COMMON WORDS & PHRASES IN OPERATIVE REPORTS:
Common opening sentence in operative reports: The patient was taken to the operating room
The patient was taken to the operating suite
The patient was taken to surgery
The patient was placed in the _____ position (one of the following common positions):
dorsal position
dorsal supine position Fowler position jackknife position
lateral decubitus position lateral recumbent position leapfrog position lithotomy position low lithotomy position Mayo-Robson position prone position reverse Trendelenburg position semi-Fowler position semiprone position Sims position sitting position steep Trendelenburg position supine position Trendelenburg position The patient was given _____ anesthesia (one of the following common types of anesthesia) Bier block
endotracheal anesthesia epidural anesthesia general anesthesia general via LMA IV conscious sedation IV sedation laryngeal mask airway (LMA) MAC anesthesia scalene block spinal anesthesia wrist block anesthesia Incision was closed using ______ sutures (one of the following common sutures)
bioabsorbable suture
Biosyn suture braided Ethibond suture braided Mersilene suture braided Nurolon suture braided nylon suture braided polyester suture braided silk suture braided Vicryl suture braided wire suture buried interrupted (2-0, 3-0, 4-0, etc) Vicryl sutures catgut suture chromic catgut suture chromic suture Dexon suture double-armed suture Dupuytren suture Ethibond suture Ethilon suture fast-absorbing plain gut suture figure-of-eight interrupted suture Gore-Tex suture Heaney suture horizontal mattress suture interlocking suture Kirschner suture Mersilene suture Monocryl suture Nurolon suture nylon suture PDS suture Prolene suture pursestring suture silk suture stay suture subcuticular suture suture ligature Vicryl suture _____ dressing (one of the following) was placed: 4 x 4s
ABD dressing Ace wrap Adaptic gauze
bacitracin benzoin bulky dressing Bunnell-type dressing Coban wrap compression dressing dry sterile dressing fluff dressing iodoform gauze Jones dressing Kerlix dressing Kling Mastisol neoprene dressing nonadherent dressing Opsite dressing Polar Care ice pack pressure dressing Ray-Tec dressing saline-soaked Kerlix gauze scrotal dressing scrotal support sterile bulky gauze sterile compression dressing Steri-Strips Tegaderm dressing Tegasorb dressing Telfa gauze dressing thumb spica splint TubiGrip dressing Vi-Drape dressing Webril dressing wet-to-dry dressing Xeroform dressing/gauze Drains used:
Blake drain
Foley catheter to gravity fully fenestrated drain
Hemovac drain Indwelling double-J stent Jackson-Pratt (JP) drain Penrose drain Incisions used:
anteromedial portal incision
Bruner incision circumferential incision
curvilinear incision elliptical incision hemitransfixion incision inframammary incision infraumbilical incision Killian incision left upper quadrant incision linear incision longitudinal incision low transverse incision midline incision Pfannenstiel incision previously made incision punctate incision radial incision
semielliptical incision splitting incision stab incision supraclavicular incision suprapubic incision umbilical incision vertical stab incision Weber-Fergusson incision Cautery used:
bipolar cautery
Bovie cautery electrocautery monopolar cautery needlepoint cautery
needle tip cautery
suction cautery
Types of dissection:
careful dissection
deep dissection meticulous dissection sharp and blunt dissection Ending sentence in operative reports:
The patient tolerated the procedure well and was discharged in stable condition to the recovery room.
The patient tolerated the procedure well and recovered without incident.
Other common phrases in operative reports:
prepped and draped in sterile fashion
hemostasis was obtained with electrocautery/bipolar cautery, etc
Esmarch bandage
mmHg
Foley catheter
pneumatic tourniquet
exsanguination
bandage scissors
gloves were changed
gowns were changed
hemostasis was obtained
sponge, needle and instrument counts were correct x3 |