35907 Excision of infected graft; abdomen

Name of the Procedure:

Excision of Infected Graft; Abdomen (Also known as Removal of Infected Abdominal Graft)

Summary

In layman's terms, the procedure involves surgically removing a previously implanted graft in the abdomen due to infection. A graft is a piece of medical material used to replace or support damaged tissues.

Purpose

The procedure addresses infections that occur at the site of the graft placement in the abdomen. The goal is to remove the infected material to prevent the infection from spreading and to promote healing.

Indications

• Persistent or recurrent infection at the graft site
• Severe pain or swelling in the abdominal area
• Fever or other signs of systemic infection
• Failure of the initial graft to integrate properly
• Imaging tests indicating infection or graft failure

Preparation

• Patients may be required to fast for at least 8 hours before the surgery.
• Medication adjustments, such as stopping blood thinners, may be necessary.
• Pre-operative blood tests and imaging studies like ultrasound or CT scans might be conducted.
• Antibiotic prophylaxis to reduce the risk of infection may be administered.

Procedure Description

1. The patient is administered general anesthesia to ensure they are asleep and pain-free during the surgery.
2. A surgical incision is made in the abdomen to access the graft.
3. The infected graft is carefully identified and delicately removed from the surrounding tissues.
4. The area is thoroughly cleaned and debrided to remove any infected tissue or fluid.
5. Depending on the extent of the infection, a new graft may be placed, or the wound may be temporarily left open and closed in a subsequent surgery.
6. The incision is then sutured shut, and sterile dressings are applied.

Tools and equipment involved include scalpels, surgical scissors, retractors, and suction devices. Anesthesia will be managed by an anesthesiologist.

Duration

The procedure typically takes between 1 to 3 hours, depending on the complexity and extent of the infection.

Setting

The procedure is performed in a hospital operating room.

Personnel

• Surgeons specialized in abdominal surgery
• Anesthesiologists
• Surgical nurses and technologists
• Possible consultation with an infectious disease specialist

Risks and Complications

• Common risks include bleeding, infection, and pain at the surgical site.
• Rare risks include damage to nearby organs or tissues and anesthesia-related complications.
• Potential complications such as re-infection, prolonged healing times, or need for additional surgeries.

Benefits

• Removal of the source of infection, leading to alleviation of pain and other symptoms.
• Prevention of the spread of infection to other parts of the body.
• Improved overall health and recovery from infection.

Recovery

• Patients may require a hospital stay ranging from a few days to a week.
• Pain management through prescribed medications.
• Post-operative instructions may include wound care, limited physical activity, and dietary modifications.
• Follow-up appointments to monitor healing, evaluate the need for additional interventions, and possibly place a new graft.

Alternatives

• Antibiotic therapy without surgical intervention (often not sufficient for severe infections).
• Percutaneous drainage of an abscess if localized infection instead of full graft infection.
• Each alternative has its own pros and cons; for example, antibiotics alone may temporarily manage symptoms but might not fully eradicate the infection.

Patient Experience

• The patient will be under general anesthesia during the procedure and will not feel anything.
• Post-operative experience will involve pain at the incision site, managed with pain relief medications.
• Feelings of fatigue and limited mobility during the initial recovery period.
• Emotional support and clear communication from healthcare providers can enhance comfort and confidence during recovery.