argilla/medical-keywords · Datasets at Hugging Face

text stringlengths 5 1.33k	tokens sequence	prediction list	prediction_agent stringclasses 1 value	annotation null	annotation_agent null	id null	metadata dict	status stringclasses 1 value	event_timestamp timestamp[us]	metrics null
There is mitral annular calcification extending to leaflets and supportive structures with thickening of mitral valve leaflets with mild mitral regurgitation.	[ " ", "There", "is", "mitral", "annular", "calcification", "extending", "to", "leaflets", "and", "supportive", "structures", "with", "thickening", "of", "mitral", "valve", "leaflets", "with", "mild", "mitral", "regurgitation", "." ]	[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 86, "label": "KEYPHRASE", "score": 0, "start": 76 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 92 }, { "end": 118, "label": "KEYPHRASE", "score": 0, "start": 106 }, { "end": 158, "label": "KEYPHRASE", "score": 0, "start": 138 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.916974	null
The tricuspid valve appears normal with trace tricuspid regurgitation with moderate pulmonary artery hypertension.	[ " ", "The", "tricuspid", "valve", "appears", "normal", "with", "trace", "tricuspid", "regurgitation", "with", "moderate", "pulmonary", "artery", "hypertension", "." ]	[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 29 }, { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 76 }, { "end": 101, "label": "KEYPHRASE", "score": 0, "start": 85 }, { "end": 114, "label": "KEYPHRASE", "score": 0, "start": 102 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.917343	null
Estimated pulmonary artery systolic pressure is 49 mmHg.	[ " ", "Estimated", "pulmonary", "artery", "systolic", "pressure", "is", "49", "mmHg", "." ]	[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 28 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.917552	null
Estimated right atrial pressure of 10 mmHg.	[ " ", "Estimated", "right", "atrial", "pressure", "of", "10", "mmHg", "." ]	[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 24 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.917733	null
The pulmonary valve appears normal with trace pulmonary insufficiency.	[ " ", "The", "pulmonary", "valve", "appears", "normal", "with", "trace", "pulmonary", "insufficiency", "." ]	[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 29 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 57 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.918032	null
There is no pericardial effusion or intracardiac mass seen.	[ " ", "There", "is", "no", "pericardial", "effusion", "or", "intracardiac", "mass", "seen", "." ]	[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 37 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 50 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.918342	null
There is a color Doppler suggestive of a patent foramen ovale with lipomatous hypertrophy of the interatrial septum.	[ " ", "There", "is", "a", "color", "Doppler", "suggestive", "of", "a", "patent", "foramen", "ovale", "with", "lipomatous", "hypertrophy", "of", "the", "interatrial", "septum", "." ]	[ { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 42 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 49 }, { "end": 90, "label": "KEYPHRASE", "score": 0, "start": 79 }, { "end": 116, "label": "KEYPHRASE", "score": 0, "start": 98 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.918707	null
The study was somewhat technically limited and hence subtle abnormalities could be missed from the study.,	[ " ", "The", "study", "was", "somewhat", "technically", "limited", "and", "hence", "subtle", "abnormalities", "could", "be", "missed", "from", "the", "study", ".", "," ]	[ { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 61 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.919067	null
PREOPERATIVE DIAGNOSIS: , Morbid obesity.	[ "PREOPERATIVE", "DIAGNOSIS", ":", ",", "Morbid", "obesity", "." ]	[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 33 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.925868	null
,POSTOPERATIVE DIAGNOSIS: ,Morbid obesity.	[ ",POSTOPERATIVE", "DIAGNOSIS", ":", " ", ",", "Morbid", "obesity", "." ]	[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 35 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.926167	null
,PROCEDURE: , Laparoscopic antecolic antegastric Roux-en-Y gastric bypass with EEA anastomosis.	[ ",PROCEDURE", ":", ",", "Laparoscopic", "antecolic", "antegastric", "Roux", "-", "en", "-", "Y", "gastric", "bypass", "with", "EEA", "anastomosis", "." ]	[ { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 27 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 37 }, { "end": 73, "label": "KEYPHRASE", "score": 0, "start": 59 }, { "end": 94, "label": "KEYPHRASE", "score": 0, "start": 83 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.926466	null
,ANESTHESIA: , General with endotracheal intubation.	[ ",ANESTHESIA", ":", ",", "General", "with", "endotracheal", "intubation", "." ]	[ { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 28 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.926733	null
,INDICATION FOR PROCEDURE: , This is a 30-year-old female, who has been overweight for many years.	[ ",INDICATION", "FOR", "PROCEDURE", ":", ",", "This", "is", "a", "30", "-", "year", "-", "old", "female", ",", "who", "has", "been", "overweight", "for", "many", "years", "." ]	[ { "end": 82, "label": "KEYPHRASE", "score": 0, "start": 72 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.927047	null
,PROCEDURE IN DETAIL: ,The patient was taken to the operating room and placed supine on the operating room table.	[ ",PROCEDURE", "IN", "DETAIL", ":", " ", ",", "The", "patient", "was", "taken", "to", "the", "operating", "room", "and", "placed", "supine", "on", "the", "operating", "room", "table", "." ]	[ { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 93 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.928084	null
All pressure points were carefully padded.	[ " ", "All", "pressure", "points", "were", "carefully", "padded", "." ]	[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 5 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.928361	null
She was given general anesthesia with endotracheal intubation.	[ " ", "She", "was", "given", "general", "anesthesia", "with", "endotracheal", "intubation", "." ]	[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 39 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.928632	null
Foley catheter was placed for bladder decompression.	[ " ", "Foley", "catheter", "was", "placed", "for", "bladder", "decompression", "." ]	[ { "end": 15, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 31 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 39 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.929117	null
The abdomen was then prepped and draped in standard sterile surgical fashion.	[ " ", "The", "abdomen", "was", "then", "prepped", "and", "draped", "in", "standard", "sterile", "surgical", "fashion", "." ]	[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 61 }, { "end": 77, "label": "KEYPHRASE", "score": 0, "start": 70 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.929423	null
Marcaine was then injected through umbilicus.	[ " ", "Marcaine", "was", "then", "injected", "through", "umbilicus", "." ]	[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 36 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.929695	null
A small incision was made.	[ " ", "A", "small", "incision", "was", "made", "." ]	[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 9 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.929945	null
A Veress needle was introduced into the abdomen.	[ " ", "A", "Veress", "needle", "was", "introduced", "into", "the", "abdomen", "." ]	[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 41 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.930211	null
CO2 insufflation was done to a maximum pressure of 15 mmHg.	[ " ", "CO2", "insufflation", "was", "done", "to", "a", "maximum", "pressure", "of", "15", "mmHg", "." ]	[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 40 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.930501	null
A 12-mm VersaStep port was placed through the umbilicus.	[ " ", "A", "12", "-", "mm", "VersaStep", "port", "was", "placed", "through", "the", "umbilicus", "." ]	[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 47 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.930787	null
I then placed a 5-mm port just anterior to the midaxillary line and just subcostal on the right side.	[ " ", "I", "then", "placed", "a", "5", "-", "mm", "port", "just", "anterior", "to", "the", "midaxillary", "line", "and", "just", "subcostal", "on", "the", "right", "side", "." ]	[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 32 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.931115	null
I placed another 5-mm port in the midclavicular line just subcostal on the right side, a few centimeters below and medial to that, I placed a 12-mm VersaStep port.	[ " ", "I", "placed", "another", "5", "-", "mm", "port", "in", "the", "midclavicular", "line", "just", "subcostal", "on", "the", "right", "side", ",", "a", "few", "centimeters", "below", "and", "medial", "to", "that", ",", "I", "placed", "a", "12", "-", "mm", "VersaStep", "port", "." ]	[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 116 }, { "end": 163, "label": "KEYPHRASE", "score": 0, "start": 159 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.931525	null
On the left side, just anterior to the midaxillary line and just subcostal, I placed a 5-mm port.	[ " ", "On", "the", "left", "side", ",", "just", "anterior", "to", "the", "midaxillary", "line", "and", "just", "subcostal", ",", "I", "placed", "a", "5", "-", "mm", "port", "." ]	[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 24 }, { "end": 97, "label": "KEYPHRASE", "score": 0, "start": 93 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.931891	null
A few centimeters below and medial to that, I placed a 15-mm port.	[ " ", "A", "few", "centimeters", "below", "and", "medial", "to", "that", ",", "I", "placed", "a", "15", "-", "mm", "port", "." ]	[ { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 29 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 62 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.932214	null
