kellit21
Guru
I need help coding this surgery...
Postop diagnosis: Infection of right hip, status post hip hemiarthroplasty
Operation Procedures:
1. Irrigation and debridement of right hip for infected total hip arthroplasty
2. Exchange of head and bipolar components of right total hip arthroplasty
Operative Procedure: (in part)
We opened the previous incisional scar, there was no pus pocket, irrigated this out, cleaned it very thoroughly, debrided some of the necrotic fat as we saw it, took superficial cultures. Once we had gotten this done, we soaked some 4x4 with betadine and swabbed the wound, irrigated again and then took an 18 gauge spinal needle and introduced into the joint and sent it for aspirate, on it there was blood tinged fluid, but no evidence of purulence. I then opened the fascia, put Charnley retractor the capsule had been closed posteriorly. Dislocated the hip and took off the head in the bipolar. Irrigated copiously with saline, soaked in betadine solution 10ml and 250ml of saline for 3 minutes and then irrigated this out copiously. Again, there was no purulence in the joint. Then out back on the head in the bipolar and reduced the hip; closed the capsule posteriorly with multiple sutures.
Any help would be greatly appreciated.
Postop diagnosis: Infection of right hip, status post hip hemiarthroplasty
Operation Procedures:
1. Irrigation and debridement of right hip for infected total hip arthroplasty
2. Exchange of head and bipolar components of right total hip arthroplasty
Operative Procedure: (in part)
We opened the previous incisional scar, there was no pus pocket, irrigated this out, cleaned it very thoroughly, debrided some of the necrotic fat as we saw it, took superficial cultures. Once we had gotten this done, we soaked some 4x4 with betadine and swabbed the wound, irrigated again and then took an 18 gauge spinal needle and introduced into the joint and sent it for aspirate, on it there was blood tinged fluid, but no evidence of purulence. I then opened the fascia, put Charnley retractor the capsule had been closed posteriorly. Dislocated the hip and took off the head in the bipolar. Irrigated copiously with saline, soaked in betadine solution 10ml and 250ml of saline for 3 minutes and then irrigated this out copiously. Again, there was no purulence in the joint. Then out back on the head in the bipolar and reduced the hip; closed the capsule posteriorly with multiple sutures.
Any help would be greatly appreciated.