Wiki open vs lap hernia repair

lindafay1123

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can someone help with the coding on this I think its open another co worker thinks laporscopic
thanks in adavance

Report of operation

After an appropriate time out and following a chloroprep prep, the patient was draped.A curvilinear incision was made at the umbilicus A small umbilical defect was noted and plans to repair that at completion of the groins was planned the right rectus sheath was exposed. This was opened transversely. The rectus was retracted exposing the posterior sheath. A balloon dilator was placed in the preperitoneal space and deployed.This was removed and replaced with a cuffed trochar. Preperitoneal insufflation was instilled at low pressure both groins were dissected and repaired in a similar fashion The right groin was approached first,. Via two 5 mm trochars placed in the midline direct hernias was identified
The cord structures were dissected to assure that the peritoneum was reflected above the groin. A 3D Max mesh was placed in the groin and tacked in place with an Sorbafix tacker. On the other side a direct hernia was seen and repaired as previously described The preperitoneal space was anesthetized With 20 cc of marcaine. The ports were removed.

The umbilical skin was raised as a flap and the
hernia sac was separated from the umbilical skin. This was
everted and reduced. Redundant tissue was amputated at the fascial level and sent for pathology The umbilical defect was small and it was elected to close this primarily with interrupted 2-0 Maxon Next the skin of the umbilicus was tacked to the underlying fascia with 3-0 Vicryl The skin incisions were closed with 4-0 Vicryl subcuticular, as well
as benzoin and Steri-Strips.


The estimated blood loss was less
than 30 mL. The sponge, instrument, and needle counts were
correct. The patient tolerated the procedure well and was
prepared for transport to the recovery room in satisfactory
condition.
 
The documentation suggests that three separate repairs were performed: the bilateral inguinal hernia repairs are laparoscopic; the umbilical hernia repair is open.
 
The bilateral Inguinal Hernias are lap. I know a lot of times with the doctors I work for, the umbilical defect is used for a trocar location. It sounds like that might have been done here as well so that sounds like it was open, but maybe incidental to the bilateral hernias.
 
The umbilical hernia repair will bundle into the laparoscopic inguinal hernia repairs, it seems it was used for a trocar site and is considered part of the approach.
 
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