Tammy Posted Wed 01st of June, 2016 12:48:15 PM
per op : Anterior posterior colpoperineorrhaphy.
note: reason for this was Vaginal vault prolapse.no mention of hernia.
there was a complete eversion of the vaginal vault the base of which was seized with 2 Kocher clamps and the vaginal epithelium was infiltrated with dilute Pitressin solution and dissection was taken anteriorly and posteriorly from the nadir of the vaginal vault. The dissection was then carried laterally at the level of the endopelvic fascia to 1 cm below the urethral meatus. The excessive vaginal epithelium was then resected. The endopelvic fascia was plicated to the midline using 0 polyglycolic acid suture material and the base of the bladder was elevated to the lateral vaginal walls using a modified Kelly plication. The vaginal cuff was then closed using continuous interlocking 0 chromic catgut. Attention was then focused at the introitus and the base of the remnant of the hymenal ring was seized on either side and an inverted T incision was made underneath the vaginal epithelium. This was undermined to the 0.75 to the nadir of the vaginal vault. The dissection was then carried laterally by blunt and sharp dissection and the endopelvic fascia was plicated to the midline using a continuous 0 polyglycolic acid suture material in 2 layers. Good vaginal floor support was produced in this manner. The redundant vaginal epithelium was once again resected and closed to the midline using continuous 0 chromic catgut.
SuperCoder Answered Fri 03rd of June, 2016 02:19:07 AM
In my opinion, the appropriate code for above mentioned procedure is 57240.