15851 Removal of sutures under anesthesia (other than local), other surgeon

Name of the Procedure:

Removal of sutures under anesthesia (other than local), other surgeon

Summary

The removal of sutures, or stitches, under general or regional anesthesia by a surgeon other than the one who initially placed them. This ensures patient comfort and precision in cases where simpler methods would cause significant discomfort or complications.

Purpose

The procedure aims to safely and effectively remove sutures that are deeply embedded, causing pain, or are positioned in a way that makes removal under local anesthesia impractical. The goal is to avoid distress and potential complications associated with suture removal.

Indications

• Pain or discomfort from the sutures
• Scarring or wound complications
• Sutures that have been in place longer than recommended
• Patient anxiety or inability to remain still during suture removal

Preparation

• Fasting for a period of 6-8 hours prior to the procedure if general anesthesia is used.
• Medication adjustments as instructed by the healthcare provider.
• Pre-procedure physical examination and medical history review.
• Blood tests, imaging, or other diagnostic assessments, as needed.

Procedure Description

1. The patient is evaluated, and anesthesia (general or regional) is administered.
2. The area around the sutures is cleaned and sterilized.
3. Using sterile instruments, the surgeon carefully identifies and removes each suture.
4. The area is cleaned again, and sterile dressings may be applied.
5. If necessary, the surgeon will address any complications, such as wound dehiscence or infection.

Tools and equipment may include:

• Sterile scissors and forceps
• Antiseptic solutions
• Surgical drapes and gauze
• Suture removal kits

Duration

Typically takes between 30 minutes to 1 hour, depending on the complexity of the case.

Setting

Performed in a hospital operating room or a surgical center equipped for anesthesia administration.

Personnel

• A surgeon
• An anesthesiologist
• Nursing staff

Risks and Complications

• Anesthesia-related risks such as allergic reactions, nausea, and respiratory issues.
• Infection at the suture site.
• Bleeding or hematoma.
• Scarring or delayed wound healing.
• Reactions to medications used during the procedure.

Benefits

• Effective and painless removal of sutures.
• Avoidance of undue stress and discomfort for the patient.
• Minimized risk of complications associated with improper suture removal.

Recovery

• Post-procedure monitoring until the patient awakens from anesthesia.
• Instructions on wound care and maintaining hygiene.
• Expected recovery time is short, usually within a day or two.
• Avoidance of strenuous activities and follow-up appointments for wound assessment.

Alternatives

• Removal of sutures under local anesthesia, if feasible.
• Non-surgical methods such as dissolving sutures, if appropriate for the case.
• The alternative of leaving sutures in place longer, though this is typically not recommended.

Patient Experience

The patient will be under anesthesia and therefore will not feel pain during the procedure. Post-procedure, there might be mild discomfort at the suture site, managed with pain relievers as prescribed. Full recovery and the comfort level expected within a few days.