In simple words: This procedure fixes a birth defect where a baby's intestines or other abdominal organs are outside the body. The surgeon puts the organs back inside the belly and closes the opening, sometimes using a special patch for support.

This code describes a surgical procedure to repair a large omphalocele or gastroschisis, which are birth defects of the abdominal wall.The procedure involves returning the herniated abdominal contents back into the peritoneal cavity. Depending on the size of the defect, the surgeon may close the abdominal wall directly or use a prosthetic material (like silicon elastomer sheeting) to provide support and prevent complications like an enterocutaneous fistula. The incision is then closed.

Example 1: A newborn is diagnosed with a large omphalocele containing a significant portion of the small intestine and liver. The surgeon performs a staged repair, using a silo to gradually reduce the herniated organs into the abdominal cavity before final closure., An infant presents with gastroschisis, with exposed bowel loops to the right of the umbilicus.The surgeon performs code 49605 to return the bowel to the abdomen and repair the abdominal wall defect, utilizing a prosthesis to reinforce the closure due to the large size of the defect., A newborn with a giant omphalocele requires a complex, multi-stage repair. The initial surgery involves placing the exposed organs in a protective silo. Subsequent procedures involve gradually reducing the organs into the abdominal cavity and ultimately closing the defect with a prosthesis.

Documentation should include the type of abdominal wall defect (omphalocele or gastroschisis), size of the defect, organs involved, operative technique (primary vs. staged repair), use of prosthesis (if applicable), and any associated anomalies.Post-operative complications should also be documented.