot, left external iliac angiogram with runoff to the patient's right leg, right common femoral artery angiogram runoff to the patient's right leg.
Fiberoptic Bronchoscopy
Diagnostic fiberoptic bronchoscopy with biopsies and bronchoalveolar lavage. Bilateral upper lobe cavitary lung masses. Airway changes including narrowing of upper lobe segmental bronchi, apical and posterior on the right, and anterior on the left. There are also changes of inflammation throughout.
Fiberoptic Bronchoscopy - 1
Fiberoptic bronchoscopy, diagnostic. Hemoptysis and history of lung cancer. Tumor occluding right middle lobe with friability.
Fiberoptic Bronchoscopy with Lavage
Emergent fiberoptic bronchoscopy with lavage. Status post multiple trauma/motor vehicle accident. Acute respiratory failure. Acute respiratory distress/ventilator asynchrony. Hypoxemia. Complete atelectasis of left lung. Clots partially obstructing the endotracheal tube and completely obstructing the entire left main stem and entire left bronchial system.
Fiberoptic Flexible Bronchoscopy
Fiberoptic flexible bronchoscopy with lavage, brushings, and endobronchial mucosal biopsies of the right bronchus intermedius/right lower lobe. Right hyoid mass, rule out carcinomatosis. Chronic obstructive pulmonary disease. Changes consistent with acute and chronic bronchitis.
Fiberoptic Nasolaryngoscopy
Fiberoptic nasolaryngoscopy. Dysphagia with no signs of piriform sinus pooling or aspiration. Right parapharyngeal lesion, likely thyroid cartilage, nonhemorrhagic.
Fistulogram & Angioplasty
Left arm fistulogram. Percutaneous transluminal angioplasty of the proximal and distal cephalic vein. Ultrasound-guided access of left upper arm brachiocephalic fistula.
Flap revision
Breast flap revision, nipple reconstruction, reduction mammoplasty, breast medial lesion enclosure.
Flex Sig
Flexible Sigmoidoscopy.
Flex Sig - 1
Flexible sigmoidoscopy due to rectal bleeding.
Flex Sig - 2
Flexible sigmoidoscopy. The Olympus video colonoscope then introduced into the rectum and passed by directed vision to the distal descending colon.
Flex Sig - 3
Flexible sigmoidoscopy. Sigmoid and left colon diverticulosis; otherwise, normal flexible sigmoidoscopy to the proximal descending colon.
Flexible Bronchoscopy
Flexible bronchoscopy to evaluate the airway (chronic wheezing).
Flexible Cystoscopy - Atrophic Vaginitis
Recurring bladder infections with frequency and urge incontinence, not helped with Detrol LA. Normal cystoscopy with atrophic vaginitis.
Flexible Cystoscopy - BPH
Microscopic hematuria with lateral lobe obstruction, mild.
Flexible Fiberoptic Bronchoscopy
Flexible fiberoptic bronchoscopy with right lower lobe bronchoalveolar lavage and right upper lobe endobronchial biopsy. Severe tracheobronchitis, mild venous engorgement with question varicosities associated pulmonary hypertension, right upper lobe submucosal hemorrhage without frank mass underneath it status post biopsy.
Flexible Fiberoptic Bronchoscopy -1
Flexible fiberoptic bronchoscopy diagnostic with right middle and upper lobe lavage and lower lobe transbronchial biopsies. Mild tracheobronchitis with history of granulomatous disease and TB, rule out active TB/miliary TB.
Flexible Nasal Laryngoscopy
Flexible nasal laryngoscopy. Foreign body, left vallecula at the base of the tongue. Airway is patent and stable.
Flexor Carpi Radialis & Palmaris Longus Repair
Flexor carpi radialis and palmaris longus repair. Right wrist laceration with a flexor carpi radialis laceration and palmaris longus laceration 90%, suspected radial artery laceration.
Fogarty Thrombectomy
Fogarty thrombectomy, left forearm arteriovenous Gore-Tex bridge fistula and revision of distal anastomosis with 7 mm interposition Gore-Tex graft. Chronic renal failure and thrombosed left forearm arteriovenous Gore-Tex bridge fistula.
Foot Lesions
Patient with complaint of a very painful left foot because of the lesions on the bottom of the foot.
Foreign Body Removal - Foot
Excision of foreign body, right foot and surrounding tissue. This 41-year-old male presents to preoperative holding area after keeping himself n.p.o., since mid night for removal of painful retained foreign body in his right foot. The patient works in the Electronics/Robotics field and relates that he stepped on a wire at work, which somehow got into his shoe. The wire entered his foot.
Foreign Body Removal - Foot - 1
Cellulitis with associated abscess and foreign body, right foot. Irrigation debridement and removal of foreign body of right foot. Purulent material from the abscess located in the plantar aspect of the foot between the third and fourth metatarsal heads.
Foreign Body Removal - Thigh
Removal of foreign body of right thigh. Foreign body of the right thigh, sewing needle.
Foreign Object Removal - Urethra
Cystoscopy and removal of foreign objects from the urethra.
Frameless Stereotactic Radiosurgery
CT-guided frameless stereotactic radiosurgery for the right occipital arteriovenous malformation using dynamic tracking.
Frontotemporoparietal Craniotomy
Right frontotemporoparietal craniotomy, evacuation of acute subdural hematoma. Acute subdural hematoma, right, with herniation syndrome.
Full Mouth Dental Rehabilitation - 1
Full mouth dental rehabilitation in the operating room under general anesthesia.
Full Mouth Dental Rehabilitation - 2
Full mouth dental rehabilitation in the operative room under general anesthesia.
Ganglion Excision
Excision of ganglion of the left wrist. A curved incision was made over the presenting ganglion over the dorsal aspect of the wrist.
Gangrene Surgery
Gangrene osteomyelitis, right second toe. The patient is a 58-year-old female with poorly controlled diabetes with severe lower extremity lymphedema. The patient has history of previous right foot infection requiring first ray resection.
Gastroscopy
Esophagitis, minor stricture at the gastroesophageal junction, hiatal hernia. Otherwise normal upper endoscopy to the transverse duodenum.
Gastroscopy - 1
Dysphagia, possible stricture. Retained gastric contents forming a partial bezoar, suggestive of gastroparesis.
Gastroscopy - 2
Gastroscopy. Dysphagia and globus. No evidence of inflammation or narrowing to explain her symptoms.
Gastroscopy - 3
Gastroscopy. A short-segment Barrett esophagus, hiatal hernia, and incidental fundic gland polyps in the gastric body; otherwise, normal upper endoscopy to the transverse duodenum.
Gastrostomy
Gastrostomy, a 6-week-old with feeding disorder and Down syndrome.
Granuloma Excision
Pyogenic granuloma, left lateral thigh. Excision of recurrent pyogenic granuloma.
G-tube placement
Hallux Infected Bone Resection
Resection of infected bone, left hallux, proximal phalanx, and distal phalanx. Osteomyelitis, left hallux.
Hamstring Release
Left distal medial hamstring release.
Hardware Removal - Elbow
Hardware removal in the left elbow.
Hardware Removal - Metatarsal
Removal of painful hardware, first left metatarsal. Excision of nonunion, first left metatarsal. Incorporation of corticocancellous bone graft with internal fixation consisting of screws and plates of the first left metatarsal.
Hardware Removal - Ulnar
Hardware removal, right ulnar
Heart Cath & Coronary Angiography
Left heart catheterization and bilateral selective coronary angiography. The patient is a 65-year-old male with known moderate mitral regurgitation with partial flail of the P2 and P3 gallops who underwent outpatient evaluation for increasingly severed decreased functional capacity and retrosternal chest pain that was aggravated by exertion and decreased with rest.
Heart Catheterization
Right and left heart catheterization, coronary angiography, left ventriculography.
Heart Catheterization - 1
Chest pain and non-Q-wave MI with elevation of troponin I only. Left heart catheterization, left ventriculography, and left and right coronary arteriography.
Heart Catheterization - 2
Right heart catheterization. Refractory CHF to maximum medical therapy.
Heart Catheterization & Angiography
Left and right heart catheterization and selective coronary angiography. Coronary artery disease, severe aortic stenosis by echo.
Heart Catheterization & Angiography - 1
Left heart cath, selective coronary angiography, LV gram, right femoral arteriogram, and Mynx closure device. Normal stress test.
Heart Catheterization & Angiography - 2
Left heart catheterization and bilateral selective coronary angiography. Left ventriculogram was not performed.
Heart Catheterization & Ventriculogram
Right and left heart catheterization, left ventriculogram, aortogram, and bilateral selective coronary angiography. The patient is a 48-year-old female with severe mitral stenosis diagnosed by echocardiography, moderate aortic insufficiency and moderate to severe pulmonary hypertension who is being evaluated as a part of a preoperative workup for mitral and possible aortic valve repair or replacement.
Heart Catheterization, Ventriculography, & Angiography
Left heart catheterization, bilateral selective coronary angiography, saphenous vein graft angiography, left internal mammary artery angiography, and left ventriculography.
Heart Catheterization, Ventriculography, & Angiography - 1
Left heart catheterization, left ventriculography, coronary angiography, and successful stenting of tight lesion in the distal circumflex and moderately tight lesion in the mid right coronary artery.
Heart Catheterization, Ventriculography, & Angiography - 10
Left heart catheterization, left and right coronary angiography, left ventricular angiography, and intercoronary stenting of the right coronary artery.
Heart Catheterization, Ventriculography, & Angiography - 11
Selective coronary angiography, left heart catheterization, and left ventriculography. Severe stenosis at the origin of the large diagonal artery and subtotal stenosis in the mid segment of this diagonal branch.
Heart Catheterization, Ventriculography, & Angiography - 12
Left heart catheterization, left ventriculography, selective coronary angiography, and right femoral artery approach.
Heart Catheterization, Ventriculography, & Angiography - 2
Left heart catheterization with ventriculography, selective coronary arteriographies, successful stenting of the left anterior descending diagonal.
Heart Catheterization, Ventriculography, & Angiography - 3
Left heart catheterization with ventriculography, selective coronary angiography. Standard Judkins, right groin. Catheters used were a 6 French pigtail, 6 French JL4, 6 French JR4.
Heart Catheterization, Ventriculography, & Angiography - 4
Left heart catheterization with left ventriculography and selective coronary angiography. Percutaneous transluminal coronary angioplasty and stent placement of the right coronary artery.
Heart Catheterization, Ventriculography, & Angiography - 5
Left heart catheterization, selective bilateral coronary angiography and left ventriculography. Revascularization of the left anterior descending with angioplasty and implantation of a drug-eluting stent. Right heart catheterization and Swan-Ganz catheter placement for monitoring.
Heart Catheterization, Ventriculography, & Angiography - 6
Left heart catheterization with left ventriculography and selective coronary angiography. A 50% distal left main and two-vessel coronary artery disease with normal left ventricular systolic function. Frequent PVCs. Metabolic syndrome.
Heart Catheterization, Ventriculography, & Angiography - 7
Left heart catheterization, coronary angiography, left ventriculography. Severe complex left anterior descending and distal circumflex disease with borderline, probably moderate narrowing of a large obtuse marginal branch.
Heart Catheterization, Ventriculography, & Angiography - 8
Left heart catheterization, coronary angiography, and left ventriculogram. No angiographic evidence of coronary artery disease. Normal left ventricular systolic function. Normal left ventricular end diastolic pressure.
Heart Catheterization, Ventriculography, & Angiography - 9
Left heart catheterization, left ventriculography, selective coronary angiography.
Hemangioma Debulking & Rhinoplasty
Debulking of hemangioma of the nasal tip through an open rhinoplasty approach and rhinoplasty.
Hematoma Evacuation
Right side craniotomy for temporal lobe intracerebral hematoma evacuation and resection of temporal lobe lesion. Biopsy of dura.
Hemiarthroplasty - Austin-Moore Bipolar
Austin-Moore bipolar hemiarthroplasty, left hip. Subcapital left hip fracture.
Hemiarthroplasty - Shoulder
Hemiarthroplasty of left shoulder utilizing a global advantage system with an #8 mm cemented humeral stem and 48 x 21 mm modular head replacement. Comminuted fracture, dislocation left proximal humerus.
Hemicolectomy
Exploratory laparotomy, lysis of adhesions, and right hemicolectomy. Right colon cancer, ascites, and adhesions.
Hemicraniectomy
Left-sided large hemicraniectomy for traumatic brain injury and increased intracranial pressure. She came in with severe traumatic brain injury and severe multiple fractures of the right side of the skull.
Hemilaminotomy & Foraminotomy
Left C5-6 hemilaminotomy and foraminotomy with medial facetectomy for microscopic decompression of nerve root.
Hemivulvectomy
Wide Local Excision of the Vulva. Radical anterior hemivulvectomy. Posterior skinning vulvectomy.
Hemodialysis Fistula Construction
Construction of right upper arm hemodialysis fistula with transposition of deep brachial vein. End-stage renal disease with failing AV dialysis fistula.
Hernia Repair
Laparoscopic left inguinal hernia repair.
Hickman Central Venous Catheter Placement
Placement of a subclavian single-lumen tunneled Hickman central venous catheter. Surgeon-interpreted fluoroscopy.
Hydrocele Repair
Inguinal hernia hydrocele repair.
Hydrocelectomy
Bilateral scrotal hydrocelectomies, large for both, and 0.5% Marcaine wound instillation, 30 mL given.
