Recording
9:40 am · 55:10
09:40Dr. KulkarniOperative note shuru. Sunita Deshmukh, 52 saal, female, IPD number DSH-2026-1012-088. Pre-op diagnosis symptomatic cholelithiasis. Procedure laparoscopic cholecystectomy. Surgeon main, assistant Dr. Neha Rane, anaesthesia Dr. Sameer Joshi, general.
Dr. JoshiPatient stable hai. BP 118 by 76, saturation 99, heart rate 72. Time-out done.
09:44Dr. KulkarniSupine position. Umbilical 10 mm port open technique se, pneumoperitoneum CO2 12. Epigastric 10 mm aur do 5 mm right subcostal ports under vision.
Sister RekhaGrasper aur hook ready hai, sir.
09:52Dr. KulkarniNeha, fundus ko thoda cephalad retract karo. (looking at the screen) Findings: gallbladder distended hai, wall thick, fundus pe omental adhesions. Multiple stones palpable. CBD normal calibre, liver normal.
10:08Dr. KulkarniCalot's triangle dissect kiya, critical view of safety achieved. Cystic artery clipped — teen clips — aur divided. Cystic duct bhi teen clips, divided.
Sister RekhaClip applier, sir. Do clips bache hain, reload rakha hai.
10:22Dr. KulkarniGallbladder liver bed se hook cautery se dissect kiya. Spillage nahi hua. Haemostasis confirmed. Specimen bag mein epigastric port se retrieve kiya. Drain nahi rakha.
Dr. JoshiVitals steady, end-tidal CO2 theek hai. Reversal ready rakh raha hoon.
10:31Dr. KulkarniPorts under vision nikaale. Umbilical fascia Vicryl 1 se, skin Monocryl 3-0. Blood loss roughly 20 ml. Specimen gallbladder histopath ke liye.
10:34Dr. KulkarniPost-op: NBM 4 ghante, phir sips. IV fluids, Pantoprazole 40 IV once, Paracetamol 1 gram IV teen baar, Ondansetron SOS. Shaam ko mobilise. Kal subah discharge agar diet tolerate kare. Saat din baad wound check.
10:35Dr. JoshiExtubated. Recovery mein shift kar rahe hain.
Fifty-five minutes of surgery, three people talking, the surgeon's hands never left the instruments. The collar mic heard it all; ScribeIn kept the surgeon's dictation, dropped the chatter, and had this operative note ready for review before the patient reached recovery.