Prepare an interpretation of the report for the patient or family, translating the report from medical to layman's terminology.
1) Prepare an interpretation of the report for the patient or family, translating the report from medical to layman's terminology.2) "Translate"all of the medical terminology from this report into a writtenglossary, providing both definitions and a pronunciation guide. Thisshould consist of a minimum of at least 25 medical terms.Report: TITLE OF OPERATION:Cystourethroscopy, left retrograde ureteropyelogram and left dismembered pyeloplasty.PREOPERATIVE DIAGNOSIS:Left ureteropelvic junction obstruction.POSTOPERATIVE DIAGNOSIS:Left ureteropelvic junction obstruction.ANESTHESIA:General endotracheal anesthesia.DESCRIPTION:The patient was brought to the operating room and underwent generalanesthesia. He was placed in the dorsal lithotomy position. He wasprepared and draped in the usual manner. The 9.5 pediatric cystoscopewas placed in the bladder and a #3 ureteral catheter was placed throughthe torquing channel. A left retrograde ureteropyelogram was obtained.This showed a clear obstruction at the junction of the leftureteropelvic junction. The cystoscope and stent were then removed.Thepatient was then placed in the left-flank-up position. An incision wasmade off the tip of the 12th rib with a #15 blade. Bleeding wascontrolled utilizing electrocautery. The muscle fibers were all incisedin the flank with electrocautery. Two Richardson retractors were placed.Gerota's fascia was opened in a vertical fashion and the kidney wasdelivered. The ureter was found in the retroperitoneal space anddissected out to the level of the renal pelvis. There was clearobstruction and kinking at the level of the ureteropelvic junction.Markings sutures were placed in the ureter and the renal pelvis with 6-0Vicryl. The obstructive segment was excised and the tenth renal pelviswas then decompressed. An oblique anastomosis was then effected betweenthe upper ureter which had been spatulated and the renal pelvis. Thiswas accomplished with two sutures of 6-0 Vicryl at the apices and thenrunning sutures on the anterior and posterior wall with 6-0 Vicryl.Prior to completing the anterior anastomosis, a 10-French Malecotcatheter was used as a nephrostomy tube and brought with the nephrostomyneedle through the substance of the kidney and was brought out throughthe flank, and it was sewn to the flank with 4-0 Prolene. The anterioraspect of the anastomosis was then completed after a #3 pediatricfeeding tube was placed through the anastomosis and� to be watertight.The kidney was returned to the renal space. Gerota's fascia was leftopen in the caudad portion. A Penrose drain was placed through a stabwound and brought down to the inferior portion below the anastomosis.This was sewn to the skin with 4-0 nylon. The muscle layers were thenclosed with running 3-0 Vicryl. The subcutaneous layer was closed with4-0 Vicryl and the skin was closed with a running subcuticular 3-0Prolene suture. There were no intraoperative complication. The patientwas discharged to the recovery room in satisfactory condition.
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