CPT® Code 49655

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Laparoscopic repair of an incisional hernia, as described by CPT® Code 49655, involves a minimally invasive surgical technique aimed at correcting a hernia that has become incarcerated or strangulated. An incisional hernia is characterized by a protrusion at the site of a previous surgical incision that has not healed properly, leading to a defect in the abdominal wall. The procedure may include the insertion of a mesh to reinforce the area, which is particularly important in cases where the hernia is complicated by incarceration or strangulation. Incarceration refers to the trapping of abdominal contents, such as a loop of bowel, within the hernia sac, while strangulation indicates that the blood supply to the trapped tissue has been compromised, potentially leading to tissue necrosis. The laparoscopic approach allows for a thorough examination of the abdominal cavity, the release of any adhesions, and the careful repair of the hernia defect, all while minimizing recovery time and postoperative discomfort for the patient.