pcorbisiero1231@comcast.net
Contributor
ASC coding: 19307? Your help would be appreciated.
PREOPERATIVE DIAGNOSIS: Cancer, right breast.
POSTOPERATIVE DIAGNOSIS: Cancer, right breast.
PROCEDURE PERFORMED: Right modified radical mastectomy.
DESCRIPTION OF PROCEDURE: The patient was prepped and draped in
the usual sterile fashion. After adequate general anesthesia,
an elliptical incision was made over the right breast with a #10
blade. Dissection was taken down through the subcutaneous
tissue to the subcutaneous fat. Superior, inferior, medial and
lateral flaps were developed with the electrocautery. The
surgical markings being the clavicle, rectus abdominus muscle
fascia, sternum, and latissimus dorsi muscle. Once these flaps
were accomplished, the breast was then removed in a medial to
lateral fashion with the electrocautery. Perforating vessels
were then clamped and tied with 2-0 Vicryl suture ties.
Attention was then turned to the axilla, where green channels
were identified from previously injected Lymphazurin. These
channels were then followed to the sentinel lymph node. The
sentinel lymph node was identified and removed with the
specimen. The remainder of the axilla was then dissected and
removed. All further bleeding vessels were clamped and tied
with 2-0 Vicryl suture ties.
PREOPERATIVE DIAGNOSIS: Cancer, right breast.
POSTOPERATIVE DIAGNOSIS: Cancer, right breast.
PROCEDURE PERFORMED: Right modified radical mastectomy.
DESCRIPTION OF PROCEDURE: The patient was prepped and draped in
the usual sterile fashion. After adequate general anesthesia,
an elliptical incision was made over the right breast with a #10
blade. Dissection was taken down through the subcutaneous
tissue to the subcutaneous fat. Superior, inferior, medial and
lateral flaps were developed with the electrocautery. The
surgical markings being the clavicle, rectus abdominus muscle
fascia, sternum, and latissimus dorsi muscle. Once these flaps
were accomplished, the breast was then removed in a medial to
lateral fashion with the electrocautery. Perforating vessels
were then clamped and tied with 2-0 Vicryl suture ties.
Attention was then turned to the axilla, where green channels
were identified from previously injected Lymphazurin. These
channels were then followed to the sentinel lymph node. The
sentinel lymph node was identified and removed with the
specimen. The remainder of the axilla was then dissected and
removed. All further bleeding vessels were clamped and tied
with 2-0 Vicryl suture ties.