postoperatoria integra

English translation: closed postop/closed surgical wound

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
Italian term or phrase:postoperatoria integra
English translation:closed postop/closed surgical wound
Entered by: Ashish (HIN,ENG) Nadia (ITA)

22:57 Dec 27, 2013
Italian to English translations [PRO]
Medical - Medical: Health Care / Nursing treatment tasks
Italian term or phrase: postoperatoria integra
medicazioni semplici (postoperatoria integra) o medicazione complessa (postoperatoria non integra)

integral post-operative?

this is a part of a list of services (prestazioni infermieristiche)
Ashish (HIN,ENG) Nadia (ITA)
Italy
Local time: 17:44
closed postop/closed surgical wound
Explanation:
vs open

http://www.pilonidal.org/_assets/pdf/mgmt_surg_wounds.pdf
http://codapedia.com/article_502_Coding-Excisions-and-Wound-...

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Note added at 14 hrs (2013-12-28 13:54:04 GMT)
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Zeitpunkt der Entfernung des Wundverbands bei primär ...
medcontent.metapress.com/.../W5020N5...
Nursing Times, 99. (13), 66. ... Nursing, 68 (2), 264 – 270. Borkar ... wounds. “ Open” vs “closed” postop-.


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Note added at 15 hrs (2013-12-28 14:03:31 GMT)
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http://www.internurse.com/cgi-bin/go.pl/library/article.cgi?...

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Note added at 15 hrs (2013-12-28 14:52:25 GMT)
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see also primary/secondary intenction here:
https://www.clwk.ca/cop/skin-wound-care/clinical-dsts?downlo...

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Note added at 16 hrs (2013-12-28 14:59:07 GMT)
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In closed surgical wounds the main function of the dressing is to absorb blood....
...Open surgical wounds healing by secondary intention should be dressed appropriately according to size, depth and position
http://www.pilonidal.org/_assets/pdf/mgmt_surg_wounds.pdf


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Note added at 16 hrs (2013-12-28 15:05:44 GMT)
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this is just to show different types/codes of wounds
Coding Wound Repairs.

All excisions include a simple closure as part of the surgical package, and therefore, may not be billed separately. However, for excisions that require more than a simple closure, coders can report either an intermediate (12031-12057) or complex (13100- 13160) repair, in addition to the excision. Wound repair codes should only be used when the physician uses sutures, staples, or tissue adhesives to close a wound. If a physician only uses adhesive strips to close a wound, the repair must be reported using an E/M code (99201-99499) instead.

The following steps will help you to code for a wound repair:

Step 1 – How was the wound closed?

§ Adhesive strips only (See 99201-99499.)

§ Sutures or staples, with or without tissue adhesives (See 12001-13160.)

Step 2 – What type of closure did the physician perform?

§ Simple - A single layered closure of the skin (epidermal or dermal) or subcutaneous tissues (Report no additional wound repair code if it is performed as part of an excision.)

§ Intermediate - A layered closure of one or more of the deeper layers of subcutaneous tissue and (non-muscle) fascia, plus a single layered closure of the skin (epidermal or dermal) (See 12031-12057.)

§ Complex - A repair that requires more than a layered closure to close the wound. The additional work may include a scar revision, debridment (for complicated lacerations or avulsions), extensive undermining, stents, and/ or retention sutures (See 13100-13160.)

- See more at: http://codapedia.com/article_502_Coding-Excisions-and-Wound-...

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Note added at 20 hrs (2013-12-28 19:54:37 GMT)
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I think here medicazione is a service
http://vitalsalus.it/prestazioni.html
I'm not sure medication has this meaning, it implies use of drugs/ dressings but also management of the problem. Care would be fine but how can you put it in a list? wound care?

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Note added at 21 hrs (2013-12-28 20:05:48 GMT)
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medication: the act or process of medicating
http://i.word.com/idictionary/medication
it should be ok

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Note added at 1 day11 hrs (2013-12-29 10:44:31 GMT)
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http://books.google.it/books?id=t4Ut3mTJdjcC&pg=PA258&lpg=PA...
Selected response from:

dandamesh
Grading comment
thanks. the client's agreement to your interpretation helped close the case.
4 KudoZ points were awarded for this answer



Summary of answers provided
3closed postop/closed surgical wound
dandamesh
3conservative post-operative
liz askew
1normal postop
Virginie Mair


Discussion entries: 11





  

Answers


22 mins   confidence: Answerer confidence 1/5Answerer confidence 1/5
normal postop


Explanation:
as opposed to abnormal (non integra)

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Note added at 11 hrs (2013-12-28 10:13:23 GMT)
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Maybe you need to add care (normal postop care) and the non integra would involve "postop complications" http://www.healthline.com/health/postoperative-care

This is not "my" field...

Virginie Mair
Switzerland
Local time: 17:44
Native speaker of: Native in FrenchFrench, Native in EnglishEnglish
Notes to answerer
Asker: why such low confidence?