Hydrocelectomy - 1
Left hydrocelectomy, cystopyelogram, bladder biopsy, and fulguration for hemostasis.
Hydrocelectomy.
Left hydrocelectomy. This is a 67-year-old male with pain, left scrotum. He has had an elevated PSA and also has erectile dysfunction. He comes in now for a left hydrocelectomy. Physical exam confirmed obvious hydrocele, left scrotum.
Hypergranulation - Consult
Non-healing surgical wound to the left posterior thigh. Several multiple areas of hypergranulation tissue on the left posterior leg associated with a sense of trauma to his right posterior leg.
Hypospadias Repair
Hypospadias repair. Urethroplasty plate incision with tissue flap relocation and chordee release.
Hypospadias Repair & Chordee Release
Hypospadias repair (TIT and tissue flap relocation) and Nesbit tuck chordee release.
Hypospadias Repair & Chordee Release - 1
Hypospadias repair (TIP) with tissue flap relocation and chordee release (Nesbit tuck).
Hysterectomy - Laparoscopic Supracervical
Laparoscopic supracervical hysterectomy. Menorrhagia and dysmenorrhea.
Hysterectomy & Salpingoophorectomy
Total abdominal hysterectomy, right salpingoophorectomy, and extensive adhesiolysis and enterolysis.
Hysterectomy (TAH - BSO)
Exploratory laparotomy, total abdominal hysterectomy, bilateral salpingo-oophorectomy, right and left pelvic lymphadenectomy, common iliac lymphadenectomy, and endometrial cancer staging procedure.
Hysterectomy, BSO, & Appendectomy.
Pelvic tumor, cystocele, rectocele, and uterine fibroid. Total abdominal hysterectomy, bilateral salpingooophorectomy, repair of bladder laceration, appendectomy, Marshall-Marchetti-Krantz cystourethropexy, and posterior colpoperineoplasty. She had a recent D&C and laparoscopy, and enlarged mass was noted and could not be determined if it was from the ovary or the uterus.
Hysteroscopy & Endometrial Ablation
Hysteroscopy, Essure, tubal occlusion, and ThermaChoice endometrial ablation.
Hysteroscopy & Laproscopy with Salpingooophorectomy
Dilation and curettage (D&C), hysteroscopy, and laparoscopy with right salpingooophorectomy and aspiration of cyst fluid. Thickened endometrium and tamoxifen therapy, adnexal cyst, endometrial polyp, and right ovarian cyst.
I&D - Auricular Hematoma
Incision and drainage with bolster dressing placement of right ear recurrent auricular hematoma.
I&D - Buccal Space Abscess
Incision and drainage of right buccal space abscess and teeth extraction.
I&D - Buttock Abscess
Incision and drainage (I&D) of buttock abscess.
I&D - Gluteal Abscess
Incision and drainage (I&D) of gluteal abscess. Removal of pigtail catheter. Limited exploratory laparotomy with removal of foreign body and lysis of adhesions.
I&D - Neck Abscess
Incision and drainage of left neck abscess.
I&D - ORIF Wound
Postoperative wound infection, complicated. Irrigation and debridement of postoperative wound infection. Removal of foreign body. Placement of vacuum-assisted closure.device.
I&D - Penoscrotal Abscess
Incision and drainage of the penoscrotal abscess, packing, penile biopsy, cystoscopy, and urethral dilation.
I&D - Perirectal Abscess
Perirectal abscess. Incision and drainage (I&D) of perirectal abscess.
I&D & Foreign Body Removal
Incision and drainage and removal of foreign body, right foot. The patient has had previous I&D but continues to have to purulent drainage. The patient's parents agreed to performing a surgical procedure to further clean the wound.
I&D & Open Reduction - Forearm
Grade 1 compound fracture, right mid-shaft radius and ulna with complete displacement and shortening. Irrigation and debridement of skin subcutaneous tissues, muscle, and bone, right forearm. Open reduction, right both bone forearm fracture with placement of long-arm cast.
I&D & Wound Closure - Scalp Lacerations
Incision and drainage (I&D) with primary wound closure of scalp lacerations. The patient is a middle-aged female, who has had significant lacerations to her head from a motor vehicle accident. The patient was taken to the operating room for an I&D of the lacerations with wound closure.
Iliac Artery Catheter & Stent Placement, Arteriography, Angioplasty
Placement of right external iliac artery catheter via left femoral approach, arteriography of the right iliac arteries, primary open angioplasty of the right iliac artery using an 8 mm diameter x 3 cm length angioplasty balloon, open stent placement in the right external iliac artery for inadequate angiographic result of angioplasty alone.
Iliac Crest Bone Graft - Maxilla & Mandible
Autologous iliac crest bone graft to maxilla and mandible under general anesthetic. Maxillary atrophy, severe mandibular atrophy, acquired facial deformity, and masticatory dysfunction.
Induction of Vaginal Delivery
Induction of vaginal delivery of viable male, Apgars 8 and 9. Term pregnancy and oossible rupture of membranes, prolonged.
Indwelling Catheter Insertion
Insertion of left femoral circle-C catheter (indwelling catheter). Chronic renal failure. The patient was discovered to have a MRSA bacteremia with elevated fever and had tenderness at the anterior chest wall where his Perm-A-Cath was situated.
Infected Toenails
This patient has reoccurring ingrown infected toenails.
Ingrown Toenail Removal
Painful ingrown toenail, left big toe. Removal of an ingrown part of the left big toenail with excision of the nail matrix.
Inguinal Exploration
Right inguinal exploration, left inguinal hernia repair, bilateral hydrocele repair, and excision of right appendix testis.
Inguinal Hernia & Hydrocele Repair
Left communicating hydrocele. Left inguinal hernia and hydrocele repair. The patient is a 5-year-old young man with fluid collection in the tunica vaginalis and peritesticular space on the left side consistent with a communicating hydrocele.
Inguinal Hernia Repair
Bilateral inguinal hernia and bilateral hydrocele repair with an ilioinguinal nerve block bilaterally.
Inguinal Hernia Repair - 1
A 9-year-old boy with a history of intermittent swelling of the right inguinal area consistent with a right inguinal hernia, taken to the operating room for inguinal hernia repair.
Inguinal Hernia Repair - 2
Left direct and indirect inguinal hernia. Repair of left inguinal hernia with Prolene mesh. The patient was found to have a left inguinal hernia increasing over the past several months. The patient has a history of multiple abdominal surgeries and opted for an open left inguinal hernial repair with Prolene mesh.
Inguinal Hernia Repair - 3
Bilateral inguinal hernia. Bilateral direct inguinal hernia repair utilizing PHS system and placement of On-Q pain pump.
Inguinal Hernia Repair - 4
Right inguinal hernia. Right direct inguinal hernia repair with PHS mesh system. The Right groin and abdomen were prepped and draped in the standard sterile surgical fashion. An incision was made approximately 1 fingerbreadth above the pubic tubercle and in a skin crease.
Inguinal Hernia Repair - 5
Direct right inguinal hernia. Marlex repair of right inguinal hernia.
Inguinal Hernia Repair - 6
Right inguinal hernia. Right inguinal hernia repair. The patient is a 4-year-old boy with a right inguinal bulge, which comes and goes with Valsalva standing and some increased physical activity.
Inguinal Hernia Repair - Indirect
Repair of left inguinal hernia indirect. The patient states that she noticed there this bulge and pain for approximately six days prior to arrival. Upon examination in the office, the patient was found to have a left inguinal hernia consistent with tear, which was scheduled as an outpatient surgery.
Inguinal Herniorrhaphy
Inguinal herniorrhaphy. A standard inguinal incision was made and dissection was carried down to the external oblique aponeurosis using a combination of Metzenbaum scissors and Bovie electrocautery.
Inguinal Herniorrhaphy - 1
Direct inguinal hernia. Rutkow direct inguinal herniorrhaphy. A standard inguinal incision was made, and dissection was carried down to the external oblique aponeurosis using a combination of Metzenbaum scissors and Bovie electrocautery.
Inguinal Herniorrhaphy - 2
Bassini inguinal herniorrhaphy. A standard inguinal incision was made, and dissection was carried down to the external oblique aponeurosis using a combination of Metzenbaum scissors and Bovie electrocautery.
Inguinal Herniorrhaphy - 3
Left inguinal herniorrhaphy, modified Bassini. Left inguinal hernia, direct.
Inguinal Herniorrhaphy & Circumcision
Laparoscopic right inguinal herniorrhaphy with mesh, as well as a circumcision. Recurrent right inguinal hernia, as well as phimosis.
Inguinal orchiopexy
Inguinal orchiopexy procedure.
Internal Jugular Vein Catheter Insertion
Acute on chronic renal failure and uremia. Insertion of a right internal jugular vein hemodialysis catheter.
Intramedullary Nail Fixation
Intramedullary nail fixation of the left tibia fracture with a Stryker T2 tibial nail. Left tibial shaft fracture status post gunshot wound.
Intramedullary Rod
Displaced left subtrochanteric femur fracture. Intramedullary rod in the left hip using the Synthes trochanteric fixation nail measuring 11 x 130 degrees with an 85-mm helical blade.
Intraocular Lens Implant
Secondary scleral suture fixated posterior chamber intraocular lens implant with penetrating keratoplasty. A concurrent vitrectomy and endolaser was performed by the vitreoretinal team.
Intrauterine Clots Removal
Exam under anesthesia. Removal of intrauterine clots. Postpartum hemorrhage
Ischial Ulcer Debridement
Debridement left ischial ulcer.
Juxtarenal Abdominal Aortic Aneurysm Repair
Repair of juxtarenal abdominal aortic aneurysm with 14 mm Hemashield tube graft.
Keller Bunionectomy
Procedure note on Keller Bunionectomy
Knee Amputation
Left below-the-knee amputation. Dressing change, right foot.
Knee Arthroplasty
Bilateral degenerative arthritis of the knees. Right total knee arthroplasty done in conjunction with a left total knee arthroplasty, which will be dictated separately.
Knee Arthroplasty - Bilateral
Bilateral knee degenerative arthritis. Bilateral knee arthroplasty. The Zimmer NexGen total knee system was utilized.
Knee Arthroplasty - Revision
Revision right total knee arthroplasty. Right failed total knee arthroplasty.
Knee Arthroscopy
Left knee arthroscopy with lateral capsular release.
Knee Arthroscopy - 1
Arthroscopic procedure of the knee.
Knee Arthroscopy & Medial Meniscoplasty
Arthroscopy of the left knee with medial meniscoplasty. Internal derangement, left knee. Displaced bucket-handle tear of medial meniscus, left knee.
Knee Replacement
Left medial compartment osteoarthritis of the knee. Left unicompartmental knee replacement.
Kyphoplasty
KYPHON Balloon Kyphoplasty at T12 and L1evels Insertion of KYPHON HV-R bone cement under low pressure at T12 and L1 levels and bone biopsy.
Kyphoplasty & Vertebroplasty
Fracture reduction with insertion of prosthetic device at T8 with kyphoplasty. Vertebroplasties at T7 and T9 with insertion of prosthetic device. Fracture of the T8 vertebra and T9 vertebra.
Laminectomy & Discectomy & Facetectomy
Revision laminectomy L5-S1, discectomy L5-S1, right medial facetectomy, preparation of disk space and arthrodesis with interbody graft with BMP. Status post previous lumbar surgery for herniated disk with severe recurrence of axial back pain, failed conservative therapy.
Laminectomy & Facetectomy
Complete laminectomy, L4. and facetectomy, L3-L4 level. A dural repair, right sided, on the lateral sheath, subarticular recess at the L4 pedicle level. Posterior spinal instrumentation, L4 to S1, using Synthes Pangea System. Posterior spinal fusion, L4 to S1. Insertion of morselized autograft, L4 to S1.
Laminectomy & Foraminotomy & Cervical Fusion
Decompressive left lumbar laminectomy C4-C5 and C5-C6 with neural foraminotomy. Posterior cervical fusion C4-C5. Songer wire. Right iliac bone graft.
Laminectomy & Foraminotomy Revision
Microscopic-assisted revision of bilateral decompressive lumbar laminectomies and foraminotomies at the levels of L3-L4, L4-L5, and L5-S1. Posterior spinal fusion at the level of L4-L5 and L5-S1 utilizing local bone graft, allograft and segmental instrumentation. Posterior lumbar interbody arthrodesis utilizing cage instrumentation at L4-L5 with local bone graft and allograft. All procedures were performed under SSEP, EMG, and neurophysiologic monitoring.
Laminotomy & Microdissection
L1 laminotomy, microdissection, retrieval of foreign body (retained lumbar spinal catheter), attempted insertion of new external lumbar drain, and fluoroscopy.
Laminotomy, Facetectomy & Foraminotomy
Right L4 and L5 transpedicular decompression of distal right L4 and L5 nerve roots. Right L4-L5 and right L5-S1 laminotomies, medial facetectomies, and foraminotomies, decompression of right L5 and S1 nerve roots. Right L4-S1 posterolateral fusion with local bone graft. Left L4 through S1 segmental pedicle screw instrumentation. Preparation harvesting of local bone graft.
Lap Band Adjustment
Patient status post lap band placement.
Laparoscopic Ablation of Eendometrial Implants
Dilatation and curettage (D&C) and Laparoscopic ablation of endometrial implants. Pelvic pain, hypermenorrhea, and mild pelvic endometriosis.
Laparoscopic Adrenalectomy
Laparoscopic lysis of adhesions and Laparoscopic left adrenalectomy. Left adrenal mass, 5.5 cm and intraabdominal adhesions.
