Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm
CPT4 code
Name of the Procedure:
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk, and/or extremities (including hands and feet); 2.6 cm to 7.5 cm
Summary
This procedure involves the repair of superficial wounds, meaning those that are on or near the surface of the skin, on various parts of the body. The wound repair is typically performed using stitches (sutures), adhesive strips, or other methods to close the skin and promote healing.
Purpose
The main goal of this procedure is to close superficial wounds to facilitate healing and minimize the risk of infection. It is also designed to improve the cosmetic outcome, reducing the likelihood of significant scarring.
Indications
This procedure is indicated for patients with superficial wounds between 2.6 cm and 7.5 cm in length located on the scalp, neck, axillae (armpits), external genitalia, trunk, or extremities (including hands and feet). Patients who have suffered cuts, lacerations, or other minor skin injuries may require this type of repair.
Preparation
- Patients should clean the affected area gently before arriving for the procedure.
- No specific fasting or medication adjustments are typically required unless instructed by a healthcare provider.
- Diagnostic tests or assessments are usually only necessary if there is concern about deeper injury or infection.
Procedure Description
- Anesthesia: Local anesthesia is administered to numb the area.
- Cleaning: The wound is thoroughly cleaned to eliminate any debris or contaminants.
- Closure: The wound is closed using sutures, adhesive strips, or sometimes skin adhesive.
- Dressing: A sterile dressing is applied to protect the area.
Tools used may include sutures, adhesive strips, antiseptic solutions, and sterile dressings.
Duration
The procedure typically takes about 15 to 30 minutes, depending on the size and complexity of the wound.
Setting
This procedure can be performed in a hospital, outpatient clinic, or surgical center.
Personnel
- A primary care physician, emergency room doctor, or surgeon usually performs the procedure.
- Nurses or medical assistants may assist with preparation and aftercare.
Risks and Complications
- Common risks include minor bleeding, infection, and scarring.
- Rare risks include allergic reactions to anesthesia and improper wound healing.
Benefits
- Prompt wound closure reduces the risk of infection and promotes faster healing.
- Improved cosmetic outcomes with minimized scarring.
Recovery
- Keep the wound dry and clean.
- Follow instructions on changing dressings and monitoring for signs of infection.
- Sutures may need to be removed in 7-14 days, depending on the location and type of suture used.
- Recovery time is generally quick, with most wounds healing within 1-2 weeks.
Alternatives
- Leaving the wound to heal by secondary intention (naturally) which may increase the risk of infection and scarring.
- Using adhesive bandages or strips for very minor wounds.
Patient Experience
- Patients may feel some initial discomfort from the anesthesia injection.
- During the procedure, they should feel minimal pain.
- Mild discomfort can be expected after the procedure, which can be managed with over-the-counter pain relief if necessary.