CPT® Code 57112

Deleted

Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy)

The CPT® Code 57112 refers to a surgical procedure known as a complete radical vaginectomy, which involves the total removal of the vaginal wall along with the surrounding paravaginal tissue. This procedure is more extensive than a simple vaginectomy, as it includes the excision of both the vaginal wall and the paracolpium, which is the tissue adjacent to the vagina. In addition to the vaginectomy, this code encompasses a bilateral total pelvic lymphadenectomy, which is the surgical removal of lymph nodes from both sides of the pelvis, and para-aortic lymph node sampling, where lymph nodes located near the aorta are also biopsied. The procedure is typically performed through a midline abdominal incision, allowing for thorough exploration of the abdominal cavity to check for any pelvic metastases. The involvement of two surgeons may be required due to the complexity of the procedure, which necessitates careful dissection and removal of lymph nodes that may be affected by cancer. This comprehensive approach is crucial for ensuring that any potential malignancies are adequately addressed during the surgery.