CPT® Code 49654

Deleted

Laparoscopic repair of an incisional hernia, as described by CPT® Code 49654, involves a minimally invasive surgical technique aimed at correcting a hernia that has developed at the site of a previous abdominal incision. An incisional hernia occurs when there is a protrusion of tissue through a weak spot in the abdominal wall, typically due to inadequate healing of a surgical wound. This procedure is characterized by the use of a laparoscope, a thin tube with a camera, which allows the surgeon to visualize the internal structures without making large incisions. The procedure may include the insertion of a mesh, which is a common practice to reinforce the abdominal wall and reduce the risk of recurrence. The surgical approach begins with the establishment of pneumoperitoneum, which is the inflation of the abdominal cavity with gas to create a working space. This is followed by the careful dissection and repair of the hernia defect, ensuring that any adhesions are lysed and the hernia contents are properly managed. The use of mesh, when indicated, enhances the strength of the repair and is affixed to the abdominal wall to support the area of weakness. Overall, this procedure is designed to restore the integrity of the abdominal wall while minimizing recovery time and complications associated with traditional open surgery.