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Table of Contents
Mathes Papers
Breast Recon Revision
Sutures: for incision use 3-0 and 4-0 monocryl. Stab incisions for liposuction or fat grafting closed with 5-0 fast gut
Dressings: Bra with ABD pads, Binder with ABD pads, Mastasol (NOT benzoin) and steri strips over incisions, steri strip over stab incisions. No need to wrap/compress liposuction sites. Okay for DERMABOND® PRINEO® Skin Closure System.
Equipment: Uses silk tie with two mosquitos for measuring symmetry. 5 staplers.
Markings: Standard breast markings. Mark midline by sternal notch and introits.
Prep: Chloraprep
Tissue Expander to Implant Exchange
Intraoperative antibiotics. No antibiotics for home. Sutures: 3-0 vicryl for capsule, 3-0 monocryl deep dermal, 4-0 monocryl subcuticutlar
Fat Grafting
Intraoperative antibiotics. 1 week of Keflex for home. Close stab incisions with 5-0 fast gut. Steri strip dressing.
Pimp Questions
Clip the artery or vein first on a flap? The artery first so the flap isn't engorged with blood
DIEP
“Mark midline once patient is on table but BEFORE prepping If no CT scan, make sure you doppler out perforators BEFORE prepping”
Micro Take Back
Only remove A FEW staples if you think there is venous congestion. Hematoma should be handled in OR