Reader Questions:
Review Craniectomy for Malignant Edema Steps
Published on Tue Feb 08, 2011
Question: I would appreciate help coding the following procedure: Procedure:1. Right-sided scalp wound revision & debridement of necrotic scalp tissue.2. Closure of complex wound. Indications:Patient underwent a right-sided craniectomy for malignant cerebral edema & transient ischemic stroke with failure of the wound to heal. Because of concerns that the patient may develop a further super infection, he was taken to the operating room at this time.Description of Procedure:After ascertaining the correct patient & induction of general anesthesia, a surgical time out was performed in the room by the members of the surgical team. Once this was done, the area of the previous incision was reopened with a combination of a #10 blade & monopolar electrocautery. Dissection continued through the cortical galeal adhesions. No purulent material was found, although some necrotic skin edges were actually found. These were debrided & removed with the use of tenotomy scissors.Further dissection & removal of [...]
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