I began by lifting up the omentum and identifying the transverse colon and lifting that up and thereby identifying my ligament of Treitz.	[ " ", "I", "began", "by", "lifting", "up", "the", "omentum", "and", "identifying", "the", "transverse", "colon", "and", "lifting", "that", "up", "and", "thereby", "identifying", "my", "ligament", "of", "Treitz", "." ]	[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 27 }, { "end": 71, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 127, "label": "KEYPHRASE", "score": 0, "start": 119 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.932564	null
I ran the small bowel down approximately 40 cm and divided the small bowel with a white load GIA stapler.	[ " ", "I", "ran", "the", "small", "bowel", "down", "approximately", "40", "cm", "and", "divided", "the", "small", "bowel", "with", "a", "white", "load", "GIA", "stapler", "." ]	[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 64 }, { "end": 105, "label": "KEYPHRASE", "score": 0, "start": 98 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.932912	null
I then divided the mesentery all the way down to the base of the mesentery with a LigaSure device.	[ " ", "I", "then", "divided", "the", "mesentery", "all", "the", "way", "down", "to", "the", "base", "of", "the", "mesentery", "with", "a", "LigaSure", "device", "." ]	[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 66 }, { "end": 98, "label": "KEYPHRASE", "score": 0, "start": 92 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.933254	null
I then ran the distal bowel down, approximately 100 cm, and at 100 cm, I made a hole at the antimesenteric portion of the Roux limb and a hole in the antimesenteric portion of the duodenogastric limb, and I passed a 45 white load stapler and fired a stapler creating a side-to-side anastomosis.	[ " ", "I", "then", "ran", "the", "distal", "bowel", "down", ",", "approximately", "100", "cm", ",", "and", "at", "100", "cm", ",", "I", "made", "a", "hole", "at", "the", "antimesenteric", "portion", "of", "the", "Roux", "limb", "and", "a", "hole", "in", "the", "antimesenteric", "portion", "of", "the", "duodenogastric", "limb", ",", "and", "I", "passed", "a", "45", "white", "load", "stapler", "and", "fired", "a", "stapler", "creating", "a", "side", "-", "to", "-", "side", "anastomosis", "." ]	[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 132, "label": "KEYPHRASE", "score": 0, "start": 128 }, { "end": 200, "label": "KEYPHRASE", "score": 0, "start": 196 }, { "end": 238, "label": "KEYPHRASE", "score": 0, "start": 231 }, { "end": 258, "label": "KEYPHRASE", "score": 0, "start": 251 }, { "end": 294, "label": "KEYPHRASE", "score": 0, "start": 283 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.933781	null
I reapproximated the edges of the defect.	[ " ", "I", "reapproximated", "the", "edges", "of", "the", "defect", "." ]	[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 35 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.934125	null
I lifted it up and stapled across it with another white load stapler.	[ " ", "I", "lifted", "it", "up", "and", "stapled", "across", "it", "with", "another", "white", "load", "stapler", "." ]	[ { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 62 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.934648	null
I then closed the mesenteric defect with interrupted Surgidac sutures.	[ " ", "I", "then", "closed", "the", "mesenteric", "defect", "with", "interrupted", "Surgidac", "sutures", "." ]	[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 42 }, { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 63 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.934956	null
I divided the omentum all the way down to the colon in order to create a passageway for my small bowel to go antecolic.	[ " ", "I", "divided", "the", "omentum", "all", "the", "way", "down", "to", "the", "colon", "in", "order", "to", "create", "a", "passageway", "for", "my", "small", "bowel", "to", "go", "antecolic", "." ]	[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 103, "label": "KEYPHRASE", "score": 0, "start": 92 }, { "end": 119, "label": "KEYPHRASE", "score": 0, "start": 110 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.935312	null
I placed a liver retractor, identified, and dissected the angle of His.	[ " ", "I", "placed", "a", "liver", "retractor", ",", "identified", ",", "and", "dissected", "the", "angle", "of", "His", "." ]	[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 59 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.935847	null
I then dissected on the lesser curve, approximately 2.5 cm below the gastroesophageal junction, and got into a lesser space.	[ " ", "I", "then", "dissected", "on", "the", "lesser", "curve", ",", "approximately", "2.5", "cm", "below", "the", "gastroesophageal", "junction", ",", "and", "got", "into", "a", "lesser", "space", "." ]	[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 95, "label": "KEYPHRASE", "score": 0, "start": 70 }, { "end": 124, "label": "KEYPHRASE", "score": 0, "start": 119 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.936201	null
I fired transversely across the stomach with a 45 blue load stapler.	[ " ", "I", "fired", "transversely", "across", "the", "stomach", "with", "a", "45", "blue", "load", "stapler", "." ]	[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 61 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.936522	null
I then used two fires of the 60 blue load with SeamGuard to go up into my angle of His, thereby creating my gastric pouch.	[ " ", "I", "then", "used", "two", "fires", "of", "the", "60", "blue", "load", "with", "SeamGuard", "to", "go", "up", "into", "my", "angle", "of", "His", ",", "thereby", "creating", "my", "gastric", "pouch", "." ]	[ { "end": 80, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 109 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.936888	null
I then made a hole at the base of the gastric pouch and had Anesthesia remove the bougie and place the OG tube connected to the anvil.	[ " ", "I", "then", "made", "a", "hole", "at", "the", "base", "of", "the", "gastric", "pouch", "and", "had", "Anesthesia", "remove", "the", "bougie", "and", "place", "the", "OG", "tube", "connected", "to", "the", "anvil", "." ]	[ { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 99, "label": "KEYPHRASE", "score": 0, "start": 94 }, { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 107 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.937274	null
I pulled the anvil into place, and I then opened up my 15-mm port site and passed my EEA stapler.	[ " ", "I", "pulled", "the", "anvil", "into", "place", ",", "and", "I", "then", "opened", "up", "my", "15", "-", "mm", "port", "site", "and", "passed", "my", "EEA", "stapler", "." ]	[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 71, "label": "KEYPHRASE", "score": 0, "start": 62 }, { "end": 97, "label": "KEYPHRASE", "score": 0, "start": 90 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.937631	null
I passed that in the end of my Roux limb and had the spike come out antimesenteric.	[ " ", "I", "passed", "that", "in", "the", "end", "of", "my", "Roux", "limb", "and", "had", "the", "spike", "come", "out", "antimesenteric", "." ]	[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 37 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.937954	null
I joined the spike with the anvil and fired a stapler creating an end-to-side anastomosis, then divided across the redundant portion of my Roux limb with a white load GI stapler, and removed it with an Endocatch bag.	[ " ", "I", "joined", "the", "spike", "with", "the", "anvil", "and", "fired", "a", "stapler", "creating", "an", "end", "-", "to", "-", "side", "anastomosis", ",", "then", "divided", "across", "the", "redundant", "portion", "of", "my", "Roux", "limb", "with", "a", "white", "load", "GI", "stapler", ",", "and", "removed", "it", "with", "an", "Endocatch", "bag", "." ]	[ { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 90, "label": "KEYPHRASE", "score": 0, "start": 79 }, { "end": 149, "label": "KEYPHRASE", "score": 0, "start": 145 }, { "end": 178, "label": "KEYPHRASE", "score": 0, "start": 171 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.938419	null
I put some additional 2-0 Vicryl sutures in the anastomosis for further security.	[ " ", "I", "put", "some", "additional", "2", "-", "0", "Vicryl", "sutures", "in", "the", "anastomosis", "for", "further", "security", "." ]	[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 49 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.938782	null
I then placed a bowel clamp across the bowel.	[ " ", "I", "then", "placed", "a", "bowel", "clamp", "across", "the", "bowel", "." ]	[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 40 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.939079	null
I went above and passed an EGD scope into the mouth down to the esophagus and into the gastric pouch.	[ " ", "I", "went", "above", "and", "passed", "an", "EGD", "scope", "into", "the", "mouth", "down", "to", "the", "esophagus", "and", "into", "the", "gastric", "pouch", "." ]	[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 65 }, { "end": 101, "label": "KEYPHRASE", "score": 0, "start": 88 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.939434	null
I distended gastric pouch with air.	[ " ", "I", "distended", "gastric", "pouch", "with", "air", "." ]	[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 13 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.939707	null
I could pass the scope easily through the anastomosis.	[ " ", "I", "could", "pass", "the", "scope", "easily", "through", "the", "anastomosis", "." ]	[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 43 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.940183	null
There was no bleeding seen through the scope.	[ " ", "There", "was", "no", "bleeding", "seen", "through", "the", "scope", "." ]	[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 40 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.940459	null
We closed the 15-mm port site with interrupted 0 Vicryl suture utilizing Carter-Thomason.	[ " ", "We", "closed", "the", "15", "-", "mm", "port", "site", "with", "interrupted", "0", "Vicryl", "suture", "utilizing", "Carter", "-", "Thomason", "." ]	[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 36 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 57 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.940777	null
I copiously irrigated out that incision with about 2 L of saline.	[ " ", "I", "copiously", "irrigated", "out", "that", "incision", "with", "about", "2", "L", "of", "saline", "." ]	[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 59 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.941117	null
