Digestive_Colectomy_slide10.pdf

We did not send the pathology was benign i then

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We did not send the pathology was benign. I then clearly sized up to a 33 without difficulty. The EEA was then brought through the staple line. The two ends were then docked, approximated, and fired after ensuring there was no twisting and that there was no tension. The EEA was removed. There were two intact doughnut rings. Irrigation was placed over top of the anastomosis and the bowel was clamped proximally and a rigid sigmoidoscope you could see the anastomosis and there were no signs of an air leak |6| . The irrigation was removed. The omentum was laid to drape over the bowel. The remainder of the instruments and ports were removed. That suprapubic port fascia was closed with interrupted 2-0 Vicryl. The deep tissues and the larger incision was closed with running 2-0 Vicryl. Skin edges closed with running 4-0 Monocryl subcuticular stitch, Steri Strips and a sterile dressing was applied. ESTIMATED BLOOD LOSS: Minimal. Sponge and needle counts were correct. She tolerated the procedure and was taken to the recovery room in satisfactory condition |7| . _____________________________________________________________ |1| The preoperative and postoperative diagnoses are the same and It’s acceptable to code from the preoperative diagnosis. |2| Planned procedure—laparoscopic sigmoidectomy with splenic flexure mobilization and rigid sigmoidoscope.
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  • Spring '19
  • NONE
  • Colon, Diverticulitis

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Christopher Reinemann
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