Laparoscopic Appendectomy
Laparoscopic appendectomy. Acute appendicitis.
Laparoscopic Appendectomy - 1
Ruptured appendicitis.
Laparoscopic Appendectomy - 2
Appendicitis. Laparoscopic appendectomy. Infraumbilical incision was performed and taken down to the fascia. The fascia was incised. The peritoneal cavity was carefully entered. Two other ports were placed in the right and left lower quadrants.
Laparoscopic Appendectomy - 3
Appendicitis. Laparoscopic appendectomy. CO2 insufflation was done to a maximum pressure of 15 mmHg and a 12-mm VersaStep port was placed through his umbilicus.
Laparoscopic Appendectomy - 4
Acute appendicitis with perforation. Laparoscopic appendectomy. A CT scan of abdomen showed evidence of appendicitis with perforation.
Laparoscopic Appendectomy - 5
Laparoscopic appendectomy. The patient is a 42-year-old female who presented with right lower quadrant pain. She was evaluated and found to have a CT evidence of appendicitis.
Laparoscopic Cholecystectomy
Standard Laparoscopic Cholecystectomy Operative Note.
Laparoscopic Cholecystectomy - 1
Laparoscopic cholecystectomy.
Laparoscopic Cholecystectomy - 10
Laparoscopic cholecystectomy. Biliary colic and biliary dyskinesia. The patient had a workup for her gallbladder, which showed evidence of biliary dyskinesia.
Laparoscopic Cholecystectomy - 2
Laparoscopic cholecystectomy due to chronic cholecystitis and cholelithiasis.
Laparoscopic Cholecystectomy - 3
Chronic cholecystitis without cholelithiasis.
Laparoscopic Cholecystectomy - 4
Acute cholecystitis. Laparoscopic cholecystectomy. The abdominal area was prepped and draped in the usual sterile fashion. A small skin incision was made below the umbilicus. It was carried down in the transverse direction on the side of her old incision. It was carried down to the fascia.
Laparoscopic Cholecystectomy - 5
Biliary colic. Laparoscopic cholecystectomy. Laparoscopic examination showed no injury from entry. Marcaine was then injected just subxiphoid, and a 5-mm port was placed under direct visualization for the laparoscope.
Laparoscopic Cholecystectomy - 6
Cholelithiasis; possible choledocholithiasis. Laparoscopic cholecystectomy and intraoperative cholangiogram. A small incision was made in the umbilicus, and a Veress needle was introduced into the abdomen. CO2 insufflation was done to a maximum pressure of 15 mmHg, and a 12-mm VersaStep port was placed into the umbilicus.
Laparoscopic Cholecystectomy - 7
Cholecystitis and cholelithiasis. Laparoscopic cholecystectomy and intraoperative cholangiogram. The patient received 1 gm of IV Ancef intravenously piggyback. The abdomen was prepared and draped in routine sterile fashion.
Laparoscopic Cholecystectomy - 8
Chronic cholecystitis. Laparoscopic cholecystectomy. Patient with increasingly severe more frequent right upper quadrant abdominal pain, more after meals, had a positive ultrasound for significant biliary sludge.
Laparoscopic Cholecystectomy - 9
Laparoscopic cholecystectomy. A 2 cm infraumbilical midline incision was made. The fascia was then cleared of subcutaneous tissue using a tonsil clamp.
Laparoscopic Cholecystectomy & Appendectomy
Symptomatic cholelithiasis. Laparoscopic cholecystectomy and appendectomy (CPT 47563, 44970). The patient requested appendectomy because of the concern of future diagnostic dilemma with pain crisis. Laparoscopic cholecystectomy and appendectomy were recommended to her.
Laparoscopic Cholecystectomy & Cholangiogram
Laparoscopic cholecystectomy with cholangiogram. Acute gangrenous cholecystitis with cholelithiasis. The patient had essentially a dead gallbladder with stones and positive wide bile/pus coming from the gallbladder.
Laparoscopic Cholecystectomy & Cholangiogram - 1
Laparoscopic cholecystectomy with attempted intraoperative cholangiogram. A 2 cm infraumbilical midline incision was made. The fascia was then cleared of subcutaneous tissue using a tonsil clamp.
Laparoscopic Cholecystectomy & Liver Cyst Excision
Chronic cholecystitis, cholelithiasis, and liver cyst. Laparoscopic cholecystectomy and excision of liver cyst. Exploration of the abdomen revealed multiple adhesions of omentum overlying the posterior aspect of the gallbladder.
Laparoscopic Cryoablation
Right hand-assisted laparoscopic cryoablation of renal lesions x2. Lysis of adhesions and renal biopsy.
Laparoscopic Gastric Bypass
Morbid obesity. Laparoscopic antecolic antegastric Roux-en-Y gastric bypass with EEA anastomosis. This is a 30-year-old female, who has been overweight for many years. She has tried many different diets, but is unsuccessful.
Laparoscopic Gastric Bypass - 1
Morbid obesity. Laparoscopic Roux-en-Y gastric bypass, antecolic, antegastric with 25-mm EEA anastamosis, esophagogastroduodenoscopy.
Laparoscopic Hysterectomy
Total laparoscopic hysterectomy with laparoscopic staging, including paraaortic lymphadenectomy, bilateral pelvic and obturator lymphadenectomy, and washings.
Laparoscopic Orchiopexy
Examination under anesthesia and laparoscopic right orchiopexy.
Laparoscopic Pyeloplasty
Laparoscopic lysis of adhesions, attempted laparoscopic pyeloplasty, and open laparoscopic pyeloplasty. Right ureteropelvic junction obstruction, severe intraabdominal adhesions, and retroperitoneal fibrosis.
Laparoscopic Supracervical Hysterectomy.
Laparoscopic supracervical hysterectomy. A female with a history of severe dysmenorrhea and menorrhagia unimproved with medical management.
Laparoscopy
Pelvic pain, pelvic endometriosis, and pelvic adhesions. Laparoscopy, Harmonic scalpel ablation of endometriosis, lysis of adhesions, and cervical dilation. Laparoscopically, the patient has large omental to anterior abdominal wall adhesions along the left side of the abdomen extending down to the left adnexa.
Laparoscopy - 1
Laparoscopy. The cervix was grasped with a single-tooth tenaculum. The uterus was gently sounded and a manipulator was inserted for movement of the uterus throughout the case.
Laparoscopy - 2
Laparoscopy. An incision was made in the umbilicus, allowing us to insert a micro-laparoscopic trocar. We then insufflated the abdomen with approximately 3 liters of carbon dioxide gas and inserted the micro-laparoscopic instrument.
Laparoscopy - 3
Attempted laparoscopy, open laparoscopy and fulguration of endometrial implant. Chronic pelvic pain, probably secondary to endometriosis.
Laparoscopy - 4
Laparoscopy with ablation of endometriosis. Allen-Masters window in the upper left portion of the cul-de-sac, bronze lesions of endometriosis in the central portion of the cul-de-sac as well as both the left uterosacral ligament, flame lesions of the right uterosacral ligament approximately 5 mL of blood tinged fluid in the cul-de-sac.
Laparoscopy - Drainage of Cyst
Diagnostic laparoscopy and drainage of cyst.
Laparoscopy & Laparoscopic Appendectomy
Diagnostic laparoscopy and laparoscopic appendectomy. Right lower quadrant abdominal pain, rule out acute appendicitis.
Laparoscopy & Salpingo-oophorectomy
Laparoscopy with left salpingo-oophorectomy. Left adnexal mass/ovarian lesion. The labia and perineum were within normal limits. The hymen was found to be intact. Laparoscopic findings revealed a 4 cm left adnexal mass, which appeared fluid filled.
Laparoscopy & Sigmoidoscopy
Diagnostic laparoscopy and rigid sigmoidoscopy. Acute pain, fever postoperatively, hemostatic uterine perforation, no bowel or vascular trauma.
Laparoscopy, Laparotomy, & Cholecystectomy
Laparoscopy, laparotomy, cholecystectomy with operative cholangiogram, choledocholithotomy with operative choledochoscopy and T-tube drainage of the common bile duct.
Laparotomy & Myomectomy
Laparotomy and myomectomy. Enlarged fibroid uterus and blood loss anemia. On bimanual exam, the patient has an enlarged, approximately 14-week sized uterus that is freely mobile and anteverted with no adnexal masses. Surgically, the patient has an enlarged fibroid uterus with a large fundal/anterior fibroids.
Laparotomy & Salpingectomy
Exploratory laparotomy and right salpingectomy.
Laryngectomy & Thyroid Lobectomy
Squamous cell carcinoma of the larynx. Total laryngectomy, right level 2, 3, 4 neck dissection, tracheoesophageal puncture, cricopharyngeal myotomy, right thyroid lobectomy.
Laryngoscopy
Direct laryngoscopy, rigid bronchoscopy and dilation of subglottic upper tracheal stenosis.
Laryngoscopy & Vocal Cord Biopsy
Microscopic suspension direct laryngoscopy with biopsy of left true vocal cord stripping. Hoarseness, bilateral true vocal cord lesions, and leukoplakia.
Laser of Vulva
Carbon dioxide laser photo-ablation due to recurrent dysplasia of vulva.
Laser Vaporization of Prostate
Cystopyelogram and laser vaporization of the prostate.
Lateral Epicondylitis Release
Lateral release with lengthening of the ECRB tendon. Lateral epicondylitis.
Leaking ET tube
The patient needing to be reintubated due to a leaking ET tube. The patient is recently postoperative.
LEEP
LEEP procedure of endocervical polyp and Electrical excision of pigmented mole of inner right thigh.
Left Orchiectomy & Right Orchidopexy
Left orchiectomy, scrotal exploration, right orchidopexy.
Lid Laceration Repair
Repair of upper lid canalicular laceration - Sample/Template.
Ligament Reconstruction & Meniscus Repair
Diagnostic operative arthroscopy with repair and reconstruction of anterior cruciate ligament using autologous hamstring tendon, a 40 mm bioabsorbable femoral pin, and a 9 mm bioabsorbable tibial pin. Repair of lateral meniscus using two fast fixed meniscal repair sutures. Partial medial meniscectomy. Partial chondroplasty of patella. Lateral retinacular release. Open medial plication as well of the right knee.
Ligament Reconstruction & Tendon Interposition Arthroplasty
Ligament reconstruction and tendon interposition arthroplasty of right wrist.
Lipectomy - Abdomen/Thighs
Suction-assisted lipectomy - lipodystrophy of the abdomen and thighs.
Lipectomy - Breast
Suction-assisted lipectomy of the breast with removal of 350 cc of breast tissue from both sides and two mastopexies.
Lipoma Excision
Intramuscular lipoma, right upper extremity. Excision of intramuscular lipoma with flap closure.
Lipoma Excision - 1
Excision of lipoma, left knee. A 4 cm mass of adipose tissue most likely representing a lipoma was found in the patient's anteromedial left knee.
Liposuction
Liposuction of the supraumbilical abdomen, revision of right breast reconstruction, excision of soft tissue fullness of the lateral abdomen and flank.
Liver Biopsy
Percutaneous liver biopsy. With the patient lying in the supine position and the right hand underneath the head, an area of maximal dullness was identified in the mid-axillary location by percussion.
Lobectomy - Left Lower
Left lower lobectomy.
Lobectomy - VATS
VATS right middle lobectomy, fiberoptic bronchoscopy, mediastinal lymph node sampling, tube thoracostomy x2, multiple chest wall biopsies and excision of margin on anterior chest wall adjacent to adherent tumor.
Lobectomy & Lymph Node Dissection
Right upper lung lobectomy. Mediastinal lymph node dissection
Lobectomy & Lymphadenectomy
Right lower lobectomy, right thoracotomy, extensive lysis of adhesions, mediastinal lymphadenectomy.
Long-Arm Cast
Closed reduction and placement of long-arm cast.
Low -Segment C-Section
Primary low segment cesarean section.
Low-Transverse C-Section
Primary low-transverse cesarean section.
Low-Transverse C-Section - 1
Primary cesarean section by low-transverse incision. Term pregnancy, nonreassuring fetal heart tracing.
Low-Transverse C-Section - 10
A repeat low transverse cervical cesarean section, Lysis of adhesions, Dissection of the bladder of the anterior abdominal wall and away from the fascia, and the patient also underwent a bilateral tubal occlusion via Hulka clips.
Low-Transverse C-Section - 2
Intrauterine pregnancy at 37 plus weeks, nonreassuring fetal heart rate.
Low-Transverse C-Section - 3
Repeat low-transverse C-section, lysis of omental adhesions, lysis of uterine adhesions with repair of uterine defect, and bilateral tubal ligation.
Low-Transverse C-Section - 4
Primary low-transverse C-section. Postdates pregnancy, failure to progress, meconium stained amniotic fluid.
Low-Transverse C-Section - 5
Primary low transverse cervical cesarean section. Intrauterine pregnancy at 38 weeks and malpresentation. A viable male neonate in the left occiput transverse position with Apgars of 9 and 9 at 1 and 5 minutes respectively, weighing 3030 g. No nuchal cord. No meconium. Normal uterus, fallopian tubes, and ovaries.
Low-Transverse C-Section - 6
Primary low transverse cesarean section via Pfannenstiel incision. Pregnancy at 40 weeks, failure to progress, premature prolonged rupture of membranes, group B strep colonization, and delivery of viable male neonate.
