What CPT code would I use for a Whittmann Patch application? Coding Tools; publications; Training; Blog; Free Trial; Ask An Expert. General Surgery Coding. What CPT code would I use for a Whittmann Patch application? The Wittmann Patch is a temporary abdominal fascia prosthesis for the planned open abdomen to ease management of cases where the abdomen cannot be closed due to. The Wittmann Patch was invented by Dietmar H. Cpt For Whitman Patch. The following photos illustrate the Wittmann Patch application as described in the use instructions and in the clinical literature by surgeons. Drain placement between layers of gauze over. Wittmann Patch Staged Abdominal Closure Jordan A. Weinberg, MD, Richard L. George, MD, Russell L. This giant ventral hernia may then be dealt with using various reconstructive techniques after a long. The Value of the Wittmann Patch. Abstract. Damage control laparotomy has become an accepted practice in trauma surgery. A number of methods leading to delayed primary closure of the abdomen have been advocated; complications are recognized with all these methods. The approach to staged repair using the Wittmann patch (Star Surgical Inc., Burlington, WI) combines the advantages of planned relaparotomy and open management, while minimizing the rate of complications. The authors hypothesized that use of the Wittmann patch would lead to a high rate of delayed primary closure of the abdomen. The patch consists of two sheets sutured to the abdominal fascia, providing for temporary closure. Advancement of the patch and abdominal exploration can be done at bedside. A Bogota bag is a sterile plastic bag used for closure of abdominal wounds. It is generally a include the Bogota bag, absorbable mesh, vacuum pack dressings, the Wittmann patch or velcro burr an. The Wittmann Patch (Starsurgical. METHODS: Hospital billing codes were reviewed to identify those patients who underwent Wittmann patch placement. During the period from June 2002 to May of 2006, 29 patients were identified. To avoid retraction of the fascial edges and further loss of domain, the patient was returned to the operating room for placement of the Wittmann Patch and inner adhesion barrier. The Wittmann Patch is a temporary abdominal fascia prosthesis for the planned open abdomen to ease managment of cases where the abdomen cannot be closed due to. Exp Lap with placement of the Wittmann patch I can use 49002/58 2. The Wittmann Patch is indicated for temporary bridging of abdominal wall openings where primary closure is not possible or. When the fascial edges can be reapproximated without tension, abdominal closure is performed. Twenty- six pa- tients underwent staged abdominal closure during the study period. All were initially managed with intravenous bag closure. Eighty- three per cent (2. The rate of closure using the Wittmann patch is equivalent to other commonly used methods and should be considered when managing patients with abdominal compartment syndrome or severe abdominal trauma.
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