CPT® Code 44800

Meckel's diverticulum is a congenital anomaly that arises from the incomplete obliteration of the omphalomesenteric duct, also known as the vitelline duct. This condition results in the formation of a vestigial pouch or connection between the intestine and the umbilicus, which can lead to various complications. The excision of Meckel's diverticulum, referred to as diverticulectomy, is a surgical procedure aimed at removing this abnormal pouch to prevent or address potential complications such as obstruction, inflammation, or bleeding. The procedure typically involves making a midline incision in the abdomen to access the diverticulum. Once located, the diverticulum is carefully isolated, and if it possesses a mesentery, this structure is clamped, divided, and ligated to ensure proper removal. The diverticulum itself is then excised in a transverse manner relative to the ileum, and any associated blood supply is addressed by dividing the artery on the ileal mesentery that supplies the diverticulum. Following the excision, the operative site is irrigated to maintain cleanliness, and the abdominal incisions are subsequently closed to promote healing. This procedure is essential for managing the complications associated with Meckel's diverticulum and restoring normal intestinal function.