@oristarA,
It is done as one surgery.
You can't really expect medical professionals to be precise writers. Their specialty is medicine, not English. Some of them are terrific writers, others are not.
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I spent a large part of my day discussing a coroner's report. Someone became ill, died, and then was buried in cement. The day listed as the date of the death was the day the police found the body. Because of the condition of the cement when the body was found as well as a couple of other details, I know that the person can't have died and been buried on the day the body was found.
Trying to explain to the coroner that the medical cause of death isn't precise enough - that the correct date of death matters - has been difficult. He doesn't think anything other than his medical knowledge is important.