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 The carpal tunnel incision was closed with 5-0 vicryl deep dermals followed by 5-0 nylon simple interupted sutures. The cubital tunnel was closed with 5-0 vicryl sutures followed by 5-0 monocryl running subcuticular sutures.
+===== Mathes =====
+==== Dr. Mathes Tissue Expander ====
+Dr. Mathes Post-Operative Instructions\\
+Breast Tissue Expanders\\
+\\
+Dressing \\
+  * You have a soft surgical bra in place.  You may change the gauze or pads inside the bra as needed if they become damp or soiled.
+  * 48 hours after surgery, you may remove the surgical bra and dressings, and shower.  Leave Steri-strips in-place, and pat them dry after showering.  Do not submerge in water (tub bath, pool, hot tub) for 4 weeks after surgery.
+  * You may wear the surgical bra as needed for comfort, or you may go bra-less.
+  * If needed, apply antibiotic creme to any blistered areas, twice a day.
+  * NO ICE to the breasts.
+\\
+Drains\\
+  * You will be sent home from the hospital with drains in place.  Empty the drains as instructed twice a day, and record the amount emptied each time, for each drain.
+  * Bring the record with you to your post-op appointment, as this will determine if the drains may be removed.  Drains are removed when draining less than 30cc per day.
+  * Make sure the bulbs are collapsed on suction after you empty them.
+  * You may shower with your drains, but be careful not to accidentally pull them out.  Do not take a tub bath until after your drains are removed and the drain sites are  healed.
+\\
+Pain\\
+  * You will have some pain and discomfort from your surgery
+  * Take the pain medication that you have been prescribed
+  * If you have extreme pain not relieved by the pain medicine, or if you have swelling, fever, redness or drainage from your wound, call immediately
+\\
+Activity\\
+  * You should begin walking as much as possible immediately after surgery.
+  * Refrain from lifting greater than 10 pounds, and strenuous activity or exercise, for 4 weeks after surgery.
+  * Do NOT sleep on reconstructed breasts—sleep on back, only.
+\\
+Post-operative appointment:\\
+-10 days after your surgery day.  If you don’t already have your post-op appointment scheduled, please call the number below to schedule with Dr. Mathes:\\
+\\
+The Plastic Surgery clinic, E building 3rd Floor - Maroon Peak\\
+-857-5817\\
+Date:\\
+Time:\\
+\\
+Prescriptions given:\\
+Pain Medicine:\\
+Antibiotics:\\
+Anti-nausea medicine:\\
+\\
+If you have further questions, please call the Plastic Surgery Clinic at 720-857-5817.  If you require immediate attention after business hours, call the hospital 24-Hour Emergency Nurse Line at (866) 369-8020.