Low-Transverse C-Section - 7
Repeat low-transverse cesarean section via Pfannenstiel incision. Intrauterine pregnancy at 39 and 1/7th weeks. Previous cesarean section, refuses trial of labor. Fibroid uterus, oligohydramnios, and nonreassuring fetal heart tones.
Low-Transverse C-Section - 8
Primary low transverse cesarean section by Pfannenstiel skin incision with bilateral tubal sterilization. Intrauterine pregnancy at 35-1/7. Rh isoimmunization. Suspected fetal anemia. Desires permanent sterilization.
Low-Transverse C-Section - 9
Primary low transverse cervical cesarean section. Intrauterine pregnancy of 39 weeks, Herpes simplex virus positive by history, hepatitis C positive by history with low elevation of transaminases, cephalopelvic disproportion, asynclitism, postpartum macrosomia, and delivery of viable 9 lb female neonate.
Low-Transverse C-Section & BTL
Repeat low transverse cesarean section and bilateral tubal ligation (BTL). Intrauterine pregnancy at term with previous cesarean section. Desires permanent sterilization. Macrosomia.
Low-Transverse C-Section & BTL - 1
Repeat low transverse cesarean section and bilateral tubal ligation (BTL). Intrauterine pregnancy at 30 and 4/7th weeks, previous cesarean section x2, multiparity, request for permanent sterilization, and breach presentation in the delivery of a liveborn female neonate.
Lumbar Discectomy - Microscopic
Microscopic lumbar discectomy, left L5-S1. Extruded herniated disc, left L5-S1. Left S1 radiculopathy (acute). Morbid obesity.
Lumbar Discogram
Lumbar discogram L2-3, L3-4, L4-5, and L5-S1. Low back pain.
Lumbar Laminectomy
Lumbar laminectomy for decompression with foraminotomies L3-L4, L4-L5, L5-S1 microtechniques and repair of CSF fistula, microtechniques L5-S1, application of DuraSeal. Lumbar stenosis and cerebrospinal fluid fistula.
Lumbar Laminectomy & Discectomy
Injection for myelogram and microscopic-assisted lumbar laminectomy with discectomy at L5-S1 on the left. Herniated nucleus pulposus, L5-S1 on the left with severe weakness and intractable pain.
Lumbar Laminotomy & Discectomy
Microscopic assisted lumbar laminotomy with discectomy at L5-S1 on the left. Herniated nucleus pulposus of L5-S1 on the left.
Lumbar Puncture
Possible CSF malignancy. This is an 83-year-old woman referred for diagnostic lumbar puncture for possible malignancy by Dr. X. The patient has gradually stopped walking even with her walker and her left arm has become gradually less functional. She is not able to use the walker because her left arm is so weak.
Lumbar Puncture - 1
Lumbar puncture with moderate sedation.
Lumbar Puncture - 2
Lumbar puncture. A 20-gauge spinal needle was then inserted into the L3-L4 space. Attempt was successful on the first try and several mLs of clear, colorless CSF were obtained.
Lumbar Re-exploration
Recurrent degenerative spondylolisthesis and stenosis at L4-5 and L5-S1 with L3 compression fracture adjacent to an instrumented fusion from T11 through L2 with hardware malfunction distal at the L2 end of the hardware fixation.
Lumpectomy & Lymph Node Biopsy
Sentinel lymph node biopsy. Ultrasound-guided lumpectomy with intraoperative ultrasound.
Lymph Node Excisional Biopsy
Left axillary lymph node excisional biopsy. Left axillary adenopathy.
Lysis of Pelvic Adhesions
Lysis of pelvic adhesions. The patient had an 8 cm left ovarian mass. The mass was palpable on physical examination and was tender. She was scheduled for an elective pelvic laparotomy with left salpingooophorectomy.
Mammoplasty - 1
Bilateral reduction mammoplasty for bilateral macromastia
Mammoplasty - 2
Bilateral augmentation mammoplasty, breast implant, TCA peel to lesions, vein stripping.
Mammoplasty - 3
Bilateral reduction mammoplasty with superior and inferiorly based dermal parenchymal pedicle with transposition of the nipple-areolar complex.
Mammoplasty - 4
Bilateral transaxillary subpectoral mammoplasty with saline-filled implants.
Mandible Fractures Closed Reduction
Closed reduction of mandible fractures with Erich arch bars and elastic fixation. Left angle and right body mandible fractures.
Mass Excision - Foot
Excision of soft tissue mass, right foot. The patient is a 51-year-old female with complaints of soft tissue mass over the dorsum of the right foot.
McBride Bunionectomy & Wedge Osteotomy
Right hallux abductovalgus deformity. Right McBride bunionectomy. Right basilar wedge osteotomy with OrthoPro screw fixation.
Meatoplasty Template
An example/template for meatoplasty.
Meatotomy Template
An example/template for meatotomy.
Medial Branch Rhizotomy
Medial branch rhizotomy, lumbosacral. Fluoroscopy was used to identify the boney landmarks of the spine and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.
Mediastinal Exploration
Mediastinal exploration and delayed primary chest closure. The patient is a 12-day-old infant who has undergone a modified stage I Norwood procedure with a Sano modification.
Mediastinal Exploration & Right Atrium Repair
The patient had undergone mitral valve repair about seven days ago.
Mediastinal Mass Resection
Posterior mediastinal mass with possible neural foraminal involvement (benign nerve sheath tumor by frozen section). Left thoracotomy with resection of posterior mediastinal mass.
MediPort Placement
Rhabdomyosarcoma of the left orbit. Left subclavian vein MediPort placement. Needs chemotherapy.
Meniscoplasty & Chondroplasty
Arthroscopy, medial meniscoplasty, lateral meniscoplasty, medial femoral chondroplasty, and medical femoral microfracture, right knee. Patellar chondroplasty. Lateral femoral chondroplasty. Meniscal tear, osteochondral lesion, degenerative joint disease, and chondromalacia,
Mesothelioma - Pleural Biopsy
Right pleural effusion and suspected malignant mesothelioma.
Mesothelioma - Port-A-Cath Insertion
Biopsy-proven mesothelioma - Placement of Port-A-Cath, left subclavian vein with fluoroscopy.
Mesothelioma - Thoracotomy & Lobectomy
Right nodular malignant mesothelioma.
Metastasectomy & Bronchoscopy
Left metastasectomy of metastatic renal cell carcinoma with additional mediastinal lymph node dissection and additional fiberoptic bronchoscopy.
Metastatic Lymphadenopathy & Thyroid Tissue Removal
Central neck reoperation with removal of residual metastatic lymphadenopathy and thyroid tissue in the central neck. Left reoperative neck dissection levels 1 and the infraclavicular fossa on the left side. Right levels 2 through 5 neck dissection and superior mediastinal dissection of lymph nodes and pretracheal dissection of lymph nodes in a previously operative field.
Microsuspension Direct Laryngoscopy & Biopsy
Microsuspension direct laryngoscopy with biopsy. Fullness in right base of the tongue and chronic right ear otalgia.
Middle Ear Exploration
Right middle ear exploration with a Goldenberg TORP reconstruction.
Midface Lift & Blepharoplasty
Endoscopic subperiosteal midface lift using the endotine midface suspension device. Transconjunctival lower lid blepharoplasty with removal of a portion of the medial and middle fat pad.
Mini Laparotomy & Radical Retropubic Prostatectomy
Mini-laparotomy radical retropubic prostatectomy with bilateral pelvic lymph node dissection with Cavermap. Adenocarcinoma of the prostate.
Mitral Valve Repair & Annuloplasty
Mitral valve repair using a quadrangular resection of the P2 segment of the posterior leaflet. Mitral valve posterior annuloplasty using a Cosgrove Galloway Medtronic fuser band. Posterior leaflet abscess resection.
Mohs Micrographic Surgery - 1
Mohs Micrographic Surgery for basal cell CA at mid parietal scalp.
Mohs Micrographic Surgery - 2
Mohs Micrographic Surgery for basal cell CA at medial right inferior helix.
Multiple Stent Placements
Multiple stent placements with Impella circulatory assist device.
Mumford Procedure & Acromioplasty
Arthroscopy with arthroscopic rotator cuff debridement, anterior acromioplasty, and Mumford procedure left shoulder. Partial rotator cuff tear with impingement syndrome. Degenerative osteoarthritis of acromioclavicular joint, left shoulder, rule out slap lesion.
Myringotomy/Tube Insertion
Bilateral myringotomies, insertion of PE tubes, and pharyngeal anesthesia.
Myringotomy/Tube Insertion - 1
Bilateral myringotomies and insertion of Shepard grommet draining tubes.
Myringotomy/Tube Insertion - 2
Bilateral myringotomies with insertion of Santa Barbara T-tube.
Myringotomy/Tube Insertion - 3
Removal of the old right pressure equalizing tube. Myringotomy with placement of a left pressure equalizing tube.
Nasal Septal Reconstruction
Nasal septal reconstruction, bilateral submucous resection of the inferior turbinates, and bilateral outfracture of the inferior turbinates. Chronic nasal obstruction secondary to deviated nasal septum and inferior turbinate hypertrophy.
Nasal Septoplasty
Open reduction, nasal fracture with nasal septoplasty.
Nasal Septoplasty & Tonsillectomy
Nasal septoplasty, bilateral submucous resection of the inferior turbinates, and tonsillectomy and resection of soft palate. Nasal septal deviation with bilateral inferior turbinate hypertrophy. Tonsillitis with hypertrophy. Edema to the uvula and soft palate.
Nasolabial Fold Elevation
Left midface elevation with nasolabial fold elevation and nasolabial fold z-plasty and right symmetrization midface elevation.
Nasolacrimal Probing
Bilateral nasolacrimal probing. Tearing, eyelash encrustation with probable tear duct obstruction bilateral. Distal nasolacrimal duct stenosis with obstruction, left and right eye
Neck Dissection
Left neck dissection. Metastatic papillary cancer, left neck. The patient had thyroid cancer, papillary cell type, removed with a total thyroidectomy and then subsequently recurrent disease was removed with a paratracheal dissection.
Neck Mass Biopsy
Malignant mass of the left neck, squamous cell carcinoma. Left neck mass biopsy and selective surgical neck dissection, left.
Needle Localized Excision - Breast Neoplasm
Nonpalpable neoplasm, right breast. Needle localized wide excision of nonpalpable neoplasm, right breast.
Needle-Localized Excisional Biopsy - Breast
Needle-localized excisional biopsy, left breast. The patient is a 71-year-old black female who had a routine mammogram, which demonstrated suspicious microcalcifications in the left breast. She had no palpable mass on physical exam. She does have significant family history with two daughters having breast cancer.
Needle-Localized Excisional Biopsy - Breast - 1
Needle-localized excisional biopsy of the left breast. Left breast mass with abnormal mammogram. The patient had a nonpalpable left breast mass, which was excised and sent to Radiology with confirmation that the mass is in the specimen.
Nephrectomy
Left laparoscopic hand-assisted nephrectomy.
Nephrectomy - Partial
Left partial nephrectomy due to left renal mass.
Nephrectomy - Partial (Laparoscopic )
Laparoscopic right partial nephrectomy due to right renal mass.
Nephrectomy - Radical
Right radical nephrectomy and assisted laparoscopic approach.
Nephrectomy - Radical (Laparoscopic)
Laparoscopic right radical nephrectomy due to right renal mass.
Nephrectomy - Transplant
Transplant nephrectomy after rejection of renal transplant
Nerve & Tendon Repair - Finger
Repair of nerve and tendon, right ring finger and exploration of digital laceration. Laceration to right ring finger with partial laceration to the ulnar slip of the FDS which is the flexor digitorum superficialis and 25% laceration to the flexor digitorum profundus of the right ring finger and laceration 100% of the ulnar digital nerve to the right ring finger.
Neuroma Excision
Excision of neuroma, third interspace, left foot. Morton's neuroma, third interspace, left foot.
Neuromodulator
Stage I and II neuromodulator.
Neuroplasty
Left L4-L5 transforaminal neuroplasty with nerve root decompression and lysis of adhesions followed by epidural steroid injection.
Nipple Reconstruction
Nipple areolar reconstruction utilizing a full-thickness skin graft and mastopexy
Nissen Fundoplication
Nissen fundoplication. A 2 cm midline incision was made at the junction of the upper two-thirds and lower one-third between the umbilicus and the xiphoid process.
Odontogenic Abscess I&D
Left facial cellulitis and possible odontogenic abscess. Attempted incision and drainage (I&D) of odontogenic abscess.
Olecranon Bursa - Excision
Incision and drainage and excision of the olecranon bursa, left elbow. Acute infected olecranon bursitis, left elbow.
Ommaya reservoir
Leukemic meningitis. Right frontal side-inlet Ommaya reservoir. The patient is a 49-year-old gentleman with leukemia and meningeal involvement, who was undergoing intrathecal chemotherapy.
Open Cholecystectomy
Acute acalculous cholecystitis. Open cholecystectomy. The patient's gallbladder had some patchy and necrosis areas. There were particular changes on the serosal surface as well as on the mucosal surface with multiple clots within the gallbladder.
Open Plantar Fasciotomy
Chronic plantar fasciitis, right foot. Open plantar fasciotomy, right foot.
Orchiectomy
Bilateral scrotal orchiectomy
Orchiectomy & Testis Fixation
Examination under anesthesia, diagnostic laparoscopy, right orchiectomy, and left testis fixation.
