I'm not sure what CPT to use for the following: maybe 46260, im really not sure, new to colon & rectal
Inspection of the anal canal revealed severe prolapsing hemorrhoids. The left lateral was a grade 4. The fansler retractor was placed and the attention was turned towards the left lateral hemmorhoidal bundle. The bundle was grasped and an incision at its most distal margin was made with a 15 blade. The hemorrhoid was then carefully dissected off the sphincter complex using the electrocautery. Experienced a lot of bleedinghowever this was controlled using the closing stitch. A 3-0 vicryl suture was secured in the apex of the hemorrhoid and then run out to the dentate line and the back on itself in an interlocking fashion. This closure was buttressed with a number 3-0 vicryl figure of eight sutures. Once hemostasis was obtained, attention was then turned to the other 2 hemorrhoids. the right posterior and the right anterior and both were taken in the same fashion. all the defects were closed as well in the same fashion. All three hemorrhoids demonstrated alot of bleeding, but hemostasis waso btained. the more external wound was closed and all three wounds from the dentate line out to the periphery using a running 4-0 vicryl suture. hemostasis was again checked for. sterile dressing was placed.