Login to enter a peer comment (or grade)

14 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5
closed postop/closed surgical wound


Explanation:
vs open

http://www.pilonidal.org/_assets/pdf/mgmt_surg_wounds.pdf
http://codapedia.com/article_502_Coding-Excisions-and-Wound-...

--------------------------------------------------
Note added at 14 hrs (2013-12-28 13:54:04 GMT)
--------------------------------------------------

Zeitpunkt der Entfernung des Wundverbands bei primär ...
medcontent.metapress.com/.../W5020N5...
Nursing Times, 99. (13), 66. ... Nursing, 68 (2), 264 – 270. Borkar ... wounds. “ Open” vs “closed” postop-.


--------------------------------------------------
Note added at 15 hrs (2013-12-28 14:03:31 GMT)
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http://www.internurse.com/cgi-bin/go.pl/library/article.cgi?...

--------------------------------------------------
Note added at 15 hrs (2013-12-28 14:52:25 GMT)
--------------------------------------------------

see also primary/secondary intenction here:
https://www.clwk.ca/cop/skin-wound-care/clinical-dsts?downlo...

--------------------------------------------------
Note added at 16 hrs (2013-12-28 14:59:07 GMT)
--------------------------------------------------

In closed surgical wounds the main function of the dressing is to absorb blood....
...Open surgical wounds healing by secondary intention should be dressed appropriately according to size, depth and position
http://www.pilonidal.org/_assets/pdf/mgmt_surg_wounds.pdf


--------------------------------------------------
Note added at 16 hrs (2013-12-28 15:05:44 GMT)
--------------------------------------------------

this is just to show different types/codes of wounds
Coding Wound Repairs.

All excisions include a simple closure as part of the surgical package, and therefore, may not be billed separately. However, for excisions that require more than a simple closure, coders can report either an intermediate (12031-12057) or complex (13100- 13160) repair, in addition to the excision. Wound repair codes should only be used when the physician uses sutures, staples, or tissue adhesives to close a wound. If a physician only uses adhesive strips to close a wound, the repair must be reported using an E/M code (99201-99499) instead.

The following steps will help you to code for a wound repair:

Step 1 – How was the wound closed?

§ Adhesive strips only (See 99201-99499.)

§ Sutures or staples, with or without tissue adhesives (See 12001-13160.)

Step 2 – What type of closure did the physician perform?

§ Simple - A single layered closure of the skin (epidermal or dermal) or subcutaneous tissues (Report no additional wound repair code if it is performed as part of an excision.)

§ Intermediate - A layered closure of one or more of the deeper layers of subcutaneous tissue and (non-muscle) fascia, plus a single layered closure of the skin (epidermal or dermal) (See 12031-12057.)

§ Complex - A repair that requires more than a layered closure to close the wound. The additional work may include a scar revision, debridment (for complicated lacerations or avulsions), extensive undermining, stents, and/ or retention sutures (See 13100-13160.)

- See more at: http://codapedia.com/article_502_Coding-Excisions-and-Wound-...

--------------------------------------------------
Note added at 20 hrs (2013-12-28 19:54:37 GMT)
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I think here medicazione is a service
http://vitalsalus.it/prestazioni.html
I'm not sure medication has this meaning, it implies use of drugs/ dressings but also management of the problem. Care would be fine but how can you put it in a list? wound care?

--------------------------------------------------
Note added at 21 hrs (2013-12-28 20:05:48 GMT)
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medication: the act or process of medicating
http://i.word.com/idictionary/medication
it should be ok

--------------------------------------------------
Note added at 1 day11 hrs (2013-12-29 10:44:31 GMT)
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http://books.google.it/books?id=t4Ut3mTJdjcC&pg=PA258&lpg=PA...

dandamesh
Specializes in field
Native speaker of: Native in ItalianItalian
PRO pts in category: 48
Grading comment
thanks. the client's agreement to your interpretation helped close the case.
Notes to answerer
Asker: i can't find any referenvce to post operative medication in the internurse and codapedia links..

Asker: would you say that in this case 'medicazione' is dressing/care/treatment of the postoperative wound rather than medication?


Peer comments on this answer (and responses from the answerer)
neutral  liz askew: sorry, I don't think "closed" is correct. I think they are talking about caring for wounds where the skin is intact, as in stage 1 or 2 pressure ulcers....
21 hrs
  -> thanks a lot Liz! the meaning is clear to me, intregro=chiuso, sano, non aperto/ no problem Liz
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19 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5
conservative post-operative


Explanation:
http://books.google.co.uk/books?id=qAfnmOhENQ8C&pg=PA758&lpg...

