21600 Excision of rib, partial

Name of the Procedure:

Excision of Rib, Partial (Partial Rib Resection)

Summary

The partial excision of a rib involves surgically removing a portion of one of the ribs. This procedure may be necessary for various medical reasons, such as treating infections, tumors, or injuries affecting the rib.

Purpose

Partial rib excision is performed to:

• Remove a diseased or damaged part of the rib.
• Relieve symptoms caused by infections, tumors, fractures, or congenital anomalies.
• Prevent further complications related to rib disorders.

Indications

• Persistent pain or discomfort unresponsive to conservative treatment.
• Tumors (benign or malignant) on or around the rib.
• Rib infections like osteomyelitis.
• Structural issues such as rib fractures that haven't healed properly.
• Thoracic outlet syndrome.

Preparation

• Patients may be required to fast for several hours before the procedure.
• Preoperative tests could include blood work, imaging studies (e.g., X-rays, CT scans), and a physical examination.
• Adjustments to medications, such as blood thinners, might be necessary under a doctor's guidance.

Procedure Description

1. The patient is administered general anesthesia to ensure they are unconscious and pain-free.
2. An incision is made over the rib that needs partial removal.
3. The surgeon carefully separates the muscles and tissues to expose the rib.
4. The diseased or damaged portion of the rib is identified and excised.
5. The surrounding tissues and muscles are repositioned, and the incision is closed with sutures or staples.
6. A drainage tube might be placed to drain excess fluids post-operation.

Duration

The procedure typically takes 1 to 2 hours, depending on the complexity.

Setting

This surgery is usually performed in a hospital operating room.

Personnel

• Orthopedic or Thoracic Surgeon
• Anesthesiologist
• Surgical Nurses
• Operating Room Technicians

Risks and Complications

• Infection
• Bleeding or hematoma formation
• Injury to surrounding tissues or organs
• Pneumothorax (collapsed lung)
• Chronic pain or discomfort
• Scarring

Benefits

• Relief from pain or other symptoms associated with rib problems.
• Removal of diseased tissue, potentially preventing further complications.
• Improvement in the patient's quality of life.

Recovery

• Hospital stay for 1 to 2 days post-surgery for monitoring and pain management.
• Instructions for wound care, activity restrictions, and medications.
• Follow-up appointments to monitor healing and address any concerns.
• Complete recovery may take several weeks to months, with gradual resumption of normal activities.

Alternatives

• Pain management with medications.
• Physical therapy.
• Minimally invasive procedures, if applicable.
• Watchful waiting or regular monitoring.

Each alternative comes with its own set of pros and cons, which should be discussed with a healthcare provider.

Patient Experience

• During the procedure: The patient will be under general anesthesia and won't feel anything.
• After the procedure: Moderate pain and discomfort are expected, manageable with medications.
• Measures for comfort: Pain relief medications, breathing exercises, and careful monitoring to ensure a smooth recovery.