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Q: LOCATION: Inpatient, Hospital PATIENT: Margaret Hill ATTENDING PHYSICIAN: Ronald Green, MD SURGEON: Gary Sanchez, MD PREOPERATIVE DIAGNOSIS: Chronic cholecystitis and cholelithiasis POSTOPERATIVE
DIAGNOSIS: Chronic cholecystitis and cholelithiasis PROCEDURE PERFORMED: Laparoscopic cholecystectomy INDICATION: Mrs. Hill has been having RUQ pain with nausea and vomiting and diarrhea. The patient was found to have chronic cholecystitis with cholelithiasis and she was taken to the operating ...
A: The code is 575.12 [ ] cholecystectomy is a major abdominal surgery in which the surgeon removes the gallbladder through a 5- to 7-inch incision. [ Patients usually remain in the hospital at least 2 to 3 days and may require several additional weeks to recover at home. Laparoscopic cholecystectomy has now replaced open cholecystectomy as the first-choice of treatment for gallstones and
inflammation of the gallbladder unless there are contraindications to the laparoscopic approach. This is because open surgery leaves the patient more prone to infection.[1] Sometimes, a laparoscopic cholecystectomy will be converted to an open cholecystectomy for technical reasons or safety. A US Navy general surgeon and an operating room nurse discuss proper procedures while performing a laparoscopic cholecystectomy surgery. Laparoscopic cholecystectomy requires several small incisions in the abdomen to allow the insertion of operating ports, small cylindrical tubes approximately 5 to 10 mm in diameter, through which surgical instruments and a video camera are placed into the abdominal cavity. The camera illuminates the surgical field and sends a magnified image from inside the body to a video monitor, giving the surgeon a close-up view of the organs and tissues. The surgeon watches the monitor and performs the operation by manipulating the surgical instruments through the operating ports. To begin the operation, the patient is placed in the supine position on the operating table and anesthetized. A scalpel is used to make a small incision at the umbilicus. Using either a Veress needle or Hasson technique the abdominal cavity is entered. The surgeon inflates the abdominal cavity with carbon dioxide to create a working space. The camera is placed through the umbilical port and the abdominal cavity is inspected. Additional ports are opened inferior to the ribs at the epigastric, midclavicular, and anterior axillary positions. The gallbladder fundus is identified, grasped, and retracted superiorly. ]
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Asked 11/11/2012 8:11:39 PM
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