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A rectal stricture refers to the abnormal narrowing of a segment of the rectum, which can significantly impact bowel function and overall health. This condition may arise from various causes, including inflammation, trauma, or injury to the rectal area. Such injuries can result from previous surgical procedures, radiation therapy, or other forms of trauma, leading to the formation of scar tissue. This scar tissue can contract over time, resulting in the constriction of the rectal passage. The procedure associated with CPT® Code 45150 involves a transanal approach to address this issue. During the procedure, the surgeon identifies the narrowed segment of the rectum, incises the rectal wall, and carefully divides the contracted tissue. Importantly, the surgical site is left open to heal by secondary intention, allowing for natural healing processes to occur without the need for sutures. This method aims to restore normal rectal function and alleviate symptoms associated with the stricture.
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