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Resection Abdomen Bursa and Ligament, Right to No Qualifier with No Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | M Bursae and Ligaments |
| Operation | T Resection |
| Body Part | H Abdomen Bursa and Ligament, Right |
| Approach | 0 Open |
| Device | Z No Device |
| Qualifier | Z No Qualifier |
Operation Definition
Cutting out or off, without replacement, all of a body part
Procedure Overview
Resection procedures in this family involve cutting out an entire bursa or ligament without replacing it, typically because the structure has become a source of chronic pain, inflammation, or dysfunction that outweighs its remaining usefulness. A classic example is bursectomy for chronic olecranon or prepatellar bursitis that has failed conservative treatment, where the inflamed bursal sac is excised in its entirety rather than drained or repaired.
Surgeons pursue full resection when a bursa is persistently infected, calcified, or thickened, or when a ligament is so degenerated or contributing to impingement that removing it altogether is more beneficial than attempting repair. Unlike partial excisions performed to biopsy or debride tissue, resection removes the whole named structure. Patients typically recover well because bursae and many accessory ligaments are not essential to joint function once inflammation is resolved.
Anatomy & Axis Detail
Abdomen Bursa and Ligament, Right
On the right side of the abdominal wall, ligamentous structures such as the falciform and round ligament attachments along with fascial condensations act as suspensory support for the anterior abdominal viscera, and adjacent bursal-type tissue can develop adhesions or cystic degeneration after prior surgery. Resection here is most often performed to remove a symptomatic ligamentous remnant, a hernia-associated fibrous band, or tissue infiltrated by an abdominal wall tumor, all entirely on the right side. Because the abdominal wall ligaments are thin and closely associated with the peritoneum and rectus sheath, the surgeon must define a clear margin to ensure the entire structure is taken without breaching the peritoneal cavity unnecessarily. Laterality is essential to accurate coding, and the operative note should specify the right-sided origin and full extent of the excised tissue.
Approach: Open
Open approach means the surgeon cuts through skin, mucous membrane, or other tissue layers to physically expose the target site to view before performing the procedure. It gives direct visualization and hands-on access, distinguishing it from Percutaneous approaches where instruments pass through a small puncture without exposing the site. Open is typical for procedures needing wide access, such as most laparotomies.
Coding & Documentation
A coder selects Resection when the documentation confirms complete removal of an entire bursa or ligament, not just a portion, and no replacement or graft material is used. Look for terms such as "bursectomy," "complete excision," or "ligament removed in its entirety." A common error is applying Resection when only part of the structure was taken, which should instead be coded as Excision, a distinct root operation reserved for partial removal. Coders also need to verify that removal was not a preliminary step to a Replacement procedure performed in the same operative episode, which would require separate coding.