Assuming that the rupture made the surgery a medical necessity, the cost would be deductible. Unfortunately, you are going to lose most of the deductibility due to your gross income. Medical expenses are deductible to the extent that they exceed 7.5% of your adjusted gross income. The excess is then added to other itemized deductions. BotXXXXX XXXXXne is - you are likely to get some benefit, but not a huge amount.
Your filing status is determined by your marital status as of 12/31/04. If you were not married on that date, you will not be able to file jointly. You will file as "single" or "head of household" depending on your other circumstances.
If you need further information, clarification, or assistance, please let me know.