Kenneth L. Fan, MD

Specialties: Plastic Surgery

Languages: English

Direct-to-Implant (DTI) Breast Reconstruction

Implant breast reconstruction at the time of mastectomy without first implanting a tissue expander.

01 - Patient Setup

Pre-op Meds: Clindamycin

Anesthesia: General

Patient position: Supine

Bed position: No turn

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

Side Table: N/A

Lights: Overhead only

Power: 2 Bovie Machines

Bovie Settings: 30/30 protected

Preinjection: None

Prep: Chloraprep

Drapes: Universal

Instrument sets: Plastics major set

03 - Post-Op Information

Admission status: Same Day Surgery

Estimated time: 3 hrs

Coding: 19318-50, 611.1, 724.2, 724.4

Post-op wound care: Drains out in 2-3 wks, abx while drains are in.

Post-op activity restrictions: No heavy activity for 4 wks

Follow up: 2 wks

Post-Op Instructions obtain from MedConnect

02 - Case Details

Special Instruments: N/A

Devices/Implants: N/A

Hypodermic needles: N/A

Syringes: Tumescent instruments

Drains: 2 #15 Blake Drains

Suture: 2-0 PDS, 2-0 Stratofix, 3-0 Stratofix, 3-0 monocryl, 4-0 Monocryl

Anesthesia on field: None

Dressing: Prineo, surgical bra