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Get Rid of the Medical and Physical Discomfort of Large Breasts

Big breasted women are the envy of women who are not gifted with big bosom. But is it really great to have huge breasts? The upper extremities of women with oversized breasts are not in proportion with their frame and this can result to a number of health problems. The medical and physical discomfort of large breasts can interfere with the daily activities of big breasted women.

The medical and physical discomfort of large breasts can be very disturbing and depressing. Neck, shoulder and back pain are the common problems of big breasted women. Those two huge breasts can put so much stress on your neck, back and spine that can lead to a number of spinal and back problems. The strap of your bra can create painful deep grooves or cuts on your shoulder that can be very uncomfortable.  Another physical discomfort of large breasts is the inability to engage in physical activities like running because it can result to breast pain.

Freedom from physical pain is important to have a happy and healthy life. It can be very difficult to suffer from pain on a daily basis and it can be very frustrating and unhealthy to live a sedentary life. It is important to find a way to get rid of the physical discomfort of large breasts. Is there something you can do about it? The answer is yes there is a way to get rid of the discomfort of large breasts and the solution is breast reduction.

Reducing the size of your breast is the best way to get rid of physical pain of carrying huge breasts. There are two ways to reduce your breast size. One is through breast reduction surgery and another one is through herbal breast reduction treatment.

Choosing a safe and effective method is important. Although surgery is the common solution, it is not for everyone. You have to think many times before subjecting yourself under the knife because any surgery is accompanied by risks. Aside from the high cost of surgery you may also suffer from irreversible side effects.

Fortunately, you have another option which is the herbal breast reduction treatment. Herbal breast reduction pills have been developed under the supervision of nutritionists and medical scientists to help women reduce the size of their breasts and get rid of the physical discomfort of large breasts.

Do you want to wake up one morning with firmer, lighter and smaller breasts without going under the knife? Reduce your breast size naturally, visit Natural Breast Reduction Treatment

To know more about beauty and health remedies visit Health and Beauty Link

Gerry Restrivera writes informative articles on various subjects including Get Rid of the Medical and Physical Discomfort of Large Breasts. You are allowed to publish this article in its entirety provided that author’s name, bio and website links must remain intact and included with every reproduction.

Debridement and Secondary complex closure of wound dehiscence of bilateral breasts

Assistance needed in coding this case for our ASC.

The physician wants to code as 11010 X 2 & 13160 X 2; however, those codes bundle leaving us with just 13160 as the procedure was performed in the same anatomical site.

My question is, would it be appropriate to code 13160 and 19340 LT for the extra work that went into the left side with the implant being removed, cleaned and replaced?

Pre/Post Op Dx: Bilateral incisional dehiscence of breast reconstruction, status post bilateral mastectomy and immediate reconstruction.

Procedures Performed:
1. Debridement of bilateral breast
2. Secondary complex closure of wound dehiscence of bilateral breast

Indications and Findings:
Patient approximately one month status post bilateral mastectomy and immediate reconstruction using AlloDerm and a permanent implant. Today in followup, she was noted to have dehiscence of her incisions bilaterally. On the right, she remained with viable muscle at the base of her dehiscence; however, on the left, there was exposure of her underlying AlloDerm, and is now returned to the operating room for a secondary closure and attempted salvage.

On the right, the patient was noted to have incisional dehiscence; however, the pectoralis muscle remained viable at the base of the wound. There was no evidence of purulence. On the left, there was exposure of the underlying AlloDerm covering the implant. However, again, there was no evidence of purulence or significant infection. On the left, the wound was initially profusely irrigated with a Pulsavac irrigation system. The implant was then removed, and the entire wound again thoroughly irrigated, and the implant was soaked in Betadine for approximately 25 minutes. The implant was replaced and the wound secondarily approximated as described below.

Description: After anesthesia, the left breast wound was then cultured following which the anterior chest wall was prepped and draped in the usual sterile fashion. Nonviable tissue along the margins of both incisions were sharply debrided. Both wounds were then irrigated with the Pulsavac irrigation system using a betadine saline solution. On the right, the patient was noted to have viable pectoralis muscle at the base of the area of dehiscence; however, on the left, there was exposure of the acellular dermal matrix. The matrix was transected at the area of dehiscence and the implant removed. Again, there was noted to be no evidence of any purulence whatsoever within the pocket. The implant was completely submerged in a betadine solution following which the pocket on the left was again irrigated with a Pulsavac irrigation system. The entire operative field was then broken down and reprepped and draped in the usual sterile fashion. The pocket on the left was then again irrigated with 3 liters of a betadine/saline solution following which the implant was replaced within the pocket. The dehiscence was then approximated using interrupted sutures of 3-0 Vicryl to approximate the acellular dermal matrix in deep subcutaneous tissues. The wound was again irrigated with the Pulsavac irrigation system and the skin approximated using interrupted horizontal mattress sutures of 3-0 Prolene. On the right, the wound was reapproximated using interrupted horizontal mattress sutures of 2-0 Prolene. A sterile dressing consisting of xeroform gauze and Tegaderm was applied following which the patient was taken to the step-down unit in stable condition. All counts were correct. There were no complications.:confused::confused:

Medical Billing and Coding Forum

O’Clock positions of breasts

Hi All,

Just wondering if anyone is using the SEER’s coding manual (O’Clock positions and codes) for coding breast neoplasms. We are facility based and quadrants are documented in positioning from radiology, biopsies, and pathology. Do you think this is correct?

Thank you!

Josie

Medical Billing and Coding