Orchiopexy
Left orchiopexy. Ectopic left testis. The patient did have an MRI, which confirmed ectopic testis located near the pubic tubercle.
Orchiopexy - Bilateral
Bilateral orchiopexy. This 8-year-old boy has been found to have a left inguinally situated undescended testes. Ultrasound showed metastasis to be high in the left inguinal canal. The right testis is located in the right inguinal canal on ultrasound and apparently ultrasound could not be displaced into the right hemiscrotum.
Orchiopexy & Hernia Repair
Left inguinal hernia repair, left orchiopexy with 0.25% Marcaine, ilioinguinal nerve block and wound block at 0.5% Marcaine plain.
Orchiopexy & Hernia Repair - 1
Right orchiopexy and right inguinal hernia repair.
Orchiopexy & Herniorrhaphy
Orchiopexy & inguinal herniorrhaphy.
Orchiopexy & Herniorrhaphy - 1
Right undescended testicle. Orchiopexy & Herniorrhaphy.
ORIF - 1
Open reduction and internal fixation of right distal radius fracture - intraarticular four piece fracture and right carpal tunnel release.
ORIF - 2
Open reduction and internal fixation, high grade Frykman VIII distal radius fracture.
ORIF - 3
Open reduction internal fixation of the left supracondylar, intercondylar distal femur fracture.
ORIF - Fifth Metatarsal
Fractured right fifth metatarsal. Open reduction and internal screw fixation right fifth metatarsal. Application of short leg splint.
ORIF - Left Tibia
Open reduction and internal fixation of left tibia.
ORIF - Malleolus
Open reduction and internal fixation of left lateral malleolus. Left lateral malleolus fracture.
ORIF - Mandible Fracture
Open left angle comminuted angle of mandible, 802.35, and open symphysis of mandible, 802.36. Open reduction, internal fixation (ORIF) of bilateral mandible fractures with multiple approaches, CPT code 21470, and surgical extraction of teeth #17, CPT code 41899.
ORIF - Talus
Hawkins IV talus fracture. Open reduction internal fixation of the talus, medial malleolus osteotomy, and repair of deltoid ligament.
ORIF & Cervical Fusion
Open reduction and internal fixation (ORIF) of comminuted C2 fracture. Posterior spinal instrumentation C1-C3, using Synthes system. Posterior cervical fusion C1-C3. Insertion of morselized allograft at C1to C3.
ORIF & Closed Reduction
Open reduction and internal fixation of the left medial epicondyle fracture with placement in a long-arm posterior well-molded splint and closed reduction casting of the right forearm.
ORIF Mandibular Fracture & Dental Implant Removal
Open reduction and internal fixation of left atrophic mandibular fracture, removal of failed dental implant from the left mandible. The patient fell following an episode of syncope and sustained a blunt trauma to his ribs resulting in multiple fractures and presumably also struck his mandible resulting in fracture.
ORIF of Left Distal Radius
Open reduction and internal fixation of left distal radius.
ORIF Wrist - Acumed Locking Plate
Open reduction and internal fixation (ORIF) of the right wrist using an Acumed locking plate. Closed displaced angulated fracture of the right distal radius.
ORIF, Closed Reduction, Screw Fixation, Etc.
Open reduction internal fixation (ORIF) with irrigation and debridement of open fracture. Closed reduction and screw fixation of right femoral neck fracture. Retrograde femoral nail using a striker T2 retrograde nail. Irrigation and debridement of knee and elbow abrasions.
OssaTron Extracorporeal Shockwave Therapy
OssaTron extracorporeal shockwave therapy to right lateral epicondyle. Right lateral epicondylitis.
Osteosynthesis
Acetabular fracture on the left posterior column/transverse posterior wall variety with an accompanying displaced fracture of the intertrochanteric variety to the left hip. Osteosynthesis of acetabular fracture on the left, complex variety and total hip replacement.
Osteotomy & Bunionectomy
Distal metaphyseal osteotomy and bunionectomy with internal screw fixation, right foot. Reposition osteotomy with internal screw fixation to correct angulation deformity of proximal phalanx, right foot.
Osteotomy & Bunionectomy - 1
Plantar flex third metatarsal and talus bunion, right foot. Third metatarsal osteotomy, talus bunionectomy, and application of short-leg cast, right foot. Patient has tried conservative methods such as wide shoes and serial debridement and accommodative padding, all of which provided inadequate relief. At this time she desires to attempt a surgical correction.
Pacemaker - DDDR
DDDR permanent pacemaker. Tachybrady syndrome. A ventricular pacemaker lead was advanced through the sheath and into the vascular lumen and under fluoroscopic guidance guided down into the right atrium.
Pacemaker (Dual Chamber)
Implantation of a dual chamber permanent pacemaker
Pacemaker (Dual Chamber) - 1
Implantation of a dual-chamber pacemaker and fluoroscopic guidance for implantation of a dual-chamber pacemaker.
Pacemaker (Single Chamber)
Single chamber pacemaker implantation. Successful single-chamber pacemaker implantation with left subclavian approach and venogram to assess the subclavian access site and the right atrial or right ventricle with asystole that resolved spontaneously during the procedure.
Pacemaker (Single Chamber) - 1
Implantation of a single-chamber pacemaker. Fluoroscopic guidance for implantation of single-chamber pacemaker.
Pacemaker Insertion
Insertion of transvenous pacemaker for tachybrady syndrome
Pacemaker Interrogation
Pacemaker ICD interrogation. Severe nonischemic cardiomyopathy with prior ventricular tachycardia.
Pacemaker Lead Placement & Rrevision.
Sinus bradycardia, sick-sinus syndrome, poor threshold on the ventricular lead and chronic lead. Right ventricular pacemaker lead placement and lead revision.
Paracentesis
Paracentesis. A large abdominal mass, which was cystic in nature and the radiologist inserted a pigtail catheter in the emergency room.
Paracentesis - Ultrasound-Guided
Ultrasound-Guided Paracentesis for Ascites
Paraphimosis
Reduction of paraphimosis.
Parathyroid Adenoma Excision
Excision of right superior parathyroid adenoma, seen on sestamibi parathyroid scan and an ultrasound.
Parotidectomy
Parotidectomy procedure
Pars Plana Vitrectomy & Lensectomy
Pars plana vitrectomy, pars plana lensectomy, exploration of exit wound, closure of perforating corneal scleral laceration involving uveal tissue, air-fluid exchange, C3F8 gas, and scleral buckling, right eye.
Patellar Tendon & Retinaculum Repair
Patellar tendon and medial and lateral retinaculum repair, right knee. Patellar tendon retinaculum ruptures, right knee.
Patent Ductus Arteriosus
Coil embolization of patent ductus arteriosus.
Patent Ductus Arteriosus Ligation
Ligation (clip interruption) of patent ductus arteriosus. This premature baby with operative weight of 600 grams and evidence of persistent pulmonary over circulation and failure to thrive has been diagnosed with a large patent ductus arteriosus originating in the left-sided aortic arch.
Pectoralis Tendon Repair
Open repair of right pectoralis major tendon. Right pectoralis major tendon rupture. On MRI evaluation, a complete rupture of a portion of the pectoralis major tendon was noted.
PEG Tube
Percutaneous endoscopic gastrostomy tube. Protein-calorie malnutrition. The patient was unable to sustain enough caloric intake and had markedly decreased albumin stores. After discussion with the patient and the son, they agreed to place a PEG tube for nutritional supplementation.
Pelvic Laparotomy
Pelvic laparotomy, lysis of pelvic adhesions, and left salpingooophorectomy with insertion of Pain-Buster Pain Management System.
Penile Prosthesis Replacement
Ex-plantation of inflatable penile prosthesis and then placement of second inflatable penile prosthesis AMS700. Nonfunctioning inflatable penile prosthesis and Peyronie's disease.
Penile Skin Bridges Excision
Excision of penile skin bridges about 2 cm in size.
Peritoneal Dialysis Catheter Insertion
A 14-year-old young lady is in the renal failure and in need of dialysis.
Perlane & Restylane Injection
Perlane injection for the nasolabial fold. Restylane injection for the glabellar fold.
Permacath Placement
Permacath placement - renal failure.
Phacoemulsification
Phacoemulsification with posterior chamber intraocular lens - Sample/Template.
Phacoemulsification - Kelman
Nuclear sclerotic cataract, right eye. Kelman phacoemulsification with posterior chamber intraocular lens, right eye.
Phacoemulsification & Cataract Extraction
Phacoemulsification and extracapsular cataract extraction with intraocular lens implantation, right eye.
Phacoemulsification & Cataract Extraction - 1
Visually significant cataract, left eye. Phacoemulsification cataract extraction with intraocular lens implantation, left eye. The patient was found to have a visually-significant cataract and, after discussion of the risks, benefits and alternatives to surgery, she elected to proceed with cataract extraction and lens implantation in this eye in efforts to improve her vision.
Phacoemulsification & Cataract Extraction - 2
Cataract, right eye. Phacoemulsification with intraocular lens insertion, right eye. The patient was then prepped and draped using standard procedure. An additional drop of tetracaine was instilled in the eye, and then a lid speculum was inserted.
Phacoemulsification & Cataract Extraction - 3
Cataract, right eye. Phacoemulsification with intraocular lens insertion, right eye. A wire lid speculum was inserted to keep the eye open and the eye rotated downward.
Phacoemulsification & Cataract Extraction - 4
Cataract extraction with phacoemulsification and posterior chamber intraocular lens implantation. Cataract, right eye.
Phacoemulsification & Cataract Extraction - 5
Cataract extraction via phacoemulsification with posterior chamber intraocular lens implantation. An Alcon MA30BA lens was used. A lid speculum was placed into the right eye. Paracentesis was made at the infratemporal quadrant.
Phacoemulsification & Lens Implantation
Cataract, nuclear sclerotic, right eye. Phacoemulsification with intraocular lens implantation, right eye.
Phacoemulsification & Lens Implantation - 1
Visually significant nuclear sclerotic cataract, right eye. Phacoemulsification with posterior chamber intraocular lens implantation, right eye.
Phacoemulsification & Lens Implantation - 2
Phacoemulsification with intraocular lens placement. A wire speculum was placed in the eye and then a clear corneal paracentesis site was made inferiorly with a 15-degree blade.
Phacoemulsification & Lens Implantation - 3
Cataract, right eye. Phacoemulsification with intraocular lens placement, right eye.
Phacoemulsification & Lens Implantation - 4
Phacoemulsification of cataract and posterior chamber lens implant, right eye.
Phacoemulsification & Lens Implantation - 5
Phacoemulsification with IOL, right eye. Cataract, right eye. A lid speculum was placed in the right eye after which a supersharp was used to make a stab incision at the 4 o'clock position through which 2% preservative-free Xylocaine was injected followed by Viscoat.
Phacoemulsification & Lens Implantation - 6
Phacoemulsification with posterior chamber intraocular lens insertion.
Phacoemulsification & Lens Implantation - 7
Phacoemulsification with posterior chamber intraocular lens implant in the right eye.
Phacoemulsification of Cataract
Right phacoemulsification of cataract with intraocular lens implantation - Cataract, right eye.
Phacoemulsification of Cataract - 1
Phacoemulsification of cataract, extraocular lens implant in left eye.
Phacoemulsification Of Cataract - 2
Cataract, right eye. Phacoemulsification of cataract with posterior chamber intraocular lens, right eye.
Phalanx Amputation
Amputation distal phalanx and partial proximal phalanx, right hallux. Osteomyelitis, right hallux.
Phenol Neurolysis & Botulinum Toxin Injection - 1
Phenol neurolysis left musculocutaneous nerve and bilateral obturator nerves. Botulinum toxin injection left pectoralis major, left wrist flexors, and bilateral knee extensors.
Phenol Neurolysis & Botulinum Toxin Injection - 2
Phenol neurolysis right obturator nerve, botulinum toxin injection right rectus femoris and vastus medialis intermedius and right pectoralis major muscles.
Phenol Neurolysis & Botulinum Toxin Injection - 3
Botulinum toxin injection bilateral rectus femoris, medial hamstrings, and gastrocnemius soleus muscles, phenol neurolysis of bilateral obturator nerves, application of bilateral short leg fiberglass casts.
PICC line insertion
PICC line insertion
Pigtail Catheter Insertion
Left hemothorax, rule out empyema. Insertion of a 12-French pigtail catheter in the left pleural space.
Pilon Fracture External Fixation
External fixation of left pilon fracture and closed reduction of left great toe, T1 fracture. Due to the comminuted nature of her tibia fracture as well as soft tissue swelling, the patient is in need of a staged surgery with the 1st stage external fixation followed by open treatment and definitive plate and screw fixation.
Pilonidal Cyst Excision
Pilonidal cyst with abscess formation. Excision of infected pilonidal cyst.
Pinning - Hip
Revision and in situ pinning of the right hip.
Pinning - Ulna
Closed reduction and pinning of the right ulna with placement of a long-arm cast.
Pituitary Adenomectomy
Endoscopic-assisted transsphenoidal exploration and radical excision of pituitary adenoma. Endoscopic exposure of sphenoid sinus with removal of tissue from within the sinus.
Pituitary Tumor Resection
Transnasal transsphenoidal approach in resection of pituitary tumor. The patient is a 17-year-old girl who presented with headaches and was found to have a prolactin of 200 and pituitary tumor.
Plantar Fasciitis
A 44-year-old, 250-pound male presents with extreme pain in his left heel.