I then closed the skin of all incisions with running Monocryl.	[ " ", "I", "then", "closed", "the", "skin", "of", "all", "incisions", "with", "running", "Monocryl", "." ]	[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 31 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.941405	null
Sponge, instrument, and needle counts were correct at the end of the case.	[ " ", "Sponge", ",", "instrument", ",", "and", "needle", "counts", "were", "correct", "at", "the", "end", "of", "the", "case", "." ]	[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 25 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.941705	null
Deformity, right breast reconstruction.	[ " ", "Deformity", ",", "right", "breast", "reconstruction", "." ]	[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 18 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.947959	null
Excess soft tissue, anterior abdomen and flank.	[ " ", "Excess", "soft", "tissue", ",", "anterior", "abdomen", "and", "flank", "." ]	[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 42 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.948470	null
Lipodystrophy of the abdomen.	[ " ", "Lipodystrophy", "of", "the", "abdomen", "." ]	[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 22 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.948927	null
Deformity, right breast reconstruction.	[ " ", "Deformity", ",", "right", "breast", "reconstruction", "." ]	[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 18 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.949384	null
Excess soft tissue, anterior abdomen and flank.	[ " ", "Excess", "soft", "tissue", ",", "anterior", "abdomen", "and", "flank", "." ]	[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 42 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.949863	null
Lipodystrophy of the abdomen.	[ " ", "Lipodystrophy", "of", "the", "abdomen", "." ]	[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 22 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.950307	null
Revision, right breast reconstruction.	[ " ", "Revision", ",", "right", "breast", "reconstruction", "." ]	[ { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 17 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.950743	null
Excision, soft tissue fullness of the lateral abdomen and flank.	[ " ", "Excision", ",", "soft", "tissue", "fullness", "of", "the", "lateral", "abdomen", "and", "flank", "." ]	[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 59 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.951212	null
Liposuction of the supraumbilical abdomen.	[ " ", "Liposuction", "of", "the", "supraumbilical", "abdomen", "." ]	[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 20 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.951662	null
,INDICATION FOR OPERATION:, The patient is a 31-year-old white female who previously has undergone latissimus dorsi flap and implant, breast reconstruction.	[ ",INDICATION", "FOR", "OPERATION", ":", ",", " ", "The", "patient", "is", "a", "31", "-", "year", "-", "old", "white", "female", "who", "previously", "has", "undergone", "latissimus", "dorsi", "flap", "and", "implant", ",", "breast", "reconstruction", "." ]	[ { "end": 121, "label": "KEYPHRASE", "score": 0, "start": 100 }, { "end": 133, "label": "KEYPHRASE", "score": 0, "start": 126 }, { "end": 156, "label": "KEYPHRASE", "score": 0, "start": 135 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.952240	null
She now had lateralization of the implant with loss of medial fullness for which she desired correction.	[ " ", "She", "now", "had", "lateralization", "of", "the", "implant", "with", "loss", "of", "medial", "fullness", "for", "which", "she", "desired", "correction", "." ]	[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 48 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 56 }, { "end": 71, "label": "KEYPHRASE", "score": 0, "start": 63 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.952596	null
It was felt that mobilization of the implant medially would provide the patient significant improvement and this was discussed with the patient at length.	[ " ", "It", "was", "felt", "that", "mobilization", "of", "the", "implant", "medially", "would", "provide", "the", "patient", "significant", "improvement", "and", "this", "was", "discussed", "with", "the", "patient", "at", "length", "." ]	[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 38 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 46 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.952965	null
The patient also had a small dog ear in the flank area on the right from the latissimus flap harvest, which was to be corrected.	[ " ", "The", "patient", "also", "had", "a", "small", "dog", "ear", "in", "the", "flank", "area", "on", "the", "right", "from", "the", "latissimus", "flap", "harvest", ",", "which", "was", "to", "be", "corrected", "." ]	[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 88, "label": "KEYPHRASE", "score": 0, "start": 78 }, { "end": 93, "label": "KEYPHRASE", "score": 0, "start": 89 }, { "end": 101, "label": "KEYPHRASE", "score": 0, "start": 94 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.953352	null
She had also had liposuction of the periumbilical and infraumbilical abdomen with desire to have great improvement superiorly, was felt to be a candidate for such.	[ " ", "She", "had", "also", "had", "liposuction", "of", "the", "periumbilical", "and", "infraumbilical", "abdomen", "with", "desire", "to", "have", "great", "improvement", "superiorly", ",", "was", "felt", "to", "be", "a", "candidate", "for", "such", "." ]	[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 37 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 77, "label": "KEYPHRASE", "score": 0, "start": 70 }, { "end": 126, "label": "KEYPHRASE", "score": 0, "start": 116 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.953745	null
The risks, benefits and potential complications were discussed.	[ " ", "The", "risks", ",", "benefits", "and", "potential", "complications", "were", "discussed", "." ]	[ { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 25 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.954312	null
She was marked in the upright position and then taken to the operating room for the above-noted procedure.	[ " ", "She", "was", "marked", "in", "the", "upright", "position", "and", "then", "taken", "to", "the", "operating", "room", "for", "the", "above", "-", "noted", "procedure", "." ]	[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 71, "label": "KEYPHRASE", "score": 0, "start": 62 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.954696	null
,OPERATIVE PROCEDURE: , The patient was taken to the operating room and placed in the supine position.	[ ",OPERATIVE", "PROCEDURE", ":", ",", "The", "patient", "was", "taken", "to", "the", "operating", "room", "and", "placed", "in", "the", "supine", "position", "." ]	[ { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 101, "label": "KEYPHRASE", "score": 0, "start": 86 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.955105	null
Following adequate induction of general LMA anesthesia, the chest and abdomen was prepped and draped in the usual sterile fashion.	[ " ", "Following", "adequate", "induction", "of", "general", "LMA", "anesthesia", ",", "the", "chest", "and", "abdomen", "was", "prepped", "and", "draped", "in", "the", "usual", "sterile", "fashion", "." ]	[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 61 }, { "end": 78, "label": "KEYPHRASE", "score": 0, "start": 71 }, { "end": 101, "label": "KEYPHRASE", "score": 0, "start": 83 }, { "end": 130, "label": "KEYPHRASE", "score": 0, "start": 115 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.955516	null
The supraumbilical abdomen was then injected with a solution of 5% lidocaine with epinephrine, as was the dog ear.	[ " ", "The", "supraumbilical", "abdomen", "was", "then", "injected", "with", "a", "solution", "of", "5", "%", "lidocaine", "with", "epinephrine", ",", "as", "was", "the", "dog", "ear", "." ]	[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 94, "label": "KEYPHRASE", "score": 0, "start": 68 }, { "end": 114, "label": "KEYPHRASE", "score": 0, "start": 111 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.955888	null
At this time, the superior central scar was then excised, dissection continued through the subcutaneous tissue, the underlying latissimus muscle until the capsule of the implant was reached.	[ " ", "At", "this", "time", ",", "the", "superior", "central", "scar", "was", "then", "excised", ",", "dissection", "continued", "through", "the", "subcutaneous", "tissue", ",", "the", "underlying", "latissimus", "muscle", "until", "the", "capsule", "of", "the", "implant", "was", "reached", "." ]	[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 28 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 36 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 59 }, { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 92 }, { "end": 138, "label": "KEYPHRASE", "score": 0, "start": 128 }, { "end": 145, "label": "KEYPHRASE", "score": 0, "start": 139 }, { "end": 163, "label": "KEYPHRASE", "score": 0, "start": 156 }, { "end": 178, "label": "KEYPHRASE", "score": 0, "start": 171 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.956302	null
The implant was removed and placed on the back table in antibiotic solution.	[ " ", "The", "implant", "was", "removed", "and", "placed", "on", "the", "back", "table", "in", "antibiotic", "solution", "." ]	[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 57 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.956906	null
Using Bovie cautery, the medial capsule was released and undermining was then performed with release of the muscle to the level of the proposed medial projection of the breast.	[ " ", "Using", "Bovie", "cautery", ",", "the", "medial", "capsule", "was", "released", "and", "undermining", "was", "then", "performed", "with", "release", "of", "the", "muscle", "to", "the", "level", "of", "the", "proposed", "medial", "projection", "of", "the", "breast", "." ]	[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 101, "label": "KEYPHRASE", "score": 0, "start": 94 }, { "end": 115, "label": "KEYPHRASE", "score": 0, "start": 109 }, { "end": 151, "label": "KEYPHRASE", "score": 0, "start": 145 }, { "end": 176, "label": "KEYPHRASE", "score": 0, "start": 170 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.957312	null
