Blepharoplasty
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Breast Reduction
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Local Tissue Transfer
Vascular dissection and detachment of a body specific region and transfer to another region of the body.
01 - Patient Setup
03 - Post-Op Information
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Pre-op Meds: Ancef or Clindamycin, Decadron 8 mg
Anesthesia: General or IV sedation
Patient position: Supine (usually)
Bed position: Pending location of flap (usually 90°)
DVT ppx: Compression boots on - working BEFORE induction of anesthesia
Side Table: None
Lights: Surgical headlamp for surgeon
Power: N/A
Bovie Settings: 20/20 Colorado Tip
Preinjection: 1% lidocaine, 1/100 K epinephrine
Prep: Betadine on skin, chlorhexidine in mouth
Drapes: Face - towels w/ split sheet, Body - towels + laparotomy drape
Instrument sets: Standard soft tissue set
Admission status: Case dependent
Estimated time: Case dependent
Coding: ___
Post-op wound care: Case dependent
Post-op activity restrictions: Case dependent
Follow up: 1 wk for facial surgery, 2 wks for body/extremity surgery
02 - Case Details
Special Instruments: None
Devices/Implants: None
Hypodermic needles: 27 gauge
Syringes: 10 mL syringe
Drains: none
Suture: Case dependent
Anesthesia on field: Pre-inject prior to prepping
Dressing: Case dependent
Rhinoplasty
Surgical cosmetic procedure involving the reshaping or repositioning of the nose to enhance improve facial harmony.
01 - Patient Setup
Pre-op Meds: Ancef or Clindamycin, Decadron 8 mg
Anesthesia: General
Patient position: Supine
Bed position: 90° (R side of patient facing surgeon, L side facing anesthesia)
DVT ppx: Compression boots on - working BEFORE induction of anesthesia
Side Table: Prep table includes 10 mL 1% lidocaine, 1/100 K epinephrine, 27 gauge needle, speculum, packing forceps, 6 nasal pledges soaked in __, scissors
Lights: Surgical headlamp for surgeon
Power: 9
Bovie Settings: 10-10, Colorado Tip
Preinjection: See "Side Table"
Prep: Betadine
Drapes: 4 towels w/ split sheet
Instrument sets: Tebbets rhinoplasty set, septoplasty set
03 - Case Details
02 - Instrument Sets
Rhinoplasty Set
Special Instruments: carving block, carving grid, graft templates, and dorsal nasal sizers
Special Instruments: Carving block + grid, graft templates, dorsal nasal sizers.
Devices/Implants: None
Hypodermic needles: 27 gauge
Syringes: 10 mL w/ 1% lidocaine, 1/100 K epinephrine
Drains: none
Suture: 5-0 PDS undid cutting small needle, 6-0 praline taper, 4-0 plain gut straight needle, 5-0 chromic RB-1
Anesthesia on field: 10 cc 1% lidocaine 1-100 K epinephrine
Dressing: benzoin + 0.5 in Steri-Strips cut by surgeon
04 - Post-Op Information
Admission status: SDS
Estimated time: 2 hrs
Coding: ICD-9 478.19, 470.0, 905.0. CPT ask surgeon
Post-op wound care: Minimize nose bleeding, knees w/ open mouth, drip pads for bleeding.
Post-op activity restrictions: No vigorous activity for 2 wks
Follow up: 1 wk
Rhinoplasty
Surgical cosmetic procedure involving the reshaping or repositioning of the nose to enhance improve facial harmony.
01 - Patient Setup
Pre-op Meds: Ancef or Clindamycin, Decadron 8 mg
Anesthesia: General
Patient position: Supine
Bed position: 90° (R side of patient facing surgeon, L side facing anesthesia)
DVT ppx: Compression boots on - working BEFORE induction of anesthesia
Side Table: Prep table includes 10 mL 1% lidocaine, 1/100 K epinephrine, 27 gauge needle, speculum, packing forceps, 6 nasal pledges soaked in __, scissors
Lights: Surgical headlamp for surgeon
Power: 9
Bovie Settings: 10-10, Colorado Tip
Preinjection: See "Side Table"
Prep: Betadine
Drapes: 4 towels w/ split sheet
Instrument sets: Tebbets rhinoplasty set, septoplasty set
03 - Case Details
02 - Instrument Sets
Rhinoplasty Set
Special Instruments: carving block, carving grid, graft templates, and dorsal nasal sizers
Special Instruments: Carving block + grid, graft templates, dorsal nasal sizers.
Devices/Implants: None
Hypodermic needles: 27 gauge
Syringes: 10 mL w/ 1% lidocaine, 1/100 K epinephrine
Drains: none
Suture: 5-0 PDS undid cutting small needle, 6-0 praline taper, 4-0 plain gut straight needle, 5-0 chromic RB-1
Anesthesia on field: 10 cc 1% lidocaine 1-100 K epinephrine
Dressing: benzoin + 0.5 in Steri-Strips cut by surgeon
04 - Post-Op Information
Admission status: SDS
Estimated time: 2 hrs
Coding: ICD-9 478.19, 470.0, 905.0. CPT ask surgeon
Post-op wound care: Minimize nose bleeding, knees w/ open mouth, drip pads for bleeding.
Post-op activity restrictions: No vigorous activity for 2 wks
Follow up: 1 wk
Breast Reduction
Surgical cosmetic procedure involving the reshaping or repositioning of the chin to enhance improve facial harmony.
