CPT® Code 44227

Laparoscopic closure of an enterostomy involves a minimally invasive surgical procedure aimed at closing an opening created in the abdominal wall for the purpose of diverting intestinal contents. This procedure can be performed on either the small or large intestine and is typically indicated when the enterostomy is no longer needed. The process begins with the creation of a small incision near the umbilicus, through which a trocar is inserted to establish pneumoperitoneum, allowing for the inflation of the abdominal cavity with gas. This inflation provides the necessary space for the surgeon to visualize and access the internal organs using a laparoscope. Additional trocars are then placed in the upper and lower abdomen to facilitate the insertion of surgical instruments. The surgeon inspects the abdominal viscera, addresses any adhesions, and identifies the distal intestinal or rectal stump for mobilization. The stoma, which is the end of the intestine that protrudes through the abdominal wall, is carefully dissected from the surrounding tissue. The procedure includes resection of the enterostomy and anastomosis, which involves connecting the two segments of the intestine to restore continuity. This technique is advantageous as it minimizes recovery time and reduces postoperative pain compared to traditional open surgery.