Repair, complex, trunk; 2.6 cm to 7.5 cm

CPT4 code

Name of the Procedure:

Summary

This surgical procedure involves repairing a complex wound on the trunk of the body, measuring between 2.6 cm and 7.5 cm in size. It may include layered closures and detailed suturing to effectively mend deep or multiple-tissue level injuries.

Purpose

The procedure addresses complex wounds or lacerations on the trunk, such as deep cuts or surgical incisions that have not healed properly. The primary goal is to restore the integrity and function of the trunk area while minimizing scarring and promoting optimal healing.

Indications

Deep or extensive lacerations on the trunk.
Wounds that involve multiple layers of tissue.
Incisions from previous surgeries that require complex closure.
Non-healing wounds or those with high risk of infection.

Preparation

Patients may need to fast for several hours before the procedure.
Medications, especially blood thinners, may need to be adjusted.
Pre-operative tests might include blood work and imaging studies.

Procedure Description

The area around the wound is cleaned and sterilized.
An appropriate form of anesthesia (local or general) is administered.
The surgeon debrides the wound, removing any dead tissue if necessary.
Layered closure techniques are used to sew each tissue level carefully.
Special tools, like fine suturing materials, may be employed for precision.
The wound is closed and dressed with sterile bandages.

Duration

The procedure typically takes around 1 to 2 hours, depending on the complexity and size of the wound.

Setting

Usually performed in a hospital operating room or a surgical center.

Personnel

Surgeon
Anesthesiologist or nurse anesthetist
Surgical nurses and technicians

Risks and Complications

Infection
Bleeding or hematoma
Scarring
Wound dehiscence (re-opening)
Adverse reactions to anesthesia

Benefits

Enhanced wound healing and reduced risk of infection.
Improved functionality and appearance of the wound area.
Quicker recovery compared to untreated complex wounds.

Recovery

Patients may have to limit movement to avoid stressing the wound.
Pain management involves prescribed medications and care instructions.
Follow-up visits for suture removal or wound assessment.
Complete recovery may take several weeks, depending on the individual.

Alternatives

Simple wound closure techniques, though less effective for complex wounds.
Non-surgical options like wound vacuums or specialized dressings.
Pros and cons of alternatives must be carefully discussed with a healthcare provider.

Patient Experience

During the procedure, if local anesthesia is used, the patient will be awake but should not feel pain. Post-procedure, some discomfort and swelling can be expected, managed with pain relief measures. Proper wound care is essential for recovery, and the patient should follow all medical advice to ensure optimal healing.