Does anyone know how I would code repair of vaginal cuff dehiscence by laparoscope.
Description: The vaginal cuff was inspected. There was some mild inflammation on the bladder peritoneal surface as well as the vag. cuff area. There was no pelvic collection or purulent discharge at the cuff. THe edges of the vaginal cuff wre debrided removing fibrinous proteinaceous material at the cuff until healthy tissue was exposed. The cuff was then closed from the vagina using interrupted figure of eight stitches of 0 vicryl under direct visualization with the laparoscope. Excellant hemostasis was noted. The cuff was closed under direct visualization using the laparoscope to ensure that bowel and bladder are not incorporated into vag cuff sutures.
Description: The vaginal cuff was inspected. There was some mild inflammation on the bladder peritoneal surface as well as the vag. cuff area. There was no pelvic collection or purulent discharge at the cuff. THe edges of the vaginal cuff wre debrided removing fibrinous proteinaceous material at the cuff until healthy tissue was exposed. The cuff was then closed from the vagina using interrupted figure of eight stitches of 0 vicryl under direct visualization with the laparoscope. Excellant hemostasis was noted. The cuff was closed under direct visualization using the laparoscope to ensure that bowel and bladder are not incorporated into vag cuff sutures.