How to Answer Operative Report Shunt Questions (Complete Guide)

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Original Question

Operative Report, Shunt Repair This is a report of a shunt obstruction, which represents a diagnosis of a mechanical complication of a shunt, specifically a ventricular catheter device (T85.-). LOCATION: Inpatient, Hospital PATIENT: Dean Rob ATTENDING PHYSICIAN: Timothy Pleasant, MD SURGEON: Timothy Pleasant, MD PREOPERATIVE DIAGNOSIS: Shunt obstruction POSTOPERATIVE DIAGNOSIS: Fracture of shunt PROCEDURE PERFORMED: Repair of shunt. Replacement of ventricular catheter and valve. ANESTHESIA: General Under general anesthesia, the patient’s right head was prepped and draped in the usual manner. The entire abdomen and neck were draped. We were planning to possibly replace the entire shunt. After incising over the head and the shunt in the right posterior parietal area, it was obvious what the problem was. I incised the skin, turned down the flap, and the ventricular end of shunt had fractured from the shunt valve. I removed the valve. I removed the ventricular end and replaced it with a Delta One valve and 6 cm (centimeter) of ventricular shunt tubing and connected it up to the peritoneal catheter. It flowed easily. We did not inspect the peritoneal end, hoping that this would do and solve the problem. The fluid flowed freely into the peritoneal cavity. What I think happened here was the child probably hit his head and fractured the tube. PROCEDURE:After reconnecting the shunt, we then closed the galea with 2-0 Vicryl interrupted and 4-0 nylon sutures on the skin. A dressing was applied. The patient was discharged to the PAR (postanesthesia recovery). SERVICE CODE(S): ICD-10-CM DX CODE(S):

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