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618.1 Prolapse, uterine; 619 Fistula involving female genital tract. 619.0 Urinary-genital tract fistula, female Vesicovaginal fistula; 620 Noninflammatory disorders of ovary, fallopian tube, and broad ligament. 620.0 Cyst of ovary, follicular; 620.1 Corpus luteum cyst; 621 Disorders of uterus, not elsewhere classified 621.2 Uterus, hypertrophy
The Manchester operation, Manchester repair or simply Fothergill operation is a technique used in gynaecologic surgeries. It is an operation for uterine prolapse by fixation of the cardinal ligaments. Its purpose is to reduce the cystourethrocele and to reposition the uterus within the pelvis. The major steps of the intervention are listed below:
After pelvic exenteration, many patients will have perineal hernia, often without symptoms, but only 3–10% will have perineal hernia requiring surgical repair. [4] Many problems can occur with the stoma. [1] Bowel obstruction may occur, or the anastomosis created by the surgery may leak. [1] The stoma may retract, or may prolapse. [1]
repair of a urethra that is short [5] vaginal construction [3] [6] vaginal reconstruction [3] [6] vaginal vault prolapse [7] vaginal suspension and fixation [3] [6] operations on recto-uterine pouch [3] [6] repair of cystocele [3] [6] and rectocele [3] retropubic paravaginal repair [8] the repair of a cystocele using a graft or prosthesis [3] [6]
ICD-9-CM Volume 3 is a system of procedural codes used by health insurers to classify medical procedures for billing purposes. It is a subset of the International Statistical Classification of Diseases and Related Health Problems (ICD) 9-CM.
The ICD-10 Procedure Coding System (ICD-10-PCS) is a US system of medical classification used for procedural coding.The Centers for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set in the U.S., contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification system to replace Volume 3 of ICD-9-CM.
When operating a pelvic organ prolapse, introducing a mid-urethral sling during or after surgery seems to reduce stress urinary incontinence. [13] Transvaginal repair seems to be more effective than transanal repair in posterior wall prolapse, but adverse effects cannot be excluded. [ 14 ]
[3] [4] Complications may arise from concomitant surgery and inappropriate surgical techniques, while they can also be prevented with uterus preservation. [5] [6] Transvaginal mesh was once used widely for nearly 25% of prolapse interventions until the FDA ban, yet approximately 1 out of 15 patients required a mesh removal in the past decade ...