The small intestine is the longest portion of the digestive tract. It runs from the stomach to the colon.
IndicationsMeckel's diverticulum is one of the most common congenital abnormalities. It occurs when the connection between the intestine and the umbilical cord doesn't completely close off during fetal development. This results in a small outpouching of the small intestine, know as a Meckel's diverticulum. In most cases, Meckel's diverticula do not cause any problems. In a small number of patients however, these diverticula can become infected (diverticulitis) cause an obstruction of the intestine, or cause bleeding from the intestine. The most common symptom of Meckel's diverticulitis is painless bleeding from the rectum. The stools may contain fresh blood or may look black and tarry. Diverticulitis, or infection, of a Meckel's diverticulum is often mistaken for appendicitis.
IncisionTreatment of a Meckel's diverticulum involves resection of the involved portion of the small intestine. Often, symptoms from a Meckel's diverticulum are thought to be due to appendicitis- and the Meckel's diverticulum is discovered only after the operation has begun. While the patient is deep asleep and pain-free (general anesthesia), an incision is made in the right side of the lower abdomen.
ProcedureThe small intestine is found and the Meckel's diverticulum is removed. The intestine is repaired and the incision is closed.
AftercareIntravenous fluids will be given until the patient is able to eat by mouth (after bowel sounds are heard). A nasogastric tube may be in place to empty the stomach. Antibiotics may be given to prevent or treat infection. Discharge from the hospital can be expected within a week after surgery, barring complications.
Reviewed ByReview Date: 11/01/2010
Shabir Bhimji MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Meckel's diverticulectomy is a surgical procedure that isolates and removes an abnormal diverticulum (Meckel's diverticulum) or pouch, as well as surrounding tissue, in the lining of the small intestine.
Meckel's diverticulectomy is a surgical procedure that isolates and removes an abnormal diverticulum (Meckel's diverticulum) or pouch, as well as surrounding tissue, in the lining of the small intestine.
It is performed to remove an obstruction, adhesions, infection, or inflammation
cpt code for urethral diverticulectomy
Intestinal surgery is a serious procedure, and recovery may take two weeks.
Surgery takes place in a hospital setting by a physician with advanced training in surgery and gastrointestinal surgery.
These include lung and heart complications, as well as reactions to medications, bleeding, and infection.
it is 43130 NO THE CORRECT ANSWER IS 43135 FOR THE THORACIC APPROACH; 43130 IS THE CODE FOR THE CERVICAL APPROACH.
it is 43130 NO THE CORRECT ANSWER IS 43135 FOR THE THORACIC APPROACH; 43130 IS THE CODE FOR THE CERVICAL APPROACH.
Depending on the surgeon's decision, the operation may be minimal, isolating and then removing the pouch containing the inflammation, or it may be more extensive.
Surgery is performed under general anesthetic. The small intestine is isolated and the diverticulum is removed, sometimes with a small segment of the intestines.
If surgery is indicated for Meckel's diverticulum, an enema is given (unless contraindicated by complications) to completely clear the bowel and avoid infection during surgery.