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The CPT® Code 58410 refers to a surgical procedure known as uterine suspension, which may include the shortening of the round ligaments and/or sacrouterine ligaments, and can also involve a presacral sympathectomy. Uterine suspension is a surgical intervention aimed at repositioning the uterus to alleviate various gynecological issues. This procedure is typically performed when there is a need to correct uterine prolapse or to provide support to the uterus, which may be compromised due to factors such as childbirth or aging. The procedure can be performed as a standalone operation or in conjunction with other surgical techniques, such as the presacral sympathectomy, which is intended to relieve pelvic pain by interrupting nerve pathways. While open uterine suspension was once a common approach, it has largely been supplanted by laparoscopic techniques, which offer benefits such as reduced recovery time and less postoperative pain. During the procedure, the surgeon makes an incision in the abdomen to access the uterus and the associated ligaments, allowing for the necessary adjustments to be made to restore proper anatomical positioning and function.
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