01 - Patient Setup
02 - Instrument Sets
03 - Case Details
Special Instruments:None
Devices/Implants: Stryker genioplasty plates
Hypodermic needles: 27gauge
Syringes: 10 mL
Drains: none
Suture: 2-0 monocryl, 4-0 chromic
Anesthesia on field: 10 mL 1% lidocaine 1-100 K epinephrine
Dressing: elastoplast dressing w/ benzoin
Genioplasty Set
04 - Post-Op Information
Admission status: SDS
Estimated time: 45 min
Coding: 21121, v50.1
Post-op wound care: Full liquid diet 2 wks
Post-op activity restrictions: No strenuous activity for 2 wks
Follow up: 1 wk
Pre-op Meds: Ancef or Clindamycin
Anesthesia: General
Patient position: Supine
Bed position: 90°
DVT ppx: Compression boots on - working BEFORE induction of anesthesia
Side Table: None
Lights: Surgical headlamp for surgeon
Power: Yes, Elone E or microhall w/ reciprocating saw + drill
Bovie Settings: Teflon guarded, setting 30/30
Preinjection: 10 mL lidocaine 1/100 K epinephrine
Prep: Betadine on skin, chlorhexidine in mouth
Drapes: 4 towels w/ split sheet
Instrument sets: Genioplasty set
Genioplasty
Surgical cosmetic procedure involving the reshaping or repositioning of the chin to enhance improve facial harmony.
01 - Patient Setup
02 - Instrument Sets
03 - Case Details
Special Instruments:None
Devices/Implants: Stryker genioplasty plates
Hypodermic needles: 27gauge
Syringes: 10 mL
Drains: none
Suture: 2-0 monocryl, 4-0 chromic
Anesthesia on field: 10 mL 1% lidocaine 1-100 K epinephrine
Dressing: elastoplast dressing w/ benzoin
Genioplasty Set
04 - Post-Op Information
Admission status: SDS
Estimated time: 45 min
Coding: 21121, v50.1
Post-op wound care: Full liquid diet 2 wks
Post-op activity restrictions: No strenuous activity for 2 wks
Follow up: 1 wk
Pre-op Meds: Ancef or Clindamycin
Anesthesia: General
Patient position: Supine
Bed position: 90°
DVT ppx: Compression boots on - working BEFORE induction of anesthesia
Side Table: None
Lights: Surgical headlamp for surgeon
Power: Yes, Elone E or microhall w/ reciprocating saw + drill
Bovie Settings: Teflon guarded, setting 30/30
Preinjection: 10 mL lidocaine 1/100 K epinephrine
Prep: Betadine on skin, chlorhexidine in mouth
Drapes: 4 towels w/ split sheet
Instrument sets: Genioplasty set
Breast Reduction
Surgical cosmetic procedure involving the reshaping or repositioning of the chin to enhance improve facial harmony.
01 - Patient Setup
02 - Instrument Sets
03 - Case Details
Special Instruments:None
Devices/Implants: Stryker genioplasty plates
Hypodermic needles: 27gauge
Syringes: 10 mL
Drains: none
Suture: 2-0 monocryl, 4-0 chromic
Anesthesia on field: 10 mL 1% lidocaine 1-100 K epinephrine
Dressing: elastoplast dressing w/ benzoin
Genioplasty Set
04 - Post-Op Information
Admission status: SDS
Estimated time: 45 min
Coding: 21121, v50.1
Post-op wound care: Full liquid diet 2 wks
Post-op activity restrictions: No strenuous activity for 2 wks
Follow up: 1 wk
Pre-op Meds: Ancef or Clindamycin
Anesthesia: General
Patient position: Supine
Bed position: 90°
DVT ppx: Compression boots on - working BEFORE induction of anesthesia
Side Table: None
Lights: Surgical headlamp for surgeon
Power: Yes, Elone E or microhall w/ reciprocating saw + drill
Bovie Settings: Teflon guarded, setting 30/30
Preinjection: 10 mL lidocaine 1/100 K epinephrine
Prep: Betadine on skin, chlorhexidine in mouth
Drapes: 4 towels w/ split sheet
Instrument sets: Genioplasty set
Local Tissue Transfer
Vascular dissection and detachment of a body specific region and transfer to another region of the body.
01 - Patient Setup
03 - Post-Op Information
Pre-op Meds: Ancef or Clindamycin, Decadron 8 mg
Anesthesia: General or IV sedation
Patient position: Supine (usually)
Bed position: Pending location of flap (usually 90°)
DVT ppx: Compression boots on - working BEFORE induction of anesthesia
Side Table: None
Lights: Surgical headlamp for surgeon
Power: N/A
Bovie Settings: 20/20 Colorado Tip
Preinjection: 1% lidocaine, 1/100 K epinephrine
Prep: Betadine on skin, chlorhexidine in mouth
Drapes: Face - towels w/ split sheet, Body - towels + laparotomy drape
Instrument sets: Standard soft tissue set
Admission status: Case dependent
Estimated time: Case dependent
Coding: ___
Post-op wound care: Case dependent
Post-op activity restrictions: Case dependent
Follow up: 1 wk for facial surgery, 2 wks for body/extremity surgery
02 - Case Details
Special Instruments: None
Devices/Implants: None
Hypodermic needles: 27 gauge
Syringes: 10 mL syringe
Drains: none
Suture: Case dependent
Anesthesia on field: Pre-inject prior to prepping
Dressing: Case dependent