AAPC - Back to school
Results 1 to 1 of 1

Thread: hemmorhoid?

  1. #1
    Join Date
    Apr 2007

    Default hemmorhoid?

    AAPC: Back to School
    thisjust be 46320?
    polyps? not sure
    any ideas?

    POSTOPERATIVE DIAGNOSES: Thrombosed external hemorrhoids and rectal polyp.
    OPERATIONS: Excision of rectal polyp x2 and excision of thrombosed external hemorrhoids.
    The patient was taken to the OR, prepped and draped in the usual sterile fashion in Jackknife prone position, allowing us access with visualization of two polyps, one in the 3 o'clock position and one in the 9 o'clock position. had external hemorrhoids associated with one in the 9 o'clock position. We placed a 3-0 Vicryl stitch at the apex above the polyp, and using electrocautery, carved an elliptical excision excising the entire polyp in the 3 o'clock position. Using our previous stitch, we then did a running locking suture securing the wound shut. We paid attention to the polyp at the 9 o'clock position in a similar fashion ensuring that our elliptical incision excised the thrombosed external hemorrhoid on that area, and we closed it with the 3-0 Vicryl which had been previously placed at the apex of the wound. There was excellent hemostasis. All needle and sponge counts were correct.
    se. Specimens were sent to Pathology for permanent section.
    Last edited by codedog; 01-25-2011 at 03:57 PM.

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.