herrera4
Guru
DETAILS OF THE PROCEDURE:
The patient was brought to the Operating Room and placed in the supine position. Following IV sedation, he was prepped and draped in the usual sterile fashion using ChloraPrep. After infiltration of local anesthetic, the surgical incision was opened through its lower 2 cm onto the abdominal wall where the hernia had been previously marked. This was carried down through subcutaneous tissue. Palpation within the preperitoneal space disclosed a peculiar hernia which was actually anterior to the xiphoid. The hernia sac was located 2cm caudal the xiphoid and had herniated anterior to the xiphoid. A preperitoneal plane was developed as was the space between the xiphoid and the skin anteriorly. The Bard Ventralex mesh 6.3 cm was chosen, rinsed with Ancef and placed into the preperitoneal pocket. The mesh overlapped the sternal defect by approximately 1 cm. This was sutured in position using multiple sutures of #0 Prolene. Additional Ancef was then sprayed onto the mesh in the preperitoneal space and the fascia was closed over the mesh using multiple sutures of #1 Vicryl. This was followed by 3-0 Vicryl for the subcu and subcuticular 4-0 Vicryl for the skin. This was followed by Steri-Strips, dry sterile dressing, Tegaderm. The patient tolerated the procedure well and was brought back to the Recovery Room in stable condition.
just wondering if a closure code can be billed with this or if its included.........thanks
The patient was brought to the Operating Room and placed in the supine position. Following IV sedation, he was prepped and draped in the usual sterile fashion using ChloraPrep. After infiltration of local anesthetic, the surgical incision was opened through its lower 2 cm onto the abdominal wall where the hernia had been previously marked. This was carried down through subcutaneous tissue. Palpation within the preperitoneal space disclosed a peculiar hernia which was actually anterior to the xiphoid. The hernia sac was located 2cm caudal the xiphoid and had herniated anterior to the xiphoid. A preperitoneal plane was developed as was the space between the xiphoid and the skin anteriorly. The Bard Ventralex mesh 6.3 cm was chosen, rinsed with Ancef and placed into the preperitoneal pocket. The mesh overlapped the sternal defect by approximately 1 cm. This was sutured in position using multiple sutures of #0 Prolene. Additional Ancef was then sprayed onto the mesh in the preperitoneal space and the fascia was closed over the mesh using multiple sutures of #1 Vicryl. This was followed by 3-0 Vicryl for the subcu and subcuticular 4-0 Vicryl for the skin. This was followed by Steri-Strips, dry sterile dressing, Tegaderm. The patient tolerated the procedure well and was brought back to the Recovery Room in stable condition.
just wondering if a closure code can be billed with this or if its included.........thanks
