Blepharoplasty
Targeted Muscle Reinnervation (TMR)
TMR is a surgery that reinnervates residual muscles with nerves to improve prosthetic control and reduce phantom pain in amputees.
01 - Patient Setup
Pre-op Meds: None specified
Anesthesia: General
Patient Position: Supine.
- After patient is intubated, ensure a leg positioner and a 24-inch tourniquet are available. Position the leg positioner so the posterior thigh rests on it at the midpoint between the thigh and knee, allowing the lower leg to hang freely. Unlock the positioner at the lower point and let it rest against the bed.
- After amputation, reposition the leg positioner to access the fibular head.
Bed Position: No turn
DVT Prophylaxis: None specified
Side Table: N/A
Lights: Overhead only
Power: None specified
Bovie Settings: None specified
Preinjection: None specified
Prep: See Patient Position
Drapes: Universal
Instrument Sets: None specified
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03 - Post-Op Information
Admission status: Same Day Surgery
Estimated time: 3 hrs
Coding: 19318-50, 611.1, 724.2, 724.4
Post-op wound care: Drains out AM prior to D/C
Post-op activity restrictions: No heavy activity for 24 wks
Follow up: 1 wk
Post-Op Instructions obtain from MedConnect
02 - Case Details
Special Instruments: nerve stimulator, tourniquet (unsterile), Vesseloops x 2, Esmarch
Devices/Implants: N/A
Hypodermic needles: N/A
Syringes: 21 guage on 20mL syringe
Drains: 2 #15 Blake Drains
Suture: 8-0 nylon x2, 2-0 nylon monocryl
Tissue bank: Tisseal
Anesthesia on field: None
Dressing: Prineo