50100 Transection or repositioning of aberrant renal vessels (separate procedure)

CPT4 code

#### Name of the Procedure:
Transection or Repositioning of Aberrant Renal Vessels (Separate Procedure)

#### Summary
Transection or repositioning of aberrant renal vessels involves surgically diverting or cutting off abnormal blood vessels that supply the kidneys. This procedure helps restore normal blood flow and kidney function.

#### Purpose
This procedure addresses conditions where aberrant renal vessels cause pain, functional impairment of the kidney, or urinary obstruction. It aims to correct blood flow disruptions and alleviate symptoms.

#### Indications
- Persistent flank pain due to aberrant renal vessels
- Hematuria (blood in urine) from vascular compression
- Hydronephrosis (kidney swelling) due to urinary tract obstruction
- Incidental finding during other surgical procedures that may cause future complications

#### Preparation
- Fasting for 8-12 hours before the procedure
- Adjustments in medication as advised by the doctor
- Preoperative imaging tests like CT or MRI scans to map the aberrant vessels
- Blood tests to ensure normal kidney function and coagulation status

#### Procedure Description
1. Administration of general anesthesia.
2. A surgical incision is made to access the kidney and surrounding blood vessels.
3. Identification of the aberrant vessels.
4. Surgical transection (cutting) or repositioning (moving) of these vessels as needed.
5. Ensuring restored and unobstructed blood flow.
6. Closure of the incision with sutures or staples.

#### Duration
The procedure typically takes 2 to 4 hours, depending on the complexity of the case.

#### Setting
The procedure is performed in a hospital operating room.

#### Personnel
- Surgeon specialized in urology or vascular surgery
- Anesthesiologist
- Surgical nurses
- Operating room technicians

#### Risks and Complications
- Bleeding
- Infection
- Injury to surrounding organs or tissues
- Blood clots
- Recurrence of symptoms
- Anesthesia-related complications

#### Benefits
- Relief from pain and discomfort
- Improved kidney function
- Resolution of urinary obstruction
- Prevention of future complications related to aberrant vessels
- Benefits may be realized immediately or within a few days post-procedure

#### Recovery
- Hospital stay of 1-3 days for monitoring
- Pain management with prescribed medications
- Instructions on wound care and activity restrictions
- Follow-up appointments to monitor recovery and kidney function
- Full recovery may take 2-6 weeks

#### Alternatives
- Observation for asymptomatic cases
- Medications for symptom management
- Endovascular techniques, which are less invasive but may not be suitable for all patients
- Risks and benefits vary depending on the chosen alternative

#### Patient Experience
During the procedure, the patient is under general anesthesia and will not feel pain. Post-procedure, there may be discomfort or mild pain, managed with medication. Sensations of fatigue or soreness near the incision site are common but usually subside within a few days. Adhering to recovery instructions ensures a smoother healing process.

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