Gastric restrictive procedure, open; removal of subcutaneous port component only
CPT4 code
Name of the Procedure:
Gastric Restrictive Procedure, Open; Removal of Subcutaneous Port Component Only
Summary
This procedure involves surgically removing the subcutaneous port that was previously placed for gastric restrictive purposes. The port is usually part of a gastric band system used in weight loss treatment.
Purpose
The main purpose is to remove the subcutaneous port that might be causing complications or is no longer needed for weight management.
Indications
- Infection at the port site
- Port malfunction or dislodgement
- Persistent pain or discomfort at the port site
- Resolution or change in the patient's weight management plan
Preparation
- Patients may need to fast for 8 hours prior to surgery.
- Adjustments in current medications might be necessary.
- Pre-operative blood tests and an assessment to ensure fitness for surgery.
Procedure Description
- The patient is placed under general anesthesia.
- A small incision is made over the site of the subcutaneous port.
- The port is identified and carefully dissected out.
- The port is removed, and the incision site is closed with sutures or staples.
- A sterile dressing is applied over the wound.
Duration
The procedure typically takes about 30 minutes to an hour.
Setting
The procedure is usually performed in a hospital or outpatient surgical center.
Personnel
- Surgeon
- Surgical nurse
- Anesthesiologist or nurse anesthetist
- Operating room technician
Risks and Complications
- Infection
- Bleeding
- Scar tissue formation
- Reaction to anesthesia
- Pain at the surgical site
Benefits
- Relief from symptoms associated with the port
- Reduced risk of future port-related complications
- Improved comfort and quality of life
Recovery
- Patients may go home the same day or require a short hospital stay.
- Post-operative care includes wound care and pain management.
- Most patients can resume normal activities within a few days to a week.
- Follow-up appointments are necessary to monitor recovery.
Alternatives
- Non-surgical management of port complications
- Adjusting or replacing the port rather than removing it
Patient Experience
During the procedure, the patient is under general anesthesia and will not feel anything. Post-surgery, there may be mild to moderate pain at the site, which is managed with pain medications. The patient will receive instructions on wound care and activity restrictions.