Blepharoplasty
Prophylactic Back Closure
Prophylactic back closure involves suturing the back of a surgical wound to prevent potential complications or ensure a better healing outcome, often used in high-risk or complex surgeries.
01 - Patient Setup
Pre-op Meds: Ancef, Clindamycin if PCN allergy
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: 50/50
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 AM prior to D/C
Post-op activity restrictions: No heavy activity for 24 wks
Follow up: 1 wk
Post-Op Instructions obtain from MedConnect
02 - Case Details
Special Instruments: Skin stapler
Devices/Implants: Hospital VAC, customizable Prevena sponge
Hypodermic needles: N/A
Syringes: 21 guage on 20mL syringe
Drains: 2-3 #15 French Blake Drains
Suture: 0 Vicryl CT1 or CTX, 2-0 Vicryl CT1, 2-0 PDS CT1, 2-0 Prolene CT1
Anesthesia on field: None
Dressing: Prineo