The inframammary fold medially was secured with 2-0 PDS suture to create greater takeoff point at this level which in the upright position and using a sizer produced a good form.	[ " ", "The", "inframammary", "fold", "medially", "was", "secured", "with", "2", "-", "0", "PDS", "suture", "to", "create", "greater", "takeoff", "point", "at", "this", "level", "which", "in", "the", "upright", "position", "and", "using", "a", "sizer", "produced", "a", "good", "form", "." ]	[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 57 }, { "end": 139, "label": "KEYPHRASE", "score": 0, "start": 123 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.957848	null
The lateral pocket was diminished by series of 2-0 PDS suture to provide medialization of the implant.	[ " ", "The", "lateral", "pocket", "was", "diminished", "by", "series", "of", "2", "-", "0", "PDS", "suture", "to", "provide", "medialization", "of", "the", "implant", "." ]	[ { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 38 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 56 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 95 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.958214	null
The implant was then placed back into the submuscular pocket with much improved positioning and medial fullness.	[ " ", "The", "implant", "was", "then", "placed", "back", "into", "the", "submuscular", "pocket", "with", "much", "improved", "positioning", "and", "medial", "fullness", "." ]	[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 103, "label": "KEYPHRASE", "score": 0, "start": 97 }, { "end": 112, "label": "KEYPHRASE", "score": 0, "start": 104 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.958547	null
With this completed, the implant was again removed, antibiotic irrigation was performed.	[ " ", "With", "this", "completed", ",", "the", "implant", "was", "again", "removed", ",", "antibiotic", "irrigation", "was", "performed", "." ]	[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 64 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.958862	null
A drain was placed and brought out through a separate inferior stab wound incision and hemostasis was confirmed.	[ " ", "A", "drain", "was", "placed", "and", "brought", "out", "through", "a", "separate", "inferior", "stab", "wound", "incision", "and", "hemostasis", "was", "confirmed", "." ]	[ { "end": 8, "label": "KEYPHRASE", "score": 0, "start": 3 }, { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 64 }, { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 98, "label": "KEYPHRASE", "score": 0, "start": 88 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.959192	null
The implant was then replaced and the wound was then closed in layers using 2-0 PDS running suture on the muscle and 3-0 Monocryl Dermabond subcuticular sutures.	[ " ", "The", "implant", "was", "then", "replaced", "and", "the", "wound", "was", "then", "closed", "in", "layers", "using", "2", "-", "0", "PDS", "running", "suture", "on", "the", "muscle", "and", "3", "-", "0", "Monocryl", "Dermabond", "subcuticular", "sutures", "." ]	[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 99, "label": "KEYPHRASE", "score": 0, "start": 93 }, { "end": 113, "label": "KEYPHRASE", "score": 0, "start": 107 }, { "end": 153, "label": "KEYPHRASE", "score": 0, "start": 141 }, { "end": 161, "label": "KEYPHRASE", "score": 0, "start": 154 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.959589	null
The 2.5 cm dog ear was then excised into and including the subcutaneous tissue, even contouring was achieved and this was closed with two layers using 3-0 Monocryl suture.	[ " ", "The", "2.5", "cm", "dog", "ear", "was", "then", "excised", "into", "and", "including", "the", "subcutaneous", "tissue", ",", "even", "contouring", "was", "achieved", "and", "this", "was", "closed", "with", "two", "layers", "using", "3", "-", "0", "Monocryl", "suture", "." ]	[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 79, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 171, "label": "KEYPHRASE", "score": 0, "start": 165 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.960005	null
Using a #3 cannula, a superior umbilical incision, liposuction was carried out into the supraumbilical abdomen, removing approximately 40 to 50 mL of fat with improved supraumbilical contours.	[ " ", "Using", "a", "#", "3", "cannula", ",", "a", "superior", "umbilical", "incision", ",", "liposuction", "was", "carried", "out", "into", "the", "supraumbilical", "abdomen", ",", "removing", "approximately", "40", "to", "50", "mL", "of", "fat", "with", "improved", "supraumbilical", "contours", "." ]	[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 42 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 89 }, { "end": 183, "label": "KEYPHRASE", "score": 0, "start": 169 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.960431	null
This was closed with 6-0 Prolene suture.	[ " ", "This", "was", "closed", "with", "6", "-", "0", "Prolene", "suture", "." ]	[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 34 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.960774	null
The patient was placed in a compressive garment after treating the incision with Dermabond, Steri-Strips and antibiotic ointment around the drain site and umbilicus.	[ " ", "The", "patient", "was", "placed", "in", "a", "compressive", "garment", "after", "treating", "the", "incision", "with", "Dermabond", ",", "Steri", "-", "Strips", "and", "antibiotic", "ointment", "around", "the", "drain", "site", "and", "umbilicus", "." ]	[ { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 68 }, { "end": 120, "label": "KEYPHRASE", "score": 0, "start": 110 }, { "end": 129, "label": "KEYPHRASE", "score": 0, "start": 121 }, { "end": 151, "label": "KEYPHRASE", "score": 0, "start": 141 }, { "end": 165, "label": "KEYPHRASE", "score": 0, "start": 156 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.961235	null
A Kerlix dressing and a surgical bra was placed to the chest area.	[ " ", "A", "Kerlix", "dressing", "and", "a", "surgical", "bra", "was", "placed", "to", "the", "chest", "area", "." ]	[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 56 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.961590	null
The patient was then aroused from anesthesia, extubated, and taken to the recovery room in stable condition.	[ " ", "The", "patient", "was", "then", "aroused", "from", "anesthesia", ",", "extubated", ",", "and", "taken", "to", "the", "recovery", "room", "in", "stable", "condition", "." ]	[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 108, "label": "KEYPHRASE", "score": 0, "start": 84 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.962260	null
Sponge, needle, lap, instrument counts were all correct.	[ " ", "Sponge", ",", "needle", ",", "lap", ",", "instrument", "counts", "were", "all", "correct", "." ]	[ { "end": 15, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 22 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.962603	null
The estimated blood loss was approximately 25 mL.	[ " ", "The", "estimated", "blood", "loss", "was", "approximately", "25", "mL." ]	[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 15 } ]	Argilla	null	null	null	{ "medical_specialty": " Bariatrics" }	Default	2022-12-07T10:14:26.963308	null
2-D ECHOCARDIOGRAM,Multiple views of the heart and great vessels reveal normal intracardiac and great vessel relationships.	[ "2", "-", "D", "ECHOCARDIOGRAM", ",", "Multiple", "views", "of", "the", "heart", "and", "great", "vessels", "reveal", "normal", "intracardiac", "and", "great", "vessel", "relationships", "." ]	[ { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 41 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 78, "label": "KEYPHRASE", "score": 0, "start": 72 }, { "end": 91, "label": "KEYPHRASE", "score": 0, "start": 79 }, { "end": 108, "label": "KEYPHRASE", "score": 0, "start": 102 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.964757	null
Cardiac function is normal.	[ " ", "Cardiac", "function", "is", "normal", "." ]	[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 21 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.964992	null
There is no significant chamber enlargement or hypertrophy.	[ " ", "There", "is", "no", "significant", "chamber", "enlargement", "or", "hypertrophy", "." ]	[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 48 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.965154	null
There is no pericardial effusion or vegetations seen.	[ " ", "There", "is", "no", "pericardial", "effusion", "or", "vegetations", "seen", "." ]	[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 13 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.965309	null
Doppler interrogation, including color flow imaging, reveals systemic venous return to the right atrium with normal tricuspid inflow.	[ " ", "Doppler", "interrogation", ",", "including", "color", "flow", "imaging", ",", "reveals", "systemic", "venous", "return", "to", "the", "right", "atrium", "with", "normal", "tricuspid", "inflow", "." ]	[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 40 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 77, "label": "KEYPHRASE", "score": 0, "start": 71 }, { "end": 104, "label": "KEYPHRASE", "score": 0, "start": 98 }, { "end": 116, "label": "KEYPHRASE", "score": 0, "start": 110 }, { "end": 126, "label": "KEYPHRASE", "score": 0, "start": 117 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.965534	null
Pulmonary outflow is normal at the valve.	[ " ", "Pulmonary", "outflow", "is", "normal", "at", "the", "valve", "." ]	[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 36 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.965716	null
Pulmonary venous return is to the left atrium.	[ " ", "Pulmonary", "venous", "return", "is", "to", "the", "left", "atrium", "." ]	[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 40 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.965873	null
The interatrial septum is intact.	[ " ", "The", "interatrial", "septum", "is", "intact", "." ]	[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 27 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.966014	null
Mitral inflow and ascending aorta flow are normal.	[ " ", "Mitral", "inflow", "and", "ascending", "aorta", "flow", "are", "normal", "." ]	[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 44 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.966168	null
The aortic valve is trileaflet.	[ " ", "The", "aortic", "valve", "is", "trileaflet", "." ]	[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 5 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.966311	null
The coronary arteries appear to be normal in their origins.	[ " ", "The", "coronary", "arteries", "appear", "to", "be", "normal", "in", "their", "origins", "." ]	[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 36 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:14:26.966468	null

