JenReyn99
Guru
I have a very small section of bowel that was removed within the course of a hernia repair. How would you code this? I am not sure whether to consider it incidental, and the notes aren't great. Please help.
...Visiport was used to gain access to the peritoneal cavity. Under direct vision, additional trocars were placed in the axillary line bilaterally. The hernia was identified. A complex hernia sac containing many loops of bowel was noted, which had extensive redundant skin. It was then opened by creating a set of elliptical skin incision and was carefully taken through the incarcerated bowel. The bowel was densely adherent in several locations and the best solution, as the bowel could not be freed from the complex loculated hernia sac, was to resect approximately one-inch of bowel between a GIA staple line. The defect was closed with a TA stapler. After noting there to be no other evidence of incarcerated bowel and after noting the parameter to be clear, the midline fascia was then re-closed with #1 looped PDS suture and soft tissues approximated with Vicryl.
Thank you for your help in advance :0)
...Visiport was used to gain access to the peritoneal cavity. Under direct vision, additional trocars were placed in the axillary line bilaterally. The hernia was identified. A complex hernia sac containing many loops of bowel was noted, which had extensive redundant skin. It was then opened by creating a set of elliptical skin incision and was carefully taken through the incarcerated bowel. The bowel was densely adherent in several locations and the best solution, as the bowel could not be freed from the complex loculated hernia sac, was to resect approximately one-inch of bowel between a GIA staple line. The defect was closed with a TA stapler. After noting there to be no other evidence of incarcerated bowel and after noting the parameter to be clear, the midline fascia was then re-closed with #1 looped PDS suture and soft tissues approximated with Vicryl.
Thank you for your help in advance :0)