AMA CPT® Assistant - 2016 Issue 8 (August)
Surgery: Digestive System (Q&A) (August 2016)
August 2016 page 9b Surgery: Digestive System Question: In our practice, a paraesophageal hernia repair is performed in conjunction with laparoscopic adjustable gastric band placement, laparoscopic sleeve gastrectomy, or laparoscopic gastric bypass surgery. For each patient, the physicians perform a paraesophageal hernia repair. They perform a circumferential dissection of the esophagus, proximal stomach, and left and right crura, separation of the hernia sac from the diaphragm, and placement of permanent sutures posterior to the esophagus in the diaphragm to close the paraesophageal hernia defect, insertion of absorbable mesh to reinforce the repair, and gastropexy of the stomach with permanent...
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