Carmen
Carmen Butler, CPC
Hi Alicia/Laureen,
How can I determine when is the Hernia Reducible, Incarcerated or Strangulated
The following scenario is one that has created difficulty for me.
The patient was brought to the operating roon and placed under general anesthesia, prepped and draped sterilely. An infra-umbilical skin incision was made with a 15 blade and carried down through the subcutaneous tissues using sharp dissection. We carried the dissection down to the fascia and then dissected the umbilicus free from its fascial attachment. We opened the hernia sac, reduced the hernia contents and then repaired the facial defect with interrupted 1-0 Vicril sutures. The ubilicus was tacked back down to the fascia with a single interrupted 3-0 undyed Vicryl. The skin was closed, sponge and needle counts were correct. Patient tolerated the procedure well.
My choice 49585
The correct choice 49587
How can I determine when is the Hernia Reducible, Incarcerated or Strangulated
The following scenario is one that has created difficulty for me.
The patient was brought to the operating roon and placed under general anesthesia, prepped and draped sterilely. An infra-umbilical skin incision was made with a 15 blade and carried down through the subcutaneous tissues using sharp dissection. We carried the dissection down to the fascia and then dissected the umbilicus free from its fascial attachment. We opened the hernia sac, reduced the hernia contents and then repaired the facial defect with interrupted 1-0 Vicril sutures. The ubilicus was tacked back down to the fascia with a single interrupted 3-0 undyed Vicryl. The skin was closed, sponge and needle counts were correct. Patient tolerated the procedure well.
My choice 49585
The correct choice 49587