Plantar Fasciotomy
Plantar fascitis, left foot. Partial plantar fasciotomy.
Pleurocentesis
Ultrasound-guided right pleurocentesis for right pleural effusion with respiratory failure and dyspnea.
Pleurodesis
Chest tube talc pleurodesis of the right chest.
PMT Halo Crown & Vest
Application of PMT large halo crown and vest. Cervical spondylosis, status post complex anterior cervical discectomy, corpectomy, decompression and fusion.
Port Insertion
Port insertion through the right subclavian vein percutaneously under radiological guidance. Metastatic carcinoma of the bladder and bowel obstruction.
Port-A-Cath Insertion
Port-A-Cath insertion template. Catheter was inserted after subcutaneous pocket was created, the sheath dilators were advanced, and the wire and dilator were removed.
Port-A-Cath Insertion - 1
Right subclavian Port-a-Cath insertion in a patient with bilateral breast carcinoma.
Port-A-Cath Insertion - 2
Placement of a Port-A-Cath under fluoroscopic guidancein a patient with anal cancer.
Port-A-Cath Insertion - 3
Insertion of Port-A-Cath via left subclavian vein using fluoroscopy in a patient with renal cell carcinoma.
Port-A-Cath Insertion - 4
Insertion of a Port-A-Catheter via the left subclavian vein approach under fluoroscopic guidance in a patient with ovarian cancer.
Port-A-Cath Insertion - 5
Insertion of subclavian dual-port Port-A-Cath and surgeon-interpreted fluoroscopy.
Post Hemithyroidectomy
The patient with left completion hemithyroidectomy and reimplantation of the left parathyroid and left sternocleidomastoid region in the inferior 1/3rd region. Papillary carcinoma of the follicular variant of the thyroid in the right lobe, status post right hemithyroidectomy.
Postop Transanal Excision
Bleeding after transanal excision five days ago. Exam under anesthesia with control of bleeding via cautery. The patient is a 42-year-old gentleman who is five days out from transanal excision of a benign anterior base lesion. He presents today with diarrhea and bleeding.
Prostatectomy
Open radical retropubic prostatectomy with bilateral lymph node dissection.
Prostatectomy - Nerve Sparing
Radical retropubic nerve-sparing prostatectomy without lymph node dissection.
Prostatectomy - Radical Retropubic
Radical retropubic prostatectomy with pelvic lymph node dissection due to prostate cancer.
Prostatectomy - Robotic Radical Retropubic
Radical retropubic prostatectomy, robotic assisted and bladder suspension. Adenocarcinoma of the prostate.
Pterional Craniotomy
Right pterional craniotomy with obliteration of medial temporal arteriovenous malformation and associated aneurysm and evacuation of frontotemporal intracerebral hematoma.
Pulmonary Atresia
The patient is a 9-year-old born with pulmonary atresia, intact ventricular septum with coronary sinusoids.
Pulmonary Valve Stenosis
Pulmonary valve stenosis, supple pulmonic narrowing, and static encephalopathy
Punch Biopsy - 1
Punch biopsy of right upper chest skin lesion.
Punch Biopsy - 2
Worrisome skin lesion. A punch biopsy of the worrisome skin lesion was obtained. Lesion was removed.
Pyeloplasty - Robotic
Right ureteropelvic junction obstruction. Robotic-assisted pyeloplasty, anterograde right ureteral stent placement, transposition of anterior crossing vessels on the right, and nephrolithotomy.
Pyeloureteroscopy
Cystoscopy under anesthesia, retrograde and antegrade pyeloureteroscopy, left ureteropelvic junction obstruction, difficult and open renal biopsy.
Radical Hysterectomy
Exploratory laparotomy, radical hysterectomy, bilateral ovarian transposition, pelvic and obturator lymphadenectomy.
Radical Mastectomy
Invasive carcinoma of left breast. Left modified radical mastectomy.
Radical Mastectomy - 1
Modified radical mastectomy. An elliptical incision was made to incorporate the nipple-areolar complex and the previous biopsy site. The skin incision was carried down to the subcutaneous fat but no further.
Radical Vulvectomy
Radical vulvectomy (complete), bilateral inguinal lymphadenectomy (superficial and deep).
Radioactive Plaque - Insertion
Macular edema, right eye. Insertion of radioactive plaque, right eye with lateral canthotomy. The plaque was positioned on the scleral surface immediately behind the macula and secured with two sutures of 5-0 Dacron. The placement was confirmed with indirect ophthalmoscopy.
Radioactive Plaque - Removal
Radioactive plaque macular edema. Removal of radioactive plaque, right eye with lateral canthotomy. A lid speculum was applied and the conjunctiva was opened 4 mm from the limbus. A 2-0 traction suture was passed around the insertion of the lateral rectus and the temporal one-half of the globe was exposed.
Radiofrequency Ablation
Bilateral L5, S1, S2, and S3 radiofrequency ablation for sacroiliac joint pain. Fluoroscopy was used to identify the bony landmarks of the sacrum and the sacroiliac joints and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.
Radiofrequency Thermocoagulation
Right sacral alar notch and sacroiliac joint/posterior rami radiofrequency thermocoagulation.
Radiofrequency Thermocoagulation - 1
Radiofrequency thermocoagulation of bilateral lumbar sympathetic chain.
Radiofrequency Thermocoagulation - 2
Complex Regional Pain Syndrome Type I. Stellate ganglion RFTC (radiofrequency thermocoagulation) left side and interpretation of Radiograph.
Rectovaginal Fistula Closure
Closure of rectovaginal fistula, transperineal approach
Rectus Recession
Bilateral rectus recession with the microscopic control, 8 mm, both eyes.
Release of A1 Pulley
The patient was found to have limitations to extension at the IP joint to the right thumb and he had full extension after release of A1 pulley.
Release of A1 Pulley - 1
Release of A1 pulley, right thumb. Stenosing tendinosis, right thumb (trigger finger). There was noted to be thickening of the A1 pulley. There was a fibrous nodule noted within the flexor tendon of the thumb, which caused triggering sensation to the thumb.
Removal of Venous Port
Acute lymphocytic leukemia in remission, removal of venous port.
Renal Transplant - Cadaveric
Cadaveric renal transplant to right pelvis - endstage renal disease.
Repair of Canthal & Lid Defect
Repair of one-half full-thickness left lower lid defect by tarsoconjunctival pedicle flap from left upper lid to left lower lid and repair of left upper and lateral canthal defect by primary approximation to lateral canthal tendon remnant.
Repeat C-section
Repeat cesarean section and bilateral tubal ligation.
Resection of Tumor of Scalp
Radical resection of tumor of the scalp, excision of tumor from the skull with debridement of the superficial cortex with diamond bur, and advancement flap closure.
Retrograde Pyelogram & Cystourethroscopy
Cystourethroscopy, right retrograde pyelogram, and right double-J stent placement 22 x 4.5 mm. Right ureteropelvic junction calculus.
Revision Rhinoplasty.
Revision rhinoplasty and left conchal cartilage harvest to correct nasal deformity.
Rhinectomy & Nasal Endoscopy
Nasal endoscopy and partial rhinectomy due to squamous cell carcinoma, left nasal cavity.
Rhinoplasty
Cosmetic rhinoplasty. Request for cosmetic change in the external appearance of the nose.
Rhytidectomy & Blepharoplasty
Cervical facial rhytidectomy. Quadrilateral blepharoplasty. Autologous fat injection to the upper lip - donor site, abdomen.
Right Shoulder Hemiarthroplasty
Right shoulder hemiarthroplasty. Right shoulder rotator cuff tear. Glenohumeral rotator cuff arthroscopy. Degenerative joint disease.
Rotator Cuff Repair
Arthroscopic subacromial decompression and repair of rotator cuff through mini-arthrotomy.
Ruptured Globe Repair - Cornea
Ruptured globe with full-thickness corneal laceration repair - Sample/Template.
Ruptured Globe Repair - Posterior Sclera
Repair of ruptured globe involving posterior sclera - Sample/Template.
Ruptured Globe Repair - Sclera and Limbus
Repair of ruptured globe with repositing of uveal tissue - Sample/Template.
Sacral Decubitus Debridement
Stage IV necrotic sacral decubitus. Debridement of stage IV necrotic sacral decubitus.
Salpingectomy & Cervical Dilatation
Sterilization candidate. Cervical dilatation and laparoscopic bilateral partial salpingectomy. A 30-year-old female gravida 4, para-3-0-1-3 who desires permanent sterilization.
Salpingooophorectomy - Laparoscopic
Laparoscopic right salpingooophorectomy. Right pelvic pain and ovarian mass. Right ovarian cyst with ovarian torsion.
Salvage Cystectomy
Salvage cystectomy (very difficult due to postradical prostatectomy and postradiation therapy to the pelvis), Indiana pouch continent cutaneous diversion, and omental pedicle flap to the pelvis.
Saphenous Vein - Ligation & Stripping
Ligation and stripping of left greater saphenous vein to the level of the knee. Stripping of multiple left lower extremity varicose veins. Varicose veins.
Scalp Mole Skin Biopsy
Skin biopsy, scalp mole. Darkened mole status post punch biopsy, scalp lesion. Rule out malignant melanoma with pulmonary metastasis.
Scarf Bunionectomy
Scarf bunionectomy procedure of the first metatarsal of the left foot. Hallux abductovalgus deformity with bunion of the left foot.
Scleral Buckle Opening
Scleral buckle opening. The 4 scleral quadrants were inspected and found to be free of scleral thinning or staphyloma.
Scleral Buckle Opening - General Anesthesia
Scleral Buckle opening under general anesthesia.
Scleral Buckle Opening - Local Anesthesia
Scleral buckle opening under local anesthesia.
Scott Cannula
Placement of Scott cannula, right lateral ventricle
Scrotal Exploration
Left scrotal exploration with detorsion. Already, de-torsed bilateral testes fixation and bilateral appendix testes cautery.
Sebaceous Cyst Excision
Excision of sebaceous cyst, right lateral eyebrow.
Sebaceous Cyst Removal
Removal of infected sebaceous cyst, right neck.
Selective Coronary Angiography & Angioplasty
Selective coronary angiography, coronary angioplasty. Acute non-ST-elevation MI.
Septal Defect Repair
Repair of total anomalous pulmonary venous connection, ligation of patent ductus arteriosus, repair secundum type atrial septal defect (autologous pericardial patch), subtotal thymectomy, and insertion of peritoneal dialysis catheter.
Septoplasty
Revision septoplasty, repair of internal nasal valve collapse using auricular cartilage, repair of bilateral external nasal valve collapse using auricular cartilage, harvest of right auricular cartilage.
Septoplasty & Turbinectomy
Septoplasty with partial inferior middle turbinectomy with KTP laser, sinus endoscopy with maxillary antrostomies, removal of tissue, with septoplasty and partial ethmoidectomy bilaterally.
Septorhinoplasty
Open septorhinoplasty with placement of bilateral spreader grafts. Bilateral lateral osteotomies.
Shiley Tracheostomy Tube Insertion
Insertion of a #8 Shiley tracheostomy tube. A #10-blade scalpel was used to make an incision approximately 1 fingerbreadth above the sternal notch. Dissection was carried down using Bovie electrocautery to the level of the trachea.
Shockwave Lithotripsy
Right shockwave lithotripsy, cystoscopy, and stent removal x2.
Shoulder Hemi-resurfacing
Right shoulder hemi-resurfacing using a size 5 Biomet Copeland humeral head component, noncemented. Severe degenerative joint disease of the right shoulder.
Shunt Revision
Bilateral endoscopic proximal shunt revision and a distal shunt revision.
Shunt Revision - 1
Endoscopic proximal shunt revision.
Shunt Revision - 2
Endoscopic proximal and distal shunt revision with removal of old valve and insertion of new.
Shunt Revision - 3
Ventriculoperitoneal shunt revision with replacement of ventricular catheter and flushing of the distal end.
Sigmoidoscopy - 1
Sigmoidoscopy performed for evaluation of anemia, gastrointestinal Bleeding.
Sinus Fractures Repairs
Open reduction and internal plate and screw fixation of depressed anterior table right frontal sinus, transconjunctival exploration of orbital floor, open reduction of nasal septum and nasal pyramid fracture with osteotomy.
Sinus Surgery - Endoscopic
Functional endoscopic sinus surgery, excision of nasopharyngeal mass via endoscopic technique, and excision of right upper lid skin lesion 1 cm in diameter with adjacent tissue transfer closure.
Skin Biopsy
The skin biopsy was performed on the right ankle and right thigh. The patient was consented for skin biopsy. The complications, instructions as to how the procedure will be performed, and postoperative instructions were given to the patient.
Skin Graft
Split-thickness skin grafting a total area of approximately 15 x 18 cm on the right leg and 15 x 15 cm on the left leg.
Skull Base Reconstruction
Squamous cell carcinoma of right temporal bone/middle ear space. Right temporal bone resection; rectus abdominis myocutaneous free flap for reconstruction of skull base defect; right selective neck dissection zones 2 and 3.
Sling (SPARC Suburethral)
SPARC suburethral sling due to stress urinary incontinence.
Spermatocelectomy
Spermatocelectomy and orchidopexy
Spermatocelectomy, Epididymectomy, & Vasectomy
Left spermatocelectomy/epididymectomy and bilateral partial vasectomy. Left spermatocele and family planning.