There is mitral annular calcification extending to leaflets and supportive structures with thickening of mitral valve leaflets with mild mitral regurgitation.

[ " ", "There", "is", "mitral", "annular", "calcification", "extending", "to", "leaflets", "and", "supportive", "structures", "with", "thickening", "of", "mitral", "valve", "leaflets", "with", "mild", "mitral", "regurgitation", "." ]

[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 86, "label": "KEYPHRASE", "score": 0, "start": 76 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 92 }, { "end": 118, "label": "KEYPHRASE", "score": 0, "start": 106 }, { "end": 158, "label": "KEYPHRASE", "score": 0, "start": 138 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.916974

null

The tricuspid valve appears normal with trace tricuspid regurgitation with moderate pulmonary artery hypertension.

[ " ", "The", "tricuspid", "valve", "appears", "normal", "with", "trace", "tricuspid", "regurgitation", "with", "moderate", "pulmonary", "artery", "hypertension", "." ]

[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 29 }, { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 76 }, { "end": 101, "label": "KEYPHRASE", "score": 0, "start": 85 }, { "end": 114, "label": "KEYPHRASE", "score": 0, "start": 102 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.917343

null

Estimated pulmonary artery systolic pressure is 49 mmHg.

[ " ", "Estimated", "pulmonary", "artery", "systolic", "pressure", "is", "49", "mmHg", "." ]

[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 28 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.917552

null

Estimated right atrial pressure of 10 mmHg.

[ " ", "Estimated", "right", "atrial", "pressure", "of", "10", "mmHg", "." ]

[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 24 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.917733

null

The pulmonary valve appears normal with trace pulmonary insufficiency.

[ " ", "The", "pulmonary", "valve", "appears", "normal", "with", "trace", "pulmonary", "insufficiency", "." ]

[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 29 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 57 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.918032

null

There is no pericardial effusion or intracardiac mass seen.

[ " ", "There", "is", "no", "pericardial", "effusion", "or", "intracardiac", "mass", "seen", "." ]

[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 37 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 50 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.918342

null

There is a color Doppler suggestive of a patent foramen ovale with lipomatous hypertrophy of the interatrial septum.

[ " ", "There", "is", "a", "color", "Doppler", "suggestive", "of", "a", "patent", "foramen", "ovale", "with", "lipomatous", "hypertrophy", "of", "the", "interatrial", "septum", "." ]

[ { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 42 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 49 }, { "end": 90, "label": "KEYPHRASE", "score": 0, "start": 79 }, { "end": 116, "label": "KEYPHRASE", "score": 0, "start": 98 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.918707

null

The study was somewhat technically limited and hence subtle abnormalities could be missed from the study.,

[ " ", "The", "study", "was", "somewhat", "technically", "limited", "and", "hence", "subtle", "abnormalities", "could", "be", "missed", "from", "the", "study", ".", "," ]

[ { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 61 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.919067

null

PREOPERATIVE DIAGNOSIS: , Morbid obesity.

[ "PREOPERATIVE", "DIAGNOSIS", ":", ",", "Morbid", "obesity", "." ]

[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 33 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.925868

null

,POSTOPERATIVE DIAGNOSIS: ,Morbid obesity.

[ ",POSTOPERATIVE", "DIAGNOSIS", ":", " ", ",", "Morbid", "obesity", "." ]

[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 35 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.926167

null

,PROCEDURE: , Laparoscopic antecolic antegastric Roux-en-Y gastric bypass with EEA anastomosis.

[ ",PROCEDURE", ":", ",", "Laparoscopic", "antecolic", "antegastric", "Roux", "-", "en", "-", "Y", "gastric", "bypass", "with", "EEA", "anastomosis", "." ]

[ { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 27 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 37 }, { "end": 73, "label": "KEYPHRASE", "score": 0, "start": 59 }, { "end": 94, "label": "KEYPHRASE", "score": 0, "start": 83 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.926466

null

,ANESTHESIA: , General with endotracheal intubation.

[ ",ANESTHESIA", ":", ",", "General", "with", "endotracheal", "intubation", "." ]

[ { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 28 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.926733

null

,INDICATION FOR PROCEDURE: , This is a 30-year-old female, who has been overweight for many years.

[ ",INDICATION", "FOR", "PROCEDURE", ":", ",", "This", "is", "a", "30", "-", "year", "-", "old", "female", ",", "who", "has", "been", "overweight", "for", "many", "years", "." ]

[ { "end": 82, "label": "KEYPHRASE", "score": 0, "start": 72 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.927047

null

,PROCEDURE IN DETAIL: ,The patient was taken to the operating room and placed supine on the operating room table.

[ ",PROCEDURE", "IN", "DETAIL", ":", " ", ",", "The", "patient", "was", "taken", "to", "the", "operating", "room", "and", "placed", "supine", "on", "the", "operating", "room", "table", "." ]

[ { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 93 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.928084

null

All pressure points were carefully padded.

[ " ", "All", "pressure", "points", "were", "carefully", "padded", "." ]

[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 5 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.928361

null

She was given general anesthesia with endotracheal intubation.

[ " ", "She", "was", "given", "general", "anesthesia", "with", "endotracheal", "intubation", "." ]

[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 39 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.928632

null

Foley catheter was placed for bladder decompression.

[ " ", "Foley", "catheter", "was", "placed", "for", "bladder", "decompression", "." ]

[ { "end": 15, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 31 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 39 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.929117

null

The abdomen was then prepped and draped in standard sterile surgical fashion.

[ " ", "The", "abdomen", "was", "then", "prepped", "and", "draped", "in", "standard", "sterile", "surgical", "fashion", "." ]

[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 61 }, { "end": 77, "label": "KEYPHRASE", "score": 0, "start": 70 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.929423

null

Marcaine was then injected through umbilicus.

[ " ", "Marcaine", "was", "then", "injected", "through", "umbilicus", "." ]

[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 36 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.929695

null

A small incision was made.

[ " ", "A", "small", "incision", "was", "made", "." ]

[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 9 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.929945

null

A Veress needle was introduced into the abdomen.

[ " ", "A", "Veress", "needle", "was", "introduced", "into", "the", "abdomen", "." ]

[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 41 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.930211

null

CO2 insufflation was done to a maximum pressure of 15 mmHg.

[ " ", "CO2", "insufflation", "was", "done", "to", "a", "maximum", "pressure", "of", "15", "mmHg", "." ]

[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 40 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.930501

null

A 12-mm VersaStep port was placed through the umbilicus.

[ " ", "A", "12", "-", "mm", "VersaStep", "port", "was", "placed", "through", "the", "umbilicus", "." ]

[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 47 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.930787

null

I then placed a 5-mm port just anterior to the midaxillary line and just subcostal on the right side.

[ " ", "I", "then", "placed", "a", "5", "-", "mm", "port", "just", "anterior", "to", "the", "midaxillary", "line", "and", "just", "subcostal", "on", "the", "right", "side", "." ]

[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 32 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.931115

null

I placed another 5-mm port in the midclavicular line just subcostal on the right side, a few centimeters below and medial to that, I placed a 12-mm VersaStep port.

[ " ", "I", "placed", "another", "5", "-", "mm", "port", "in", "the", "midclavicular", "line", "just", "subcostal", "on", "the", "right", "side", ",", "a", "few", "centimeters", "below", "and", "medial", "to", "that", ",", "I", "placed", "a", "12", "-", "mm", "VersaStep", "port", "." ]

[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 116 }, { "end": 163, "label": "KEYPHRASE", "score": 0, "start": 159 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.931525

null

On the left side, just anterior to the midaxillary line and just subcostal, I placed a 5-mm port.

[ " ", "On", "the", "left", "side", ",", "just", "anterior", "to", "the", "midaxillary", "line", "and", "just", "subcostal", ",", "I", "placed", "a", "5", "-", "mm", "port", "." ]

[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 24 }, { "end": 97, "label": "KEYPHRASE", "score": 0, "start": 93 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.931891

null

A few centimeters below and medial to that, I placed a 15-mm port.

[ " ", "A", "few", "centimeters", "below", "and", "medial", "to", "that", ",", "I", "placed", "a", "15", "-", "mm", "port", "." ]

[ { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 29 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 62 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.932214

null

I began by lifting up the omentum and identifying the transverse colon and lifting that up and thereby identifying my ligament of Treitz.

[ " ", "I", "began", "by", "lifting", "up", "the", "omentum", "and", "identifying", "the", "transverse", "colon", "and", "lifting", "that", "up", "and", "thereby", "identifying", "my", "ligament", "of", "Treitz", "." ]

[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 27 }, { "end": 71, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 127, "label": "KEYPHRASE", "score": 0, "start": 119 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.932564

null

I ran the small bowel down approximately 40 cm and divided the small bowel with a white load GIA stapler.

