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Table of Contents
Dr. Mathes Introduction
- 1988 – 1992
Vanderbilt University, Nashville, TN - B.A., European History (High honors in History), Minor Degree in Studio Art, Magna Cum Laude
- 1992 – 1996
Tulane University Medical School, New Orleans, LA, Doctor of Medicine
- 1996 – 1998 Categorical Surgical Resident
New York Presbyterian Hospital, Weill-Cornell Medical Center, Department of Surgery, New York, NY
- 1998 – 2001 Research Fellow
Massachusetts General Hospital, Harvard Medical School, Department of Surgery, Boston, MA
- 2001 – 2003 Categorical Surgical Resident
New York Presbyterian Hospital, Weill-Cornell Medical Center, Department of Surgery, New York, NY
- 2003 – 2004 Chief Resident and Clinical Instructor in General Surgery
New York Presbyterian Hospital, Weill-Cornell Medical Center, Department of Surgery, New York, NY
- 2004 – 2006 Resident in Plastic and Reconstructive Surgery
University of Texas, Southwestern Medical Center, Department of Plastic and Reconstructive Surgery, Dallas, TX
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