Spinal fluid evaluation
Consult and Spinal fluid evaluation in a 15-day-old
Spinal Fusion & Instrumentation
Posterior spinal fusion and spinal instrumentation. Posterior osteotomy; posterior elements to include laminotomy-foraminotomy and decompression of the nerve roots.
Spinal Manipulation
Spinal Manipulation under Anesthesia - Sacro-iliitis, lumbo-sacral segmental dysfunction, thoraco-lumbar segmental dysfunction, associated with myalgia/fibromyositis.
Spine Fusion
Anterior spine fusion from T11-L3. Posterior spine fusion from T3-L5. Posterior spine segmental instrumentation from T3-L5, placement of morcellized autograft and allograft.
Spontaneous Vaginal Delivery
Spontaneous vaginal delivery. Term pregnancy at 40 and 3/7th weeks. On evaluation of triage, she was noted to be contracting approximately every five minutes and did have discomfort with her contractions.
Spontaneous Vaginal Delivery - 1
Spontaneous vaginal delivery. Male infant, cephalic presentation, ROA. Apgars 2 and 7. Weight 8 pounds and 1 ounce. Intact placenta. Three-vessel cord. Third degree midline tear.
Stab Wound Closure
Stab wound, left posterolateral chest. Closure of stab wound.
Stamm Gastrostomy Tube Placement
Open Stamm gastrotomy tube, lysis of adhesions, and closure of incidental colotomy
Stapedectomy - Argon Lasor Assisted
Right argon laser assisted stapedectomy. Bilateral conductive hearing losses with right stapedial fixation secondary to otosclerosis.
Stenting
Successful stenting of the left anterior descending. Angina pectoris, tight lesion in left anterior descending.
Styloidectomy
Excision of volar radial wrist mass (inflammatory synovitis) and radial styloidectomy, right wrist. Right wrist pain with an x-ray showing a scapholunate arthritic collapse pattern arthritis with osteophytic spurring of the radial styloid and a volar radial wrist mass suspected of being a volar radial ganglion.
Subclavian Central Venous Catheter Insertion
Insertion of right subclavian central venous catheter. Need for intravenous access, status post fall, and status post incision and drainage of left lower extremity.
Subcutaneous Transposition of Ulnar Nerve
Subcutaneous transposition of the right ulnar nerve. Right carpal tunnel syndrome and right cubital tunnel syndrome.
Suboccipital Craniectomy
Right suboccipital craniectomy for resection of tumor using the microscope modifier 22 and cranioplasty.
Subperiosteal Abscess Debridement
Repeat irrigation and debridement of Right distal femoral subperiosteal abscess.
Subxiphoid Pericardial Window
Emergent subxiphoid pericardial window, transesophageal echocardiogram.
Subxiphoid Pericardial Window - 1
Subxiphoid pericardial window. A #10-blade scalpel was used to make an incision in the area of the xiphoid process. Dissection was carried down to the level of the fascia using Bovie electrocautery.
Subxiphoid Pericardiotomy
Subxiphoid pericardiotomy. Symptomatic pericardial effusion. The patient had the appropriate inflammatory workup for pericardial effusion, however, it was nondiagnostic.
Suction, Dilation, & Curettage
Missed abortion. Suction, dilation, and curettage.
Suction, Dilation, & Curettage - 1
Suction dilation and curettage for incomplete abortion. On bimanual exam, the patient has approximately 15-week anteverted, mobile uterus with the cervix that is dilated to approximately 2 cm with multiple blood colts in the vagina. There was a large amount of tissue obtained on the procedure.
Superior Labrum Lesions Repair
Superior labrum anterior and posterior lesion repair.
Surgical Closure of Gastrostomy
Closure of gastrostomy placed due to feeding difficulties.
Surgical Removal of Teeth
Right buccal and canine's base infection from necrotic teeth. ICD9 CODE: 528.3. Incision and drainage of multiple facial spaces; CPT Code: 40801. Surgical removal of the following teeth. The teeth numbers 1, 2, 3, 4, and 5. CPT code: 41899 and dental code 7210.
Symes Amputation - Hallux
Excision of mass, left second toe and distal Symes amputation, left hallux with excisional biopsy. Mass, left second toe. Tumor. Left hallux bone invasion of the distal phalanx.
SynchroMed Pump Placement
Placement of SynchroMed infusion pump and tunneling of SynchroMed infusion pump catheter. Anchoring of the intrathecal catheter and connecting of the right lower quadrant SynchroMed pump catheter to the intrathecal catheter.
Synovectomy - Partial
Arthroscopic irrigation and debridement of same with partial synovectomy. Septic left total knee arthroplasty.
TAH & BSO
Total abdominal hysterectomy and bilateral salpingo-oophorectomy.
TAH & Salpingooophorectomy
Total abdominal hysterectomy (TAH) with bilateral salpingooophorectomy and uterosacral ligament vault suspension. Cervical intraepithelial neoplasia grade-III postconization. Recurrent dysplasia. Uterine procidentia grade II-III. Mild vaginal vault prolapse.
TAH & Salpingo-oophorectomy
Total abdominal hysterectomy (TAH) and left salpingo-oophorectomy. Hypermenorrhea, uterine fibroids, pelvic pain, left adnexal mass, and pelvic adhesions.
TAH & Salpingo-oophorectomy - 1
Total abdominal hysterectomy (TAH) with a right salpingo-oophorectomy.
TAH & Salpingo-oophorectomy & Lysis of Adhesions
Total abdominal hysterectomy (TAH), left salpingo-oophorectomy, lysis of interloop bowel adhesions. Chronic pelvic pain, endometriosis, prior right salpingo-oophorectomy, history of intrauterine device perforation and exploratory surgery.
Tailor Bunionectomy with Screw Fixation
Tailor bunionectomy, right foot, Weil-type with screw fixation. Hallux abductovalgus deformity and tailor bunion deformity, right foot.
Tarsectomy
Painful enlarged navicula, right foot. Osteochondroma of right fifth metatarsal. Partial tarsectomy navicula and partial metatarsectomy, right foot.
Teeth (full-mouth) Extraction
Full-mouth extraction of teeth and alveoloplasty in all four quadrants.
Teeth Extraction
Removal of cystic lesion, removal of teeth, modified Le Fort I osteotomy.
Teeth Extraction & I&D
Extraction of teeth. Incision and drainage (I&D) of left mandibular vestibular abscess adjacent to teeth #18 and #19.
Teeth Extraction & I&D - 1
Extraction of teeth #2 and #19 and incision and drainage (I&D) of intraoral and extraoral of left mandibular dental abscess.
Teeth Extraction & I&D - 2
Extraction of tooth #T and incision and drainage (I&D) of right buccal space infection. Right buccal space infection and abscess tooth #T.
Temporal Artery Biopsy
Bilateral temporal artery biopsy. Rule out temporal arteritis.
Temporal Artery Biopsy - 1
Headaches, question of temporal arteritis. Bilateral temporal artery biopsies.
Tenosynovectomy & Cortisone Injection
Left carpal tunnel release with flexor tenosynovectomy; cortisone injection of trigger fingers, left third and fourth fingers; injection of Dupuytren's nodule, left palm.
Tesio Hemodialysis Catheter Insertion
Insertion of a left subclavian Tesio hemodialysis catheter and surgeon-interpreted fluoroscopy.
Tessio Catheter Insertion
Insertion of right internal jugular Tessio catheter and placement of left wrist primary submental arteriovenous fistula.
Thoracentesis
Thoracentesis. Left pleural effusion. Left hemothorax.
Thoracentesis - 1
Thoracentesis, left. Malignant pleural effusion, left, with dyspnea.
Thoracic Discectomy
Thoracic right-sided discectomy at T8-T9. The patient is a 53-year-old female with a history of right thoracic rib pain related to a herniated nucleus pulposus at T8-T9.
Thoracoabdominal Aneurysm
A 26-mm Dacron graft replacement of type 4 thoracoabdominal aneurysm from T10 to the bifurcation of the aorta, re-implanting the celiac, superior mesenteric artery and right renal as an island and the left renal as a 8-mm interposition Dacron graft, utilizing left heart bypass and cerebrospinal fluid drainage.
Thoracoscopy & Thoracotomy - Mesothelioma
Left mesothelioma, focal. Left anterior pleural-based nodule, which was on a thin pleural pedicle with no invasion into the chest wall.
Thoracoscopy/Thoracotomy
Left thoracoscopy and left thoracotomy with declaudication and drainage of lung abscesses, and multiple biopsies of pleura and lung.
Thoracotomy & Bronchoscopy
Empyema. Right thoracotomy, total decortication and intraoperative bronchoscopy. A thoracostomy tube was placed at the bedside with only partial resolution of the pleural effusion. On CT scan evaluation, there is evidence of an entrapped right lower lobe with loculations.
Thoracotomy & Esophageal Exploration
Left thoracotomy with drainage of pleural fluid collection, esophageal exploration and repair of esophageal perforation, diagnostic laparoscopy and gastrostomy, and radiographic gastrostomy tube study with gastric contrast, interpretation.
Thoracotomy & Pleurectomy
Left thoracotomy with total pulmonary decortication and parietal pleurectomy. Empyema of the chest, left.
Thrombectomy
Thrombosed left forearm loop fistula graft, chronic renal failure, and hyperkalemia. Thrombectomy of the left forearm loop graft. The venous outflow was good. There was stenosis in the mid-venous limb of the graft.
Thrombectomy AV Shunt
Thrombectomy AV shunt, left forearm and patch angioplasty of the venous anastomosis. Thrombosed arteriovenous shunt, left forearm with venous anastomotic stenosis.
Thromboendarterectomy
Thromboendarterectomy of right common, external, and internal carotid artery utilizing internal shunt and Dacron patch angioplasty closure. Coronary artery bypass grafting x3 utilizing left internal mammary artery to left anterior descending, and reverse autogenous saphenous vein graft to the obtuse marginal, posterior descending branch of the right coronary artery.
Thyroidectomy
Total thyroidectomy for goiter. Multinodular thyroid goiter with compressive symptoms and bilateral dominant thyroid nodules proven to be benign by fine needle aspiration.
Thyroidectomy - 1
Total thyroidectomy. The patient is a female with a history of Graves disease. Suppression was attempted, however, unsuccessful. She presents today with her thyroid goiter.
Tissue Expander Insertion
History of compartment syndrome, right lower extremity, status post 4 compartments fasciotomy, to do incision for compartment fasciotomy. Wound debridement x2, including skin, subcutaneous, and muscle. Insertion of tissue expander to the medial and lateral wound.
TLIF
Transforaminal lumbar interbody fusion, placement of intervertebral prosthetic device.
Tongue Lesion Biopsy
Excisional biopsy with primary closure of a 4 mm right lateral base of tongue lesion. Right lateral base of tongue lesion, probable cancer.
Tonsillectomy
Tonsillectomy. Tonsillitis. McIvor mouth gag was placed in the oral cavity and a tongue depressor applied.
Tonsillectomy - 1
Tonsillectomy. Chronic tonsillitis.
Tonsillectomy & Adenoidectomy
Tonsillectomy, adenoidectomy, and removal of foreign body (rock) from right ear.
Tonsillectomy & Adenoidectomy - 1
Tonsillectomy and adenoidectomy. McIvor mouth gag was placed in the oral cavity, and a tongue depressor applied.
Tonsillectomy & Adenoidectomy - 2
Tonsillectomy & adenoidectomy. Chronic tonsillitis with symptomatic tonsil and adenoid hypertrophy.
Tonsillectomy & Adenoidectomy - 3
Tonsillectomy and adenoidectomy. Obstructive adenotonsillar hypertrophy with chronic recurrent pharyngitis.
Tonsillectomy & Adenoidectomy - 4
Tonsillectomy and adenoidectomy and Left superficial nasal cauterization. Recurrent tonsillitis. Deeply cryptic hypertrophic tonsils with numerous tonsillolith. Residual adenoid hypertrophy and recurrent epistaxis.
Tonsillectomy & Adenoidectomy - 5
Tonsillectomy and adenoidectomy. Chronic adenotonsillitis. The patient is a 9-year-old Caucasian male with history of recurrent episodes of adenotonsillitis that has been refractory to outpatient antibiotic therapy.
Tonsillectomy and Septoplasty
Tonsillectomy, uvulopalatopharyngoplasty, and septoplasty for obstructive sleep apnea syndrome with hypertrophy of tonsils and of uvula and soft palate with deviation of nasal septum
Toronto Porcine Valve Insertion
Aortic stenosis. Insertion of a Toronto stentless porcine valve, cardiopulmonary bypass, and cold cardioplegia arrest of the heart.
Total Abdominal Hysterectomy
Total Abdominal Hysterectomy (TAH). An incision was made into the abdomen down through the subcutaneous tissue, muscular fascia and peritoneum. Once inside the abdominal cavity, a self-retaining retractor was placed to expose the pelvic cavity with 3 lap sponges.
Total Abdominal Hysterectomy - 1
Total abdominal hysterectomy.. Severe menometrorrhagia unresponsive to medical therapy, anemia, and symptomatic fibroid uterus.
Total Abdominal Hysterectomy - 2
Total abdominal hysterectomy. Enlarged fibroid uterus, pelvic pain, and pelvic endometriosis. On laparotomy, the uterus did have multiple pedunculated fibroids.
Total Abdominal Hysterectomy - 3
Total abdominal hysterectomy (TAH) with a uterosacral vault suspension. Enlarged fibroid uterus and abnormal uterine bleeding.