[ " ", "I", "ran", "the", "small", "bowel", "down", "approximately", "40", "cm", "and", "divided", "the", "small", "bowel", "with", "a", "white", "load", "GIA", "stapler", "." ]

[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 64 }, { "end": 105, "label": "KEYPHRASE", "score": 0, "start": 98 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.932912

null

I then divided the mesentery all the way down to the base of the mesentery with a LigaSure device.

[ " ", "I", "then", "divided", "the", "mesentery", "all", "the", "way", "down", "to", "the", "base", "of", "the", "mesentery", "with", "a", "LigaSure", "device", "." ]

[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 66 }, { "end": 98, "label": "KEYPHRASE", "score": 0, "start": 92 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.933254

null

I then ran the distal bowel down, approximately 100 cm, and at 100 cm, I made a hole at the antimesenteric portion of the Roux limb and a hole in the antimesenteric portion of the duodenogastric limb, and I passed a 45 white load stapler and fired a stapler creating a side-to-side anastomosis.

[ " ", "I", "then", "ran", "the", "distal", "bowel", "down", ",", "approximately", "100", "cm", ",", "and", "at", "100", "cm", ",", "I", "made", "a", "hole", "at", "the", "antimesenteric", "portion", "of", "the", "Roux", "limb", "and", "a", "hole", "in", "the", "antimesenteric", "portion", "of", "the", "duodenogastric", "limb", ",", "and", "I", "passed", "a", "45", "white", "load", "stapler", "and", "fired", "a", "stapler", "creating", "a", "side", "-", "to", "-", "side", "anastomosis", "." ]

[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 132, "label": "KEYPHRASE", "score": 0, "start": 128 }, { "end": 200, "label": "KEYPHRASE", "score": 0, "start": 196 }, { "end": 238, "label": "KEYPHRASE", "score": 0, "start": 231 }, { "end": 258, "label": "KEYPHRASE", "score": 0, "start": 251 }, { "end": 294, "label": "KEYPHRASE", "score": 0, "start": 283 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.933781

null

I reapproximated the edges of the defect.

[ " ", "I", "reapproximated", "the", "edges", "of", "the", "defect", "." ]

[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 35 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.934125

null

I lifted it up and stapled across it with another white load stapler.

[ " ", "I", "lifted", "it", "up", "and", "stapled", "across", "it", "with", "another", "white", "load", "stapler", "." ]

[ { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 62 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.934648

null

I then closed the mesenteric defect with interrupted Surgidac sutures.

[ " ", "I", "then", "closed", "the", "mesenteric", "defect", "with", "interrupted", "Surgidac", "sutures", "." ]

[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 42 }, { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 63 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.934956

null

I divided the omentum all the way down to the colon in order to create a passageway for my small bowel to go antecolic.

[ " ", "I", "divided", "the", "omentum", "all", "the", "way", "down", "to", "the", "colon", "in", "order", "to", "create", "a", "passageway", "for", "my", "small", "bowel", "to", "go", "antecolic", "." ]

[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 103, "label": "KEYPHRASE", "score": 0, "start": 92 }, { "end": 119, "label": "KEYPHRASE", "score": 0, "start": 110 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.935312

null

I placed a liver retractor, identified, and dissected the angle of His.

[ " ", "I", "placed", "a", "liver", "retractor", ",", "identified", ",", "and", "dissected", "the", "angle", "of", "His", "." ]

[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 59 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.935847

null

I then dissected on the lesser curve, approximately 2.5 cm below the gastroesophageal junction, and got into a lesser space.

[ " ", "I", "then", "dissected", "on", "the", "lesser", "curve", ",", "approximately", "2.5", "cm", "below", "the", "gastroesophageal", "junction", ",", "and", "got", "into", "a", "lesser", "space", "." ]

[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 95, "label": "KEYPHRASE", "score": 0, "start": 70 }, { "end": 124, "label": "KEYPHRASE", "score": 0, "start": 119 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.936201

null

I fired transversely across the stomach with a 45 blue load stapler.

[ " ", "I", "fired", "transversely", "across", "the", "stomach", "with", "a", "45", "blue", "load", "stapler", "." ]

[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 61 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.936522

null

I then used two fires of the 60 blue load with SeamGuard to go up into my angle of His, thereby creating my gastric pouch.

[ " ", "I", "then", "used", "two", "fires", "of", "the", "60", "blue", "load", "with", "SeamGuard", "to", "go", "up", "into", "my", "angle", "of", "His", ",", "thereby", "creating", "my", "gastric", "pouch", "." ]

[ { "end": 80, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 109 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.936888

null

I then made a hole at the base of the gastric pouch and had Anesthesia remove the bougie and place the OG tube connected to the anvil.

[ " ", "I", "then", "made", "a", "hole", "at", "the", "base", "of", "the", "gastric", "pouch", "and", "had", "Anesthesia", "remove", "the", "bougie", "and", "place", "the", "OG", "tube", "connected", "to", "the", "anvil", "." ]

[ { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 99, "label": "KEYPHRASE", "score": 0, "start": 94 }, { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 107 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.937274

null

I pulled the anvil into place, and I then opened up my 15-mm port site and passed my EEA stapler.

[ " ", "I", "pulled", "the", "anvil", "into", "place", ",", "and", "I", "then", "opened", "up", "my", "15", "-", "mm", "port", "site", "and", "passed", "my", "EEA", "stapler", "." ]

[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 71, "label": "KEYPHRASE", "score": 0, "start": 62 }, { "end": 97, "label": "KEYPHRASE", "score": 0, "start": 90 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.937631

null

I passed that in the end of my Roux limb and had the spike come out antimesenteric.

[ " ", "I", "passed", "that", "in", "the", "end", "of", "my", "Roux", "limb", "and", "had", "the", "spike", "come", "out", "antimesenteric", "." ]

[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 37 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.937954

null

I joined the spike with the anvil and fired a stapler creating an end-to-side anastomosis, then divided across the redundant portion of my Roux limb with a white load GI stapler, and removed it with an Endocatch bag.

[ " ", "I", "joined", "the", "spike", "with", "the", "anvil", "and", "fired", "a", "stapler", "creating", "an", "end", "-", "to", "-", "side", "anastomosis", ",", "then", "divided", "across", "the", "redundant", "portion", "of", "my", "Roux", "limb", "with", "a", "white", "load", "GI", "stapler", ",", "and", "removed", "it", "with", "an", "Endocatch", "bag", "." ]

[ { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 90, "label": "KEYPHRASE", "score": 0, "start": 79 }, { "end": 149, "label": "KEYPHRASE", "score": 0, "start": 145 }, { "end": 178, "label": "KEYPHRASE", "score": 0, "start": 171 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.938419

null

I put some additional 2-0 Vicryl sutures in the anastomosis for further security.

[ " ", "I", "put", "some", "additional", "2", "-", "0", "Vicryl", "sutures", "in", "the", "anastomosis", "for", "further", "security", "." ]

[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 49 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.938782

null

I then placed a bowel clamp across the bowel.

[ " ", "I", "then", "placed", "a", "bowel", "clamp", "across", "the", "bowel", "." ]

[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 40 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.939079

null

I went above and passed an EGD scope into the mouth down to the esophagus and into the gastric pouch.

[ " ", "I", "went", "above", "and", "passed", "an", "EGD", "scope", "into", "the", "mouth", "down", "to", "the", "esophagus", "and", "into", "the", "gastric", "pouch", "." ]

[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 65 }, { "end": 101, "label": "KEYPHRASE", "score": 0, "start": 88 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.939434

null

I distended gastric pouch with air.

[ " ", "I", "distended", "gastric", "pouch", "with", "air", "." ]

[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 13 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.939707

null

I could pass the scope easily through the anastomosis.

[ " ", "I", "could", "pass", "the", "scope", "easily", "through", "the", "anastomosis", "." ]

[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 43 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.940183

null

There was no bleeding seen through the scope.

[ " ", "There", "was", "no", "bleeding", "seen", "through", "the", "scope", "." ]

[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 40 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.940459

null

We closed the 15-mm port site with interrupted 0 Vicryl suture utilizing Carter-Thomason.

[ " ", "We", "closed", "the", "15", "-", "mm", "port", "site", "with", "interrupted", "0", "Vicryl", "suture", "utilizing", "Carter", "-", "Thomason", "." ]

[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 36 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 57 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.940777

null

I copiously irrigated out that incision with about 2 L of saline.

[ " ", "I", "copiously", "irrigated", "out", "that", "incision", "with", "about", "2", "L", "of", "saline", "." ]

[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 59 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.941117

null

I then closed the skin of all incisions with running Monocryl.

