Question

INPATIENT HOSPITAL Gender: F Age: 61

Preprocedure diagnosis: Gangrene in left great toe due to nonhealing plantar (sole of foot) ulcer

Procedure description: Midlevel amputation of L great toe at interphalangeal joint

Postprocedure diagnosis: Diabetes with gangrene

1. What is the stated procedure?

  

2.What organ or body part is involved?

  

3.Is the procedure description what you would expect based on the name of the procedure?

  

4.Was more than one procedure, or a combined procedure, performed?

  

5.Review the Key Criteria for Abstracting Root Operations. To which question did you answer yes?

  

6.Review the definitions of the root operations that answer this question. Which root operation correctly describes this procedure?

  

7.Review the Key Criteria for Abstracting the Approach. What surgical approach is used?

  

8.At what joint was the amputation performed?

  

9.Is this site a low-, mid-, or high-level amputation?

Answer 1

1) The patient with 61 years old female has a diabetes gangrene on her left foot so the stated procedure is mid foot amputation at the interphalangeal joint of left toe.

2) The organ or the body part involved in this procedure is foot in the lower extremity.

3) As a procedure description the incision will be made at the left toe with a local or general anesthesia. The left toe incision on the interphalangeal joint and cut the part of toe. Then a flap from the other body part is taken to cover the toe skin.