Total Hip Arthroplasty
Total hip arthroplasty on the left. Left hip degenerative arthritis. Severe degenerative changes within the femoral head as well as the acetabulum, anterior as well as posterior osteophytes.
Total Hip Arthroplasty - Revision
Infected right hip bipolar arthroplasty, status post excision and placement of antibiotic spacer. Removal of antibiotic spacer and revision total hip arthroplasty.
Total Hip Replacement
Right hip osteoarthritis. Total hip replacement on the right side.
Total Hip Replacement - 1
Total hip replacement. An incision was made, centered over the greater trochanter. Dissection was sharply carried down through the subcutaneous tissues.
Total Knee Arthoplasty - Right - 1
Right total knee arthroplasty using a Biomet cemented components, 62.5-mm right cruciate-retaining femoral component, 71-mm Maxim tibial component, and 12-mm polyethylene insert with 31-mm patella. All components were cemented with Cobalt G.
Total Knee Arthroplasty
Right knee total arthroplasty. Degenerative osteoarthritis, right knee.
Total Knee Arthroplasty - Right
Right total knee arthroplasty - Osteoarthritis, right knee.
Total Knee Replacement
Total left knee replacement. Degenerative arthritis of the left knee. Degenerative ware of three compartments of the trochlea, the medial, as well as the lateral femoral condyles as well was the plateau.
Total Knee Replacement - 1
Total knee replacement. A midline incision was made, centered over the patella. Dissection was sharply carried down through the subcutaneous tissues. A median parapatellar arthrotomy was performed.
Total Knee Replacement - NexGen
NexGen left total knee replacement. Degenerative arthritis of left knee. The patient is a 72-year-old female with a history of bilateral knee pain for years progressively worse and decreasing quality of life and ADLs.
Total Thyroid Lumpectomy
Left thyroid mass. Left total thyroid lumpectomy. The patient with a history of a left thyroid mass nodule that was confirmed with CT scan along with thyroid uptake scan, which demonstrated a hot nodule on the left anterior pole.
Total Thyroidectomy
Total thyroidectomy with removal of substernal extension on the left. Thyroid goiter with substernal extension on the left.
Trabeculectomy
Trabeculectomy with mitomycin C - Sample/Template.
Trabeculectomy & Tenonectomy
Short flap trabeculectomy with lysis of conjunctival scarring, tenonectomy, peripheral iridectomy, paracentesis, watertight conjunctival closure, and 0.5 mg/mL mitomycin x2 minutes, left eye. Uncontrolled open angle glaucoma and conjunctival scarring, left eye.
Tracheostomy
Neck exploration; tracheostomy; urgent flexible bronchoscopy via tracheostomy site; removal of foreign body, tracheal metallic stent material; dilation distal trachea; placement of #8 Shiley single cannula tracheostomy tube.
Tracheostomy & SCOOP Procedure
Tracheostomy with skin flaps and SCOOP procedure FastTract. Oxygen dependency of approximately 5 liters nasal cannula at home and chronic obstructive pulmonary disease.
Tracheostomy & Thyroid Isthmusectomy
Tracheostomy and thyroid isthmusectomy. Ventilator-dependent respiratory failure and multiple strokes.
Tracheostomy Change
Tracheostomy change. A #6 Shiley with proximal extension was changed to a #6 Shiley with proximal extension. Ventilator-dependent respiratory failure and laryngeal edema.
Tracheotomy - 1
Tracheotomy for patient with respiratory failure.
Transesophageal Echocardiography Probe
Insertion of transesophageal echocardiography probe and unsuccessful insertion of arterial venous lines.
Transpedicular Decompression
Foraminal disc herniation of left L3-L4. Enlarged dorsal root ganglia of the left L3 nerve root. Transpedicular decompression of the left L3-L4 with discectomy.
Transurethral Resection Of Bladder Tumor
Transurethral resection of a medium bladder tumor (TURBT), left lateral wall.
Trigger Finger Release
Trigger finger release. A longitudinal incision was made over the digit's A1 pulley. Dissection was carried down to the flexor sheath with care taken to identify and protect the neurovascular bundles. The sheath was opened under direct vision with a scalpel, and then a scissor was used to release it under direct vision from the proximal extent of the A1 pulley to just proximal to the proximal digital crease.
Trigger Thumb Release
Trigger thumb release. A transverse incision was made over the MPJ crease of the thumb. Dissection was carried down to the flexor sheath with care taken to identify and protect the neurovascular bundles.
Trigger Thumb Release - 1
Trigger thumb release. Right trigger thumb. The A-1 pulley was divided along its radial border, completely freeing the stenosing tenosynovitis (trigger release).
Triple Lumen Catheter Insertion
Insertion of a right brachial artery arterial catheter and a right subclavian vein triple lumen catheter. Hyperpyrexia/leukocytosis, ventilator-dependent respiratory failure, and acute pancreatitis.
Triple Lumen Catheter Insertion - 1
Need for intravenous access. Insertion of a right femoral triple lumen catheter. he patient is also ventilator-dependent, respiratory failure with tracheostomy in place and dependent on parenteral nutrition secondary to dysphagia and also has history of protein-calorie malnutrition and the patient needs to receive total parenteral nutrition and therefore needs central venous access.
True Cut Needle Biopsy - Breast
True cut needle biopsy of the breast. This 65-year-old female on exam was noted to have dimpling and puckering of the skin associated with nipple discharge. On exam, she has a noticeable carcinoma of the left breast with dimpling, puckering, and erosion through the skin.
Ttriple-Lumen Central Line
Insertion of a triple-lumen central line through the right subclavian vein by the percutaneous technique. This lady has a bowel obstruction. She was being fed through a central line, which as per the patient was just put yesterday and this slipped out.
Tubal Fulguration - Laparoscopic
Laparoscopic tubal fulguration.
Tubal Ligation
Laparoscopic bilateral tubal ligation with Falope rings.
Tubal Ligation - Laparoscopic
Desires permanent sterilization. Laparoscopic tubal ligation, Falope ring method. Normal appearing uterus and adnexa bilaterally.
Tubal Ligation - Postpartum
Postpartum tubal ligation and removal of upper abdominal skin wall mass.
Tubal Sterilization & Coagulation
Laparoscopic tubal sterilization, tubal coagulation.
Tube Shunt - Ahmed Valve Implant
Tube Shunt - Ahmed valve model S2 implant with pericardial reinforcement - Sample/Template.
Tun-L Catheter Placement
Nerve root decompression at L45 on the left side. Tun-L catheter placement with injection of steroid solution and Marcaine at L45 nerve roots left. Interpretation of radiograph.
TURBT
Cystoscopy, transurethral resection of medium bladder tumor (4.0 cm in diameter), and direct bladder biopsy.
TURBT - 1
Transurethral resection of the bladder tumor (TURBT), large.
TURP
Transurethral electrosurgical resection of the prostate for benign prostatic hyperplasia.
Tympanomastoidectomy
Left canal wall down tympanomastoidectomy with ossicular chain reconstruction, microdissection, NIM facial nerve monitoring for three hours.
Tympanostomy
Adenotonsillar hypertrophy and chronic otitis media. Tympanostomy and tube placement and adenoidectomy.
Tympanostomy & Myringotomy Tube Placement
Bilateral tympanostomy with myringotomy tube placement. The patient is a 1-year-old male with a history of chronic otitis media with effusion and conductive hearing loss refractory to outpatient medical therapy.
Ulnar Nerve Decompression
Decompression of the ulnar nerve, left elbow. Left cubital tunnel syndrome and ulnar nerve entrapment.
Ulnar Nerve Transposition
Subcutaneous ulnar nerve transposition. A curvilinear incision was made over the medial elbow, starting proximally at the medial intermuscular septum, curving posterior to the medial epicondyle, then curving anteriorly along the path of the ulnar nerve. Dissection was carried down to the ulnar nerve.
Ulnar Nerve Transposition & Olecranon Bursa Excision
Right ulnar nerve transposition, right carpal tunnel release, and right excision of olecranon bursa. Right cubital tunnel syndrom, carpal tunnel syndrome, and olecranon bursitis.
Umbilical Hernia Repair
Umbilical hernia repair template. The umbilical hernia carefully reduced back into the cavity, and the fascia was closed with interrupted vertical mattress sutures to approximate the fascia.
Umbilical Hernia Repair - 1
Umbilical hernia repair. A standard curvilinear umbilical incision was made, and dissection was carried down to the hernia sac using a combination of Metzenbaum scissors and Bovie electrocautery.
Upper Endoscopy
Upper endoscopy with removal of food impaction.
Upper Endoscopy - Foreign Body Removal
Upper endoscopy with foreign body removal (Penny in proximal esophagus).
Urgent Cardiac Cath
Urgent cardiac catheterization with coronary angiogram.
Uterine Suction Curettage
Exam under anesthesia with uterine suction curettage. A 10-1/2 week pregnancy, spontaneous, incomplete abortion.
Uvulopalatopharyngoplasty & Tonsillectomy
Uvulopalatopharyngoplasty and tonsillectomy. The patient with a history of obstructive sleep apnea who has been using CPAP, however, he was not tolerating used of the machine and requested a surgical procedure for correction of his apnea.
Vacuum D&C
A 21-year-old female was having severe cramping and was noted to have a blighted ovum with her first ultrasound in the office.
Vaginal Delivery - Vacuum-Assisted
Vacuum-assisted vaginal delivery of a third-degree midline laceration and right vaginal side wall laceration and repair of the third-degree midline laceration lasting for 25 minutes.
Vaginal Hysterectomy
Vaginal Hysterectomy. A weighted speculum was placed in the posterior vaginal vault. The cervix was grasped with a Massachusetts clamp on both its anterior and posterior lips.
Vaginal Hysterectomy - Laparoscopic-Assisted
Laparoscopic-assisted vaginal hysterectomy. Abnormal uterine bleeding. Uterine fibroids.
Vasectomy
Voluntary sterility. Bilateral vasectomy. The vas deferens was grasped with a vas clamp. Next, the vas deferens was skeletonized. It was clipped proximally and distally twice.
Vasectomy - 1
Normal vasectomy
Vasectomy - 2
Normal vasectomy
Vasectomy - 3
Desire for sterility. Vasectomy. The vas was identified, skin was incised, and no scalpel instruments were used to dissect out the vas.
Vasectomy - 4
Fertile male with completed family. Elective male sterilization via bilateral vasectomy.
Vein Stripping
Chronic venous hypertension with painful varicosities, lower extremities, bilaterally. Greater saphenous vein stripping and stab phlebectomies requiring 10 to 20 incisions, bilaterally.
Ventricular Drain Catheter Insertion
Burr hole and insertion of external ventricular drain catheter.
Ventriculostomy
Endoscopic third ventriculostomy.
Ventriculostomy Placement
Placement of left ventriculostomy via twist drill. Massive intraventricular hemorrhage with hydrocephalus and increased intracranial pressure.
Vertebroplasty
Unilateral transpedicular T11 vertebroplasty.
Vitrectomy
Vitreous hemorrhage, right eye. Vitrectomy, right eye. A Lancaster lid speculum was applied and the conjunctiva was opened 4 mm posterior to the limbus.
Vitrectomy - 1
Combined closed vitrectomy with membrane peeling, fluid-air exchange, and endolaser, right eye.
Vitrectomy - 2
Pars plana vitrectomy, membrane peel, 23-gauge, right eye.
Vitrectomy - 3
Vitrectomy. A limited conjunctival peritomy was created with Westcott scissors to expose the supranasal and, separately, the supratemporal and inferotemporal quadrants.
Vitrectomy - General Anesthesia
Vitrectomy under general anesthesia
Vitrectomy - Local Anesthesia
Vitrectomy under local anesthesia.
Vitrectomy Opening
Vitrectomy opening. A limited conjunctival peritomy was created with Westcott scissors to expose the supranasal and separately the supratemporal and inferotemporal quadrants.
VP Shunt Placement
Placement of right new ventriculoperitoneal (VP) shunts Strata valve and to removal of right frontal Ommaya reservoir.
VVIR Permanent Pacemaker Insertion
Insertion of a VVIR permanent pacemaker. This is an 87-year-old Caucasian female with critical aortic stenosis with an aortic valve area of 0.5 cm square and recurrent congestive heart failure symptoms mostly refractory to tachybrady arrhythmias
Wound Closure & Debridement - Hydrocephalus
A complex closure and debridement of wound. The patient is a 26-year-old female with a long history of shunt and hydrocephalus presenting with a draining wound in the right upper quadrant, just below the costal margin that was lanced by General Surgery and resolved; however, it continued to drain.
Wound Debridement
Wound debridement with removal of Surgisis xenograft and debridement of skin and subcutaneous tissue, secondary closure of wound, and VAC insertion.
Wrist Ganglion Excision
Excision of dorsal wrist ganglion. Made a transverse incision directly over the ganglion. Dissection was carried down through the extensor retinaculum, identifying the 3rd and the 4th compartments and retracting them.
YAG Laser Capsulotomy
Visually significant posterior capsule opacity, right eye. YAG laser posterior capsulotomy, right eye.
YAG Laser Capsulotomy - 1
This patient has undergone cataract surgery, and vision is reduced in the operated eye due to presence of a secondary capsular membrane. The patient is being brought in for YAG capsular discission.
Youngswick Bunionectomy
Austin & Youngswick bunionectomy with Biopro implant. Screw fixation, left foot.
Youngswick Osteotomy
Youngswick osteotomy with internal screw fixation of the first right metatarsophalangeal joint of the right foot.