Need Help with CPT
Using electrocautery, the soft tissue was divided and
entering the pleura, videoscope placed, it was evident that the lung was
isolated. There was a large amount of old blood in the chest. Using a
thorascope into the incision site the old hemothorax was evacuated and using a
lap pad as well as saline irrigation it was evacuated in its entirety. Then,
some exploration was performed on the chest wall to see if there was any
evidence of ongoing bleeding. There were a couple sites that were bovied;
however, these were not active bleeding sites. There were some blebs that were
noted at the apices of the right lung and these were removed, stapling off the
apex of the right upper lobe with a linear stapler and Peri-Guard strips. Once
this was performed the lung was submerged in water showing no evidence of air
leak, 30 mL of local anesthesia were injected into the wound and cryoablation
was done to the intercostals.
Using electrocautery, the soft tissue was divided and
entering the pleura, videoscope placed, it was evident that the lung was
isolated. There was a large amount of old blood in the chest. Using a
thorascope into the incision site the old hemothorax was evacuated and using a
lap pad as well as saline irrigation it was evacuated in its entirety. Then,
some exploration was performed on the chest wall to see if there was any
evidence of ongoing bleeding. There were a couple sites that were bovied;
however, these were not active bleeding sites. There were some blebs that were
noted at the apices of the right lung and these were removed, stapling off the
apex of the right upper lobe with a linear stapler and Peri-Guard strips. Once
this was performed the lung was submerged in water showing no evidence of air
leak, 30 mL of local anesthesia were injected into the wound and cryoablation
was done to the intercostals.