SEER Logo

SEER Training Modules

Practical Examples

Operative Report Example 1 and Operative Report Example 2 illustrate operative reports of exploratory laparotomies. Operative Report Example 1 illustrates a report of an exploratory laparotomy with ligation of the (R) ureter. Operative Report Example 2 illustrates a report of exploratory laparotomy, gastrectomy, and gastroduodenostomy (by-pass surgery).

This is an example of a two-stage operation for breast cancer is illustrated in Operative Report Example 5. This patient had an excision of a breast tumor during the first procedure and was returned to surgery for a mastectomy two days later. The findings from the operative reports of both procedures should be recorded on the abstract. Abstract what you think is pertinent, then check with the suggested abstraction.