Wound exploration and excision of retained tunneled CVC

nlbarnes

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Escondido, CA
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I like 20100/20101 but for traumatic, maybe 1101X depending on the depth which I need to ask, or none of the above.

POSTOPERATIVE DIAGNOSIS:
Right chest nonhealing wound.

PROCEDURE:
Right-sided wound exploration and excision of retained tunneled
central venous catheter cuff.

DESCRIPTION OF PROCEDURE:
After informed consent was obtained, patient was taken to the
operating room, placed in supine position on the operating table. The
right neck and chest were prepped and draped in usual sterile fashion.
We infused local anesthesia as the surrounding tissues with 1%
lidocaine mixed with 0.25% Marcaine with epinephrine. At that point,
I extended the right chest incision to approximately 1 cm in length.
I was able to then identify what appeared to be the felt cuff of the
previous catheter, which was then separated from its local attachments
and removed in a single piece. The wound was then explored. No
residual cuff appeared to be left behind. The wound was then
irrigated and copiously hemostasis was assured. This was packed with
quarter-inch packing strip.
 
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