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SAME-DAY SURGERY DIAGNOSIS: Inverted nipple with mammary duct ectasia, left. OPERATION: Excision of

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SAME-DAY SURGERY

DIAGNOSIS: Inverted nipple with mammary duct ectasia, left. OPERATION: Excision of mass deep to left nipple.

With the patient under general anesthesia, a circumareolar incision was made with sharp dissection and carried down into the breast tissue. The nipple complex was raised up using a small retractor. We gently dissected underneath to free up the nipple entirely. Once this was done, we had the nipple fully unfolded, and there was some evident mammary duct ectasia. An area 3 x 4 cm was excised using electrocautery.

Hemostasis was maintained with the electrocautery, and then the breast tissue deep to the nipple was reconstructed using sutures of 3-0 chromic. Subcutaneous tissue was closed using 3-0 chromic, and then the skin was closed using 4-0 Vicryl. Steri-Strips were applied. The patient tolerated the procedure well and was returned to the recovery area in stable condition. At the end of the procedure, all sponges and instruments were accounted for.

A. 19112, N60.42

B. 11404-LT, N62

C. 19120-RT, N60,42

D. 19120-LT, N60.42

SCIENCE
HEALTH SCIENCE
NURSING
CODING HIT215

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