Differences

This shows you the differences between two versions of the page.

--- resident:tae_chong [2020/04/13 19:12] – [Facial Artery Dissection] jonathan
+++ resident:tae_chong [2021/02/22 09:36] (current) – [Facial Artery Dissection] michael
@@ Line 25: / Line 25: @@
+=====Operating Reports=====
+General Tips:\\
+[[medical_student:diep_post-op_protocol|Dr. Chong's DIEP Post-Op Protocol]]\\
@@ Line 36: / Line 40: @@
-=====Operating Reports=====
 ==== Latissimus Muscle Flap ====
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 <WRAP half column>
+{{:resident:img_4931.jpg?400|}}
 Tourniquet: No\\
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 Divide platysma\\
 Deep fascia (bluntly)\\
-Node of Stahl - submandibular lymph node which lies superficial to facial artery at the masseter\\
+Node of Star - submandibular lymph node which lies superficial to facial artery at the masseter\\
 Marginal mandibular nerve will be superior to the incision\\
@@ Line 1046: / Line 1052: @@
 The patient is to be transferred with the Right leg ADDUcted at all times and a dry abd pad on the perineum and sacrum at all times (changed qid).\\
-Questions you will be asked:\\
-. What superficial vein may you encounter during dissection? Greater saphenous vein\\
-. What is the blood supply to the gracilis muscle? It is a type II muscle flap. Dominant pedicle is branch of medial femoral circumflex artery. It cannot survive off SFA perforators. Pedicle AND skin perforator approximately 10 cm from pubic symphsis.\\
-. Describe course of medial femoral circumflex artery? Between adductor magnus and longus.\\
-. What nerve supplies the gracilis muscle? anterior branch of obturator.\\
-. What is the Origin of the gracilis muscle? The pubic symphysis and the inferior pubic ramus.\\
-. What is the Insertion of the gracilis muscle? Medial surface of the tibia via the Pes Anserinus "goose foot".\\
-. What other muscles insert at the pes anserinus? sartorius, gracilis, semitendinosus.\\
 </WRAP>
 <WRAP half column>
+{{:resident:whatsapp_image_2020-05-10_at_5.32.20_pm.jpeg?400|}}
 Tourniquet: No\\
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 Dressings: Dermabond or steristrips depending on if Dr. Chong wants to hide scar for thigh. Tegaderm biopatch for drains, ace wrap for thigh, but don't go too high to compress tunnel. Bacitracin and ABD for perineum\\
 Restrictions: POD#0 bedrest. ABduction pillow while in bed. POD#1 okay to mobilize with PT/OT. Should walk with legs shoulder width apart. No ABduction of surgical extremity.\\
+Questions you will be asked:\\
+. What superficial vein may you encounter during dissection? Greater saphenous vein\\
+. What is the blood supply to the gracilis muscle? It is a type II muscle flap. Dominant pedicle is branch of medial femoral circumflex artery. It cannot survive off SFA perforators. Pedicle AND skin perforator approximately 10 cm from pubic symphsis.\\
+. Describe course of medial femoral circumflex artery? Between adductor magnus and longus.\\
+. What nerve supplies the gracilis muscle? anterior branch of obturator.\\
+. What is the Origin of the gracilis muscle? The pubic symphysis and the inferior pubic ramus.\\
+. What is the Insertion of the gracilis muscle? Medial surface of the tibia via the Pes Anserinus "goose foot".\\
+. What other muscles insert at the pes anserinus? sartorius, gracilis, semitendinosus.\\
 </WRAP>