Sorry, no online dictionaries contain the exact phrase take out with a scalpel.
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Reverse dictionary results:
1. cut
 2. spoon
3. draw
4. extract
5. delete
6. take out
7. togo
8. disinter
9. eliminate
10. scoop
 11. unpack
12. erase
13. except
14. lift
15. pull
16. remove
17. excerpt
18. edit
19. hulk
20. shell
 21. castrate
22. gut
23. scooping
24. undocking
25. bowel
26. begin
27. breathe
28. call in
29. commence
30. dip
 31. discount
32. eviscerate
33. exceptionally
34. exhume
35. get out
36. omit
37. outtake
38. removed
39. removing
40. rest

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You can look up the words in the phrase individually using these links:   take ?   out ?   with ?   a ?   scalpel ?
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Not helpful? You might try using the wildcards * and ? to find the word you're looking for. For example, use
take*to search for words beginning with take, or
*lpelto search for words ending with lpel
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