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Note added at 1 day11 hrs (2013-12-29 10:53:08 GMT)
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By the way, just to make it clear "medicazioni" = dressings

http://www.salute-italia.it/dispositivi/m0402

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Note added at 1 day11 hrs (2013-12-29 10:57:05 GMT)
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http://www.rcn.org.uk/__data/assets/pdf_file/0007/109843/002...
Stag
e 1:
Pressure ulcer is
defined as an erythema of the
intact skin. The reddened area remains red after pressure
is relieved. Key features include: persistent discoloration of
the skin, including non-blanchable erythema on light
skins and blu
e-black discoloration on darker skins.
Stag
e 2:
Pressure ulcer is
defined as partial thickness skin
loss involving epidermis or dermis. The ulcer is superficial
and presents clinically as an abrasion, blister or swollen
crater

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Note added at 1 day12 hrs (2013-12-29 10:59:17 GMT)
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http://sci.washington.edu/info/pamphlets/pressure_sores.asp

STAGE ONE

Stage One

How to recognize: Skin is not broken but is red or discolored. The redness or change in color does not fade within 30 minutes after pressure is removed.

What to do:

Keep pressure off the sore!

Maintain good hygiene. Wash with mild soap and water, rinse well, pat dry carefully (but gently). Do not rub vigorously directly over
the wound.

Evaluate your diet - are you getting enough protein, calories, vitamins A and C, zinc and iron? All of these are necessary for healthy skin.

Review your mattress, wheelchair cushion, transfers, pressure releases, and turning techniques for possible cause of the problem.

If the sore seems to be caused by friction, sometimes a protective transparent dressing such as Op-Site or Tegaderm may help protect the area by allowing the skin to slide easily.

If the sore does not heal in a few days or recurs, consult your health care provider.

STAGE TWO

Stage two

How to recognize: The epidermis or topmost layer of the skin is broken, creating a shallow open sore. Drainage may or may not be present.

What to do: Follow steps 1-4 under Stage One. Consult your health care provider for further treatment, which may include the following:

5. Cleanse the wound with water or saline solution and dry carefully. Apply either a thin foam dressing (such as Allevyn), a hydrocolloid dressing (such as DuoDERM), or saline dampened gauze. The first two types of dressing can be left on until they wrinkle or loosen (up to 5 days). If using gauze, it should be changed twice a day and should remain damp between dressing changes.

6. Check for signs of wound healing with each dressing change.

7. If there are signs of infection (see Signs of Trouble , below), consult your health care provider for alternative wound care ideas and review of possible causes (see step 4 under Stage One).



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Note added at 1 day12 hrs (2013-12-29 11:01:00 GMT)
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So dressing used for stage 1 pressure sore/ulcer =

sometimes a protective transparent dressing such as Op-Site or Tegaderm may help protect the area

and dressing/s used for stage 2 pressure sore/ulcer =

Apply either a thin foam dressing (such as Allevyn), a hydrocolloid dressing (such as DuoDERM), or saline dampened gauze. The first two types of dressing can be left on until they wrinkle or loosen (up to 5 days). If using gauze, it should be changed twice a day and should remain damp between dressing changes.


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Note added at 1 day12 hrs (2013-12-29 11:04:51 GMT)
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Another interesting finding; I think "integra" refers to the dressing!

protek master aid medicazione adesiva per le ... - Farmasmile
www.farmasmile.it/.../Medicazione/.../medicazione...m...‎Translate this page
Rimuovere la carta bianca partendo dal centro. Rinnovare la medicazione quando necessario. Usare solo a confezione integra. Conservare in luogo asciutto e ...

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Note added at 1 day12 hrs (2013-12-29 11:05:15 GMT)
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SUPRASORB® A - farmaciainrete.info
www.farmaciainrete.info/MEDICAZIONI AVANZ...‎Translate this page
Le medicazioni Suprasorb® A, alginato di calcio, sterili, sono costituite da: - fibre di ... medicazione sterile, in confezione integra, ha una durata di 5 anni. 10.

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Note added at 1 day12 hrs (2013-12-29 11:15:25 GMT)
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so
I believe they could well be talking about "unexposed/closed" post-operative wound care

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Note added at 1 day12 hrs (2013-12-29 11:20:48 GMT)
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i.e

intact


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Note added at 1 day12 hrs (2013-12-29 11:22:00 GMT)
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3M Singapore: Closed / Intact Surgical Wound
solutions.3m.com.sg › ... › Skin and Wound Care‎
Skin and Wound Care Solutions; Closed / Intact Surgical Wound; Montage - sub. ... Convenient all-in-one sterile dressing; Breathable soft cloth backing with

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Note added at 1 day12 hrs (2013-12-29 11:27:41 GMT)
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For what it's worth in any case, I really don't think the Italian is at all clear.

Would it be worthwhile asking the client what they actually mean? i.e. express this in Italian in another way?

liz askew
United Kingdom
Local time: 16:44
Specializes in field
Native speaker of: Native in EnglishEnglish
PRO pts in category: 128
Notes to answerer
Asker: integra = conservative non integra = non conservative

Asker: i am not even very sure if the client thinks of expressing 'better' italian. seems to be standard prestazioni

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