Transcribed Medical Transcription Sample Reports and Examples

Sample Type / Medical Specialty: Surgery

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

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, 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 procedure

Adenoidectomy - 1
Adenoidectomy. Adenoid hypertrophy. The McIvor mouth gag was placed in the oral cavity and the tongue depressor applied.

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