Miko24
Guru
PROCEDURES PERFORMED: Scrotal exploration and excision of scrotal sinus tract, incision and drainage of abscess
FINDINGS:
1. 12 cm sinus tract from the right anterior hemiscrotum to the posterior right perineum
2. Approximately 2 to 3 cm abscess the right lateral scrotal wall
3. Dermatologic findings suggestive of hidradenitis
PROCEDURE DETAILS:
The patient was brought to the operating room and transferred to the operating room table. Anesthesia was initiated without complication.
The patient was positioned into dorsal lithotomy. All pressure points were padded. Pre-procedure timeout was performed with all team members confirming correct patient, correct procedure and (laterality non-applicable) .
Patient was prepped and draped in the standard sterile fashion. The procedure began by identification of a sinus tract opening on the right anterior hemiscrotum this was circumscribed with electrocautery grasped with a Coker device and then cannulated with a lacrimal duct probe to identify the tract this was placed on traction and then traced with electrocautery, with a combination of blunt palpation to identify the trajectory of the bandlike tract. This was traced all the way back to its origin on the right aspect of the perineum. The skin was circumscribed at the second location as well and the entire tract was removed. An additional area of abscess was noted on the right scrotal wall this was cannulated with a lacrimal duct probe and then opened up over top with electrocautery pus was evacuated cultured and sent for specimen. Both cavities were thoroughly irrigated with chlorhexidine solution.
The scrotal sinus tract was washed out hemostasis was achieved 1/4 inch Penrose was passed out a third stab incision and then the 2 areas of epidermal excision were closed in 2 layers with Vicryl.
The abscess cavity was packed with iodoform gauze and ABD pad was placed over top this concluded the operation the patient was woken up and transferred to the recovery room
I am not sure on the code for the excision of the sinus tract - 55150???
Thank you
FINDINGS:
1. 12 cm sinus tract from the right anterior hemiscrotum to the posterior right perineum
2. Approximately 2 to 3 cm abscess the right lateral scrotal wall
3. Dermatologic findings suggestive of hidradenitis
PROCEDURE DETAILS:
The patient was brought to the operating room and transferred to the operating room table. Anesthesia was initiated without complication.
The patient was positioned into dorsal lithotomy. All pressure points were padded. Pre-procedure timeout was performed with all team members confirming correct patient, correct procedure and (laterality non-applicable) .
Patient was prepped and draped in the standard sterile fashion. The procedure began by identification of a sinus tract opening on the right anterior hemiscrotum this was circumscribed with electrocautery grasped with a Coker device and then cannulated with a lacrimal duct probe to identify the tract this was placed on traction and then traced with electrocautery, with a combination of blunt palpation to identify the trajectory of the bandlike tract. This was traced all the way back to its origin on the right aspect of the perineum. The skin was circumscribed at the second location as well and the entire tract was removed. An additional area of abscess was noted on the right scrotal wall this was cannulated with a lacrimal duct probe and then opened up over top with electrocautery pus was evacuated cultured and sent for specimen. Both cavities were thoroughly irrigated with chlorhexidine solution.
The scrotal sinus tract was washed out hemostasis was achieved 1/4 inch Penrose was passed out a third stab incision and then the 2 areas of epidermal excision were closed in 2 layers with Vicryl.
The abscess cavity was packed with iodoform gauze and ABD pad was placed over top this concluded the operation the patient was woken up and transferred to the recovery room
I am not sure on the code for the excision of the sinus tract - 55150???
Thank you