lizard
Contributor
cyst excision - please help! driving me bonkers!
Op report says:
dx-groin pseudocyst containing old hematoma
Indication-post lap ing hernia repair. He has developed a large swelling in the groin.
Operative findings-large pseudocyst with thickened wall. This was excised.
Description of procedure-Ilioinguinal nerve block. local anesthetic infused in the skin and subq. 6cm incision was made parallel to the inguinal ligament extending from the pubic tubercle towards the anterior/superior iliac spine. Dissection was taken down dividing the Scarpa's fascia in the process. The external oblique fascia was identified, it was incised, and this was extended through the external ring with Metzenbaum scissors. The pseudocyst was identified and circumferentially dissected free from the surrounding cord structures. It was then excised at its base where it was attached to the transversalis fascia at the direct space. There was no hernia identified at this space. It was opened. There was blood, but no other contents other than some fibrionous exudate. The cord structures were identified. The vas and the spermatic vessels had been preserved. The ilioinguinal nerve was preserved as well during the dissection. Fascia was approximated. Skin closed followed by Surgiseal
Dr. wants to use 10140. Sounds like more to me. Excision for one thing. Any help appreciated.
Op report says:
dx-groin pseudocyst containing old hematoma
Indication-post lap ing hernia repair. He has developed a large swelling in the groin.
Operative findings-large pseudocyst with thickened wall. This was excised.
Description of procedure-Ilioinguinal nerve block. local anesthetic infused in the skin and subq. 6cm incision was made parallel to the inguinal ligament extending from the pubic tubercle towards the anterior/superior iliac spine. Dissection was taken down dividing the Scarpa's fascia in the process. The external oblique fascia was identified, it was incised, and this was extended through the external ring with Metzenbaum scissors. The pseudocyst was identified and circumferentially dissected free from the surrounding cord structures. It was then excised at its base where it was attached to the transversalis fascia at the direct space. There was no hernia identified at this space. It was opened. There was blood, but no other contents other than some fibrionous exudate. The cord structures were identified. The vas and the spermatic vessels had been preserved. The ilioinguinal nerve was preserved as well during the dissection. Fascia was approximated. Skin closed followed by Surgiseal
Dr. wants to use 10140. Sounds like more to me. Excision for one thing. Any help appreciated.