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Breast Reduction

Also known as reduction mammoplasty, a breast reduction is a surgical procedure to reduce size of large breasts.

01 - Patient Setup

Pre-op Meds: Ancef, Ciprofloxacin 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: Tumescent

Prep:  Chloraprep

Drapes:  breast body drapes

Instrument sets:   Breast Reduction Set

03 - Post-Op Information

Admission status: 23 hr observation

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 2 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

 

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