Abdominoplasty

A cosmetic surgical procedure to augment the shape and appearance of the abdomen.

01 - Patient Setup

03 - Post-Op Information

Pre-op Meds: Ancef or Clindamycin

Anesthesia:  General

Patient position: Supine 

Bed position: No turn

DVT ppx:  Compression boots on - working BEFORE induction of anesthesia

Side Table: None

Lights: Overhead door lights only

Power: None

Bovie Settings: 2 bovies, Teflon guarded tips, 30/30  setting

Preinjection: None

Prep:  Chloraprep

Drapes:  Universal (comes in a pack)

Instrument sets:  Abdominoplasty set

Admission status: Overnight or same-day

Estimated time: 3 hrs

Coding: CPT = 15847 or 15830, ICD-9 = Z41.1

Post-op wound care:  JP drain instruction, no bath for 10 days, shower okay

next day.

Post-op activity restrictions:  No heavy exertion for 3 wks, remain in flux position while moving for 1 wk

Follow up:  1 wk

02 - Case Details 

Special Instruments: Liposuction machine

Devices/Implants: .25% marcaine w 1/200k epinephrine

Hypodermic needles:  21 gauge

Syringes: 10 mL syringe

Drains: 2 #19 Blake drains

Suture: 0 Ethibond, 2-0 PDS, 2-0 Stratofix, 3-0 Stratofix, 4-0 Monocryl, 5-0 chromic

Anesthesia on field: 1% lidocaine 1/100 K epinephrine

Dressing:  Derma bond, Telfa, Tegaderm