[ " ", "I", "then", "closed", "the", "skin", "of", "all", "incisions", "with", "running", "Monocryl", "." ]

[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 31 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.941405

null

Sponge, instrument, and needle counts were correct at the end of the case.

[ " ", "Sponge", ",", "instrument", ",", "and", "needle", "counts", "were", "correct", "at", "the", "end", "of", "the", "case", "." ]

[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 25 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.941705

null

Deformity, right breast reconstruction.

[ " ", "Deformity", ",", "right", "breast", "reconstruction", "." ]

[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 18 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.947959

null

Excess soft tissue, anterior abdomen and flank.

[ " ", "Excess", "soft", "tissue", ",", "anterior", "abdomen", "and", "flank", "." ]

[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 42 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.948470

null

Lipodystrophy of the abdomen.

[ " ", "Lipodystrophy", "of", "the", "abdomen", "." ]

[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 22 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.948927

null

Deformity, right breast reconstruction.

[ " ", "Deformity", ",", "right", "breast", "reconstruction", "." ]

[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 18 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.949384

null

Excess soft tissue, anterior abdomen and flank.

[ " ", "Excess", "soft", "tissue", ",", "anterior", "abdomen", "and", "flank", "." ]

[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 42 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.949863

null

Lipodystrophy of the abdomen.

[ " ", "Lipodystrophy", "of", "the", "abdomen", "." ]

[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 22 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.950307

null

Revision, right breast reconstruction.

[ " ", "Revision", ",", "right", "breast", "reconstruction", "." ]

[ { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 17 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.950743

null

Excision, soft tissue fullness of the lateral abdomen and flank.

[ " ", "Excision", ",", "soft", "tissue", "fullness", "of", "the", "lateral", "abdomen", "and", "flank", "." ]

[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 59 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.951212

null

Liposuction of the supraumbilical abdomen.

[ " ", "Liposuction", "of", "the", "supraumbilical", "abdomen", "." ]

[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 20 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.951662

null

,INDICATION FOR OPERATION:, The patient is a 31-year-old white female who previously has undergone latissimus dorsi flap and implant, breast reconstruction.

[ ",INDICATION", "FOR", "OPERATION", ":", ",", " ", "The", "patient", "is", "a", "31", "-", "year", "-", "old", "white", "female", "who", "previously", "has", "undergone", "latissimus", "dorsi", "flap", "and", "implant", ",", "breast", "reconstruction", "." ]

[ { "end": 121, "label": "KEYPHRASE", "score": 0, "start": 100 }, { "end": 133, "label": "KEYPHRASE", "score": 0, "start": 126 }, { "end": 156, "label": "KEYPHRASE", "score": 0, "start": 135 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.952240

null

She now had lateralization of the implant with loss of medial fullness for which she desired correction.

[ " ", "She", "now", "had", "lateralization", "of", "the", "implant", "with", "loss", "of", "medial", "fullness", "for", "which", "she", "desired", "correction", "." ]

[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 48 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 56 }, { "end": 71, "label": "KEYPHRASE", "score": 0, "start": 63 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.952596

null

It was felt that mobilization of the implant medially would provide the patient significant improvement and this was discussed with the patient at length.

[ " ", "It", "was", "felt", "that", "mobilization", "of", "the", "implant", "medially", "would", "provide", "the", "patient", "significant", "improvement", "and", "this", "was", "discussed", "with", "the", "patient", "at", "length", "." ]

[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 38 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 46 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.952965

null

The patient also had a small dog ear in the flank area on the right from the latissimus flap harvest, which was to be corrected.

[ " ", "The", "patient", "also", "had", "a", "small", "dog", "ear", "in", "the", "flank", "area", "on", "the", "right", "from", "the", "latissimus", "flap", "harvest", ",", "which", "was", "to", "be", "corrected", "." ]

[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 88, "label": "KEYPHRASE", "score": 0, "start": 78 }, { "end": 93, "label": "KEYPHRASE", "score": 0, "start": 89 }, { "end": 101, "label": "KEYPHRASE", "score": 0, "start": 94 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.953352

null

She had also had liposuction of the periumbilical and infraumbilical abdomen with desire to have great improvement superiorly, was felt to be a candidate for such.

[ " ", "She", "had", "also", "had", "liposuction", "of", "the", "periumbilical", "and", "infraumbilical", "abdomen", "with", "desire", "to", "have", "great", "improvement", "superiorly", ",", "was", "felt", "to", "be", "a", "candidate", "for", "such", "." ]

[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 37 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 77, "label": "KEYPHRASE", "score": 0, "start": 70 }, { "end": 126, "label": "KEYPHRASE", "score": 0, "start": 116 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.953745

null

The risks, benefits and potential complications were discussed.

[ " ", "The", "risks", ",", "benefits", "and", "potential", "complications", "were", "discussed", "." ]

[ { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 25 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.954312

null

She was marked in the upright position and then taken to the operating room for the above-noted procedure.

[ " ", "She", "was", "marked", "in", "the", "upright", "position", "and", "then", "taken", "to", "the", "operating", "room", "for", "the", "above", "-", "noted", "procedure", "." ]

[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 71, "label": "KEYPHRASE", "score": 0, "start": 62 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.954696

null

,OPERATIVE PROCEDURE: , The patient was taken to the operating room and placed in the supine position.

[ ",OPERATIVE", "PROCEDURE", ":", ",", "The", "patient", "was", "taken", "to", "the", "operating", "room", "and", "placed", "in", "the", "supine", "position", "." ]

[ { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 101, "label": "KEYPHRASE", "score": 0, "start": 86 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.955105

null

Following adequate induction of general LMA anesthesia, the chest and abdomen was prepped and draped in the usual sterile fashion.

[ " ", "Following", "adequate", "induction", "of", "general", "LMA", "anesthesia", ",", "the", "chest", "and", "abdomen", "was", "prepped", "and", "draped", "in", "the", "usual", "sterile", "fashion", "." ]

[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 61 }, { "end": 78, "label": "KEYPHRASE", "score": 0, "start": 71 }, { "end": 101, "label": "KEYPHRASE", "score": 0, "start": 83 }, { "end": 130, "label": "KEYPHRASE", "score": 0, "start": 115 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.955516

null

The supraumbilical abdomen was then injected with a solution of 5% lidocaine with epinephrine, as was the dog ear.

[ " ", "The", "supraumbilical", "abdomen", "was", "then", "injected", "with", "a", "solution", "of", "5", "%", "lidocaine", "with", "epinephrine", ",", "as", "was", "the", "dog", "ear", "." ]

[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 94, "label": "KEYPHRASE", "score": 0, "start": 68 }, { "end": 114, "label": "KEYPHRASE", "score": 0, "start": 111 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.955888

null

At this time, the superior central scar was then excised, dissection continued through the subcutaneous tissue, the underlying latissimus muscle until the capsule of the implant was reached.

[ " ", "At", "this", "time", ",", "the", "superior", "central", "scar", "was", "then", "excised", ",", "dissection", "continued", "through", "the", "subcutaneous", "tissue", ",", "the", "underlying", "latissimus", "muscle", "until", "the", "capsule", "of", "the", "implant", "was", "reached", "." ]

[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 28 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 36 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 59 }, { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 92 }, { "end": 138, "label": "KEYPHRASE", "score": 0, "start": 128 }, { "end": 145, "label": "KEYPHRASE", "score": 0, "start": 139 }, { "end": 163, "label": "KEYPHRASE", "score": 0, "start": 156 }, { "end": 178, "label": "KEYPHRASE", "score": 0, "start": 171 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.956302

null

The implant was removed and placed on the back table in antibiotic solution.

[ " ", "The", "implant", "was", "removed", "and", "placed", "on", "the", "back", "table", "in", "antibiotic", "solution", "." ]

[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 57 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.956906

null

Using Bovie cautery, the medial capsule was released and undermining was then performed with release of the muscle to the level of the proposed medial projection of the breast.

[ " ", "Using", "Bovie", "cautery", ",", "the", "medial", "capsule", "was", "released", "and", "undermining", "was", "then", "performed", "with", "release", "of", "the", "muscle", "to", "the", "level", "of", "the", "proposed", "medial", "projection", "of", "the", "breast", "." ]

[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 101, "label": "KEYPHRASE", "score": 0, "start": 94 }, { "end": 115, "label": "KEYPHRASE", "score": 0, "start": 109 }, { "end": 151, "label": "KEYPHRASE", "score": 0, "start": 145 }, { "end": 176, "label": "KEYPHRASE", "score": 0, "start": 170 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.957312

null

The inframammary fold medially was secured with 2-0 PDS suture to create greater takeoff point at this level which in the upright position and using a sizer produced a good form.

