Removal, non-biodegradable drug delivery implant
CPT4 code
Name of the Procedure:
Removal, Non-Biodegradable Drug Delivery Implant (Common name: Implant Removal)
Summary
In layman's terms, implant removal involves a minor surgical procedure to take out a drug delivery device that has been placed under the skin. These implants are used to release medication over a long period but need to be removed once they have served their purpose or if they cause complications.
Purpose
This procedure addresses issues related to non-biodegradable drug delivery implants, such as the end of its functional period, side effects, or complications like infection. The goal is to safely remove the implant and potentially replace it if needed.
Indications
- End of the medication delivery period
- Local infection or inflammation at the implant site
- Implant malfunction or side effects
- Patient discomfort or request for removal
Preparation
- Fast for 6-8 hours before the procedure if sedation or general anesthesia will be used.
- Adjust any medications as instructed by the healthcare provider.
- Pre-procedure assessments may include blood tests, implant location imaging, and allergy tests for anesthesia or sedation.
Procedure Description
- Anesthesia: Local anesthesia is typically administered to numb the area. In some cases, light sedation might be used.
- Incision: A small incision is made over the implant site.
- Implant Removal: The implant is carefully located and removed using specialized surgical tools.
- Closure: The incision is then closed with stitches or surgical glue, and a bandage is applied.
Duration
The procedure usually takes about 30-60 minutes.
Setting
The procedure is typically performed in an outpatient clinic, surgical center, or a hospital setting.
Personnel
- Surgeon or specialized physician
- Surgical nurse
- Anesthesiologist (if sedation or general anesthesia is used)
Risks and Complications
- Infection at the incision site
- Bleeding or hematoma formation
- Scarring
- Pain or discomfort at the removal site
- Rarely, damage to surrounding tissues
Benefits
- Alleviation of any side effects or complications related to the implant
- Removal ensures no further medication is accidentally released
- Minimal scarring and quick recovery
Recovery
- Post-procedure care includes keeping the site clean and dry, and changing bandages as instructed.
- Pain management with prescribed or over-the-counter medications.
- Avoid strenuous activities for a few days.
- Follow-up appointment for wound check and stitch removal if necessary.
Alternatives
- Continuous monitoring and management of the implant without removal.
- Switching to oral or other forms of medication delivery.
- Biodegradable implants that do not require removal. Each alternative has its own set of benefits and drawbacks compared to removal.
Patient Experience
During the procedure, the patient might feel some pressure or mild discomfort but should not feel pain due to the anesthesia. Post-procedure, there may be mild pain or soreness managed with pain relief medications. The patient should experience minimal disruption to their daily activities after a few days of rest.