Question Removal of cranial springs

bgbarrett

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Corpus Christi, TX
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61556 is what the physician wants to use, but I need some expert advice, please.

Patient brought into the operating room and placed supine on the operating table. General anesthesia was induced after appropriate intravenous access was obtained by anesthesia. Once the endotracheal tube and all lines were secured, the patient was positioned supine for surgery, with the head in a horseshoe headholder. All pressure points were appropriately padded.
After pre-operative antibiotics were given, a time-out was performed. The previous bicoronal incision was drawn out in the middle of the abnormal sagittal suture and a strip of hair was shaved. The bifrontal area was then cleaned with alcohol, prepped with betadine scrub and paint and draped in the usual sterile fashion. The incision was opened with a scalpel and continued with cautery.
The springs were identified and stripped free from the pericranium. Wire cutters were used to cut the spring in the middle and heavy needle driver was used to remove the remaining pieces without injury to the underlying dura. no significant bleeding was encountered. The wound was copiously irrigated with saline irrigation. The wound was closed with interrupted 4-0 monocryl in the galea, and running 3-0 monocryl for skin. Bacitracin ointment was applied to the scalp. All counts were correct at the end of the case and the patient tolerated the procedure well.
 
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