[ " ", "The", "inframammary", "fold", "medially", "was", "secured", "with", "2", "-", "0", "PDS", "suture", "to", "create", "greater", "takeoff", "point", "at", "this", "level", "which", "in", "the", "upright", "position", "and", "using", "a", "sizer", "produced", "a", "good", "form", "." ]

[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 57 }, { "end": 139, "label": "KEYPHRASE", "score": 0, "start": 123 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.957848

null

The lateral pocket was diminished by series of 2-0 PDS suture to provide medialization of the implant.

[ " ", "The", "lateral", "pocket", "was", "diminished", "by", "series", "of", "2", "-", "0", "PDS", "suture", "to", "provide", "medialization", "of", "the", "implant", "." ]

[ { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 38 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 56 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 95 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.958214

null

The implant was then placed back into the submuscular pocket with much improved positioning and medial fullness.

[ " ", "The", "implant", "was", "then", "placed", "back", "into", "the", "submuscular", "pocket", "with", "much", "improved", "positioning", "and", "medial", "fullness", "." ]

[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 103, "label": "KEYPHRASE", "score": 0, "start": 97 }, { "end": 112, "label": "KEYPHRASE", "score": 0, "start": 104 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.958547

null

With this completed, the implant was again removed, antibiotic irrigation was performed.

[ " ", "With", "this", "completed", ",", "the", "implant", "was", "again", "removed", ",", "antibiotic", "irrigation", "was", "performed", "." ]

[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 64 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.958862

null

A drain was placed and brought out through a separate inferior stab wound incision and hemostasis was confirmed.

[ " ", "A", "drain", "was", "placed", "and", "brought", "out", "through", "a", "separate", "inferior", "stab", "wound", "incision", "and", "hemostasis", "was", "confirmed", "." ]

[ { "end": 8, "label": "KEYPHRASE", "score": 0, "start": 3 }, { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 64 }, { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 98, "label": "KEYPHRASE", "score": 0, "start": 88 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.959192

null

The implant was then replaced and the wound was then closed in layers using 2-0 PDS running suture on the muscle and 3-0 Monocryl Dermabond subcuticular sutures.

[ " ", "The", "implant", "was", "then", "replaced", "and", "the", "wound", "was", "then", "closed", "in", "layers", "using", "2", "-", "0", "PDS", "running", "suture", "on", "the", "muscle", "and", "3", "-", "0", "Monocryl", "Dermabond", "subcuticular", "sutures", "." ]

[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 99, "label": "KEYPHRASE", "score": 0, "start": 93 }, { "end": 113, "label": "KEYPHRASE", "score": 0, "start": 107 }, { "end": 153, "label": "KEYPHRASE", "score": 0, "start": 141 }, { "end": 161, "label": "KEYPHRASE", "score": 0, "start": 154 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.959589

null

The 2.5 cm dog ear was then excised into and including the subcutaneous tissue, even contouring was achieved and this was closed with two layers using 3-0 Monocryl suture.

[ " ", "The", "2.5", "cm", "dog", "ear", "was", "then", "excised", "into", "and", "including", "the", "subcutaneous", "tissue", ",", "even", "contouring", "was", "achieved", "and", "this", "was", "closed", "with", "two", "layers", "using", "3", "-", "0", "Monocryl", "suture", "." ]

[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 79, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 171, "label": "KEYPHRASE", "score": 0, "start": 165 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.960005

null

Using a #3 cannula, a superior umbilical incision, liposuction was carried out into the supraumbilical abdomen, removing approximately 40 to 50 mL of fat with improved supraumbilical contours.

[ " ", "Using", "a", "#", "3", "cannula", ",", "a", "superior", "umbilical", "incision", ",", "liposuction", "was", "carried", "out", "into", "the", "supraumbilical", "abdomen", ",", "removing", "approximately", "40", "to", "50", "mL", "of", "fat", "with", "improved", "supraumbilical", "contours", "." ]

[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 42 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 89 }, { "end": 183, "label": "KEYPHRASE", "score": 0, "start": 169 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.960431

null

This was closed with 6-0 Prolene suture.

[ " ", "This", "was", "closed", "with", "6", "-", "0", "Prolene", "suture", "." ]

[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 34 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.960774

null

The patient was placed in a compressive garment after treating the incision with Dermabond, Steri-Strips and antibiotic ointment around the drain site and umbilicus.

[ " ", "The", "patient", "was", "placed", "in", "a", "compressive", "garment", "after", "treating", "the", "incision", "with", "Dermabond", ",", "Steri", "-", "Strips", "and", "antibiotic", "ointment", "around", "the", "drain", "site", "and", "umbilicus", "." ]

[ { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 68 }, { "end": 120, "label": "KEYPHRASE", "score": 0, "start": 110 }, { "end": 129, "label": "KEYPHRASE", "score": 0, "start": 121 }, { "end": 151, "label": "KEYPHRASE", "score": 0, "start": 141 }, { "end": 165, "label": "KEYPHRASE", "score": 0, "start": 156 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.961235

null

A Kerlix dressing and a surgical bra was placed to the chest area.

[ " ", "A", "Kerlix", "dressing", "and", "a", "surgical", "bra", "was", "placed", "to", "the", "chest", "area", "." ]

[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 56 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.961590

null

The patient was then aroused from anesthesia, extubated, and taken to the recovery room in stable condition.

[ " ", "The", "patient", "was", "then", "aroused", "from", "anesthesia", ",", "extubated", ",", "and", "taken", "to", "the", "recovery", "room", "in", "stable", "condition", "." ]

[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 108, "label": "KEYPHRASE", "score": 0, "start": 84 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.962260

null

Sponge, needle, lap, instrument counts were all correct.

[ " ", "Sponge", ",", "needle", ",", "lap", ",", "instrument", "counts", "were", "all", "correct", "." ]

[ { "end": 15, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 22 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.962603

null

The estimated blood loss was approximately 25 mL.

[ " ", "The", "estimated", "blood", "loss", "was", "approximately", "25", "mL." ]

[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 15 } ]

Argilla

null

{ "medical_specialty": " Bariatrics" }

Default

2022-12-07T10:14:26.963308

null

2-D ECHOCARDIOGRAM,Multiple views of the heart and great vessels reveal normal intracardiac and great vessel relationships.

[ "2", "-", "D", "ECHOCARDIOGRAM", ",", "Multiple", "views", "of", "the", "heart", "and", "great", "vessels", "reveal", "normal", "intracardiac", "and", "great", "vessel", "relationships", "." ]

[ { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 41 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 78, "label": "KEYPHRASE", "score": 0, "start": 72 }, { "end": 91, "label": "KEYPHRASE", "score": 0, "start": 79 }, { "end": 108, "label": "KEYPHRASE", "score": 0, "start": 102 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.964757

null

Cardiac function is normal.

[ " ", "Cardiac", "function", "is", "normal", "." ]

[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 21 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.964992

null

There is no significant chamber enlargement or hypertrophy.

[ " ", "There", "is", "no", "significant", "chamber", "enlargement", "or", "hypertrophy", "." ]

[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 48 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.965154

null

There is no pericardial effusion or vegetations seen.

[ " ", "There", "is", "no", "pericardial", "effusion", "or", "vegetations", "seen", "." ]

[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 13 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.965309

null

Doppler interrogation, including color flow imaging, reveals systemic venous return to the right atrium with normal tricuspid inflow.

[ " ", "Doppler", "interrogation", ",", "including", "color", "flow", "imaging", ",", "reveals", "systemic", "venous", "return", "to", "the", "right", "atrium", "with", "normal", "tricuspid", "inflow", "." ]

[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 40 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 77, "label": "KEYPHRASE", "score": 0, "start": 71 }, { "end": 104, "label": "KEYPHRASE", "score": 0, "start": 98 }, { "end": 116, "label": "KEYPHRASE", "score": 0, "start": 110 }, { "end": 126, "label": "KEYPHRASE", "score": 0, "start": 117 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.965534

null

Pulmonary outflow is normal at the valve.

[ " ", "Pulmonary", "outflow", "is", "normal", "at", "the", "valve", "." ]

[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 36 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.965716

null

Pulmonary venous return is to the left atrium.

[ " ", "Pulmonary", "venous", "return", "is", "to", "the", "left", "atrium", "." ]

[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 40 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.965873

null

The interatrial septum is intact.

[ " ", "The", "interatrial", "septum", "is", "intact", "." ]

[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 27 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.966014

null

Mitral inflow and ascending aorta flow are normal.

[ " ", "Mitral", "inflow", "and", "ascending", "aorta", "flow", "are", "normal", "." ]

[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 44 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.966168

null

The aortic valve is trileaflet.

[ " ", "The", "aortic", "valve", "is", "trileaflet", "." ]

[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 5 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.966311

null

The coronary arteries appear to be normal in their origins.

[ " ", "The", "coronary", "arteries", "appear", "to", "be", "normal", "in", "their", "origins", "." ]

[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 36 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:14:26.966468

null