10
Using the techniques described in this chapter carefully read through the case study and determine the most accurate ICD-10-PCS
code(s).
6.66
points
Skipped
Patient: Karl Attenda
DATE OF OPERATION: 05/15/2018
PREOPERATIVE DIAGNOSIS: Bilateral inguinal hernia
POSTOPERATIVE DIAGNOSIS: Bilateral inguinal hernia, direct
OPERATION PERFORMED: Laparoscopic bilateral inguinal hernia repair
SURGEON: Lawrence Podentale, MD
ANESTHESIA: General endotracheal
ESTIMATED BLOOD LOSS: Minimal
BOOK
References
DESCRIPTION OF OPERATION: With the patient under general endotracheal anesthesia, the abdomen was prepped with ChloraPrep
solution and draped in the usual manner. A transverse skin incision was made below and to the right of the umbilicus to a length of
approximately 4 cm. The incision was carried through the subcutaneous tissue. Bleeders were cauterized. The right rectus, sheath was
identified and incised lateral to the midline. The preperitoneal space was then developed following insertion of a Spacemaker balloon,
which was inflated under direct vision.
Following removal of the Spacemaker balloon, a #10 trocar was placed in the preperitoneal space and the preperitoneal space was
insufflated with CO2. Two #5 trocars were placed in the lower midline. Video laparoscope was inserted in the preperitoneal space.
Landmarks including symphysis pubis, right Cooper ligament, and right inferior epigastric vessels were identified. Dissection was then
continuar lateral to the trancuerce abrinminie mierle The internal rinn was then aynlared for the nocence of an indirert hernia car
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