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Surgical staples are specialized staples used in surgery in place of sutures to close skin wounds or to resect and/or connect parts of an organ (e.g. bowels, stomach or lungs). The use of staples over sutures reduces the local inflammatory response, width of the wound, and time it takes to close a defect.
The CPT code revisions in 2013 were part of a periodic five-year review of codes. Some psychotherapy codes changed numbers, for example 90806 changed to 90834 for individual psychotherapy of a similar duration. Add-on codes were created for the complexity of communication about procedures.
laceration repair; setting fractures; draining abscesses; reducing dislocations; performing endoscopy; for cardioversion [2] during various dental procedures; during transesophageal echocardiogram; and certain imaging or minor procedures where the patient is unable (or unwilling) to keep still—especially children
The wound can be allowed to close by secondary intention. Alternatively, if the infection is cleared and healthy granulation tissue is evident at the base of the wound, the edges of the incision may be reapproximated, such as by using butterfly stitches, staples or sutures. [4]
The graft is then applied to the defect and secured using skin staples or dissolvable sutures. [17] A bolster is placed over the graft to conclude the procedure, while for areas where bolstering is difficult, a negative pressure wound vacuum could reduce air pressure on the wound to promote healing. [18]
Wound closure strips are porous surgical tape strips which can be used to close small wounds. They are applied across the laceration in a manner which pulls the skin on either side of the wound together. Wound closure strips may be used instead of sutures (stitches) in some injuries, because they lessen scarring and are easier to care for.
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After sewing, an arteriogram is run to make sure normal blood flow is returned to the leg through the new bypass graft and the incision is closed using staples or stitches. Depending on the patient's blood pressure, blood pressure medicine may be given via IV during and after the procedure to keep it within normal range.