22905 Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater

Name of the Procedure:

Radical Resection of Tumor (e.g., Sarcoma), Soft Tissue of Abdominal Wall; 5 cm or Greater

Summary

This surgical procedure involves the complete removal of a sizable tumor, specifically measuring 5 cm or larger, from the soft tissue of the abdominal wall. It is typically employed to treat aggressive or potentially harmful tumors, such as sarcomas.

Purpose

The procedure addresses malignant or benign tumors located within the soft tissue of the abdominal wall. The goal is to completely remove the tumor to prevent its spread and alleviate related symptoms, promoting better overall health and quality of life.

Indications

• Presence of a detectable tumor or mass in the abdominal wall measuring 5 cm or greater.
• Symptoms such as pain, swelling, or obstruction caused by the tumor.
• Diagnostic imaging or biopsy confirming the tumor's characteristics.
• Patient's overall health permitting the surgery.

Preparation

• Fasting for at least 8 hours before the procedure.
• Adjustments to current medications, particularly blood thinners.
• Preoperative imaging (e.g., MRI, CT scans) and blood tests.
• Discussion with the surgical team about the procedure, including potential risks and benefits.

Procedure Description

1. Administration of general anesthesia to ensure the patient is unconscious and pain-free.
2. Making an incision over the abdominal wall to access the tumor.
3. Carefully dissecting and removing the tumor along with a margin of healthy tissue to ensure complete excision.
4. Possible reconstruction of the abdominal wall using mesh or tissue grafts, if necessary.
5. Closing the incision with sutures or staples.
6. Application of a sterile dressing over the surgical site.

Duration

The procedure typically takes about 2 to 4 hours, depending on the complexity and size of the tumor.

Setting

Performed in a hospital operating room or a specialized surgical center.

Personnel

• Lead surgeon (specialized in oncology or surgical oncology)
• Surgical assistants
• Operating room nurses
• Anesthesiologist
• Scrub techs

Risks and Complications

• Infection at the surgical site
• Excessive bleeding or hematoma formation
• Damage to surrounding organs or structures
• Anesthesia-related complications
• Recurrence of the tumor
• Postoperative pain or discomfort

Benefits

• Complete removal of the tumor
• Reduction or elimination of symptoms caused by the tumor
• Lower risk of tumor spread and related complications
• Improved quality of life and health outcomes

Recovery

• Hospital stay of 2 to 5 days, depending on recovery progress.
• Pain management plan, including prescribed medications.
• Instructions on wound care and activity restrictions.
• Follow-up appointments to monitor healing and detect any signs of recurrence.

Alternatives

• Radiation therapy, which may be less invasive but not entirely curative.
• Chemotherapy, suitable for certain types of tumors but with systemic side effects.
• Observation may be considered for slow-growing or benign tumors with regular monitoring.

Patient Experience

• During the procedure, the patient will remain under general anesthesia and not feel any pain.
• Post-procedure, patients might experience pain at the surgical site, managed with medications.
• Mild to moderate swelling or discomfort for several days to weeks post-surgery.
• Emphasis on gradual return to normal activities and adherence to recovery guidelines for optimal outcomes.