305 ABDOMINOPLASTY only, no turnover, no lipo

This case requires no liposuction or turnover unless otherwise indicated.

For liposuction, open separate card: 324 Liposuction

 updated March 19, 2016

PAGE 1

 

OPERATIVE TIME: 4 hours

ASSISTANT: Gwen

ICD10 CODE:

V50.1ELECTIVE COSMETIC, 756.7 ABDOMEN

CPT CODE:

 15831 ABDOMINOPLASTY

 

ANESTHESIA NOTES

General, ETT, Kefzol 1gm IV, fluid warmer

PATIENT POSITION | SETUP

● Supine, arms on boards, wrap with towels 2" tape.

● Pillow under legs. Sequentials.

● Foley catheter #12fr, save syringe

● Extra help for inserting foley

● Dr. C tattoo set : methylene blue, 3cc syringe, 18g needle,

     22 g needle, vinyl gloves

TABLE POSITION

normal

ROOM SETUP

● warm room 72°

● [2] Baer huggers, upper and lower body, pre-warm OR table

● Sequentials

● 2" tape, 6 blue towels for arms

 

EQUIPMENT

● Metric weighing scale

● 4 empty containers labeled A, B, C for specimen

● Flow sheet to record weights, temp, fluids

● Dr. Cuadros headlight w/ [2] light sources

● Hydraulic stool

● 2" tape

***new*** Dornoch OR Fluid Waste Management System

SPECIALS

Abdominal binder – pt to bring, make sure to ask patient before

Walker - patient family to have in car

PREP

CHG prep set, foley set

DRAPING

Mayo stand cover cut in half

[1] Lap chole drape, [2] ½ sheets, [6] sticky drapes,

[1] medium sheet

CAUTERY

Bovie at head of bed, 50/50 pure

Valley lab silver flat tip (E1450X)

SUCTION

2 suctions - Saf-T-Vac and Yankauer

***new*** Dornoch OR Fluid Waste Management System

 

SOLUTIONS | IRRIGATION

[4] liters saline, Asepto

Kefzol irrigation to soak Ethibond and Orthocord. 1gm/L NS

NEEDLES | SYRINGES

[4] 20cc syringes with [4] 22g spinal Quincke needles

[4] 10cc syringes with [4] 25g needles

LOCAL ANESTHETIC

Solution “C” - 200cc - on 20cc/22g spinal and 10cc/25g

           50cc 2% lidocaine w/epi +

           50cc 0.5% Marcaine w/epi +

           100cc NS

MEDICATIONS

1 tube Bactroban ointment

Methylene blue for preop tattoo markings

Kefzol irrigation (1gm/1liter saline) from pharmacy

305 ABDOMINOPLASTY

PAGE 2

 

SETS TO OPEN

Dr C Special Plastic set, Retractor set

INSTRUMENTS USED (ON MAYO STAND) - 3 Mayo stands

     FORCEPS

01 Adson, 03 Adson, 05 Adson, 08 Adson, dissector Adson, Russian

     SCISSORS

Straight & Curved Mayo, Black curved mayos

straight & curved 6" Metz, Reese, Reynolds

     NEEDLE HOLDERS

[2] Mayo Hagar, [4] Aesculup, [2] Crile Wood

     RETRACTORS

Israel, big Richardson, [2] wide facelift, Breast, Senn

     KNIFE | BLADES

[4] No. 10 BP, [2] No. 15 BP

     OTHER

Long Mixter right angle clamp, [2] Crile hemostats,

[4] large towel clamps, [1] Kelly Carmalt clamp,

[2] metal kidney basins

 

 

STERILE SUPPLIES

Asepto syringes, [2] suction tubing,

Foley kit w/ size #12fr foley

[6] marking pens, Mag pad

SPONGES and TOWELS

[4] lap sponge packs, [4] towel packs

NON-STERILE SUPPLIES

[2] Safety pins, canisters for weighing, digital scale

 

 

No

Type

SN

status

SUTURES:

always have extra sutures on side cart

[ 2-4 ]

3-0 Nylon PS1

1663

open 2

hold 2

[ 2 ]

#2 Orthocord

 

open 1

hold 1

[10 ]

#1 Ethibond CT1

X425

open 6

hold 4

[12 ]

0 Vicryl CT1

J946

 

 

[ 6 ]

2-0 Vicryl CT1

J945

 

 

[ 1 ]

3-0 PDS SH

Z316

 

 

[ 6 ]

3-0 Monocryl SH

Y416

 

 

[ 4 ]

4-0 Monocryl PS2

Y496

open 2

hold 2

[ 2 ]

5-0 Prolene PC-3

8635

 

 

 

DRAINS

[2-4] 15Fr Round Blake drains with connectors and reservoir bulbs - 2188. Open 2, hold 2

DRESSINGS

[2] 22g tube Bactroban ointment

2] tongue depressors

[2] 3x18 Adaptic Vaseline gauze

[2] 4x4 packs,

     cut drain sponges for each side

[2] Kerlix

[4] Abd pads

2" paper tape

safety pins

 

POSTOPERATIVE

Abdominal binder (pt to bring);

Remove Foley catheter. Place binder on OR table.

[5] pillows: 4 under knees, 1 under head.

Safety pin bulbs to abdominal binder;

Walker from DrC office in PACU

NOTES

Record specimen weight, A, B, C - note on card

Record data on Flow Sheet

 

DATES MODIFIED

December 2006, August2007, November 2007, March 2008, May 2009,

Dec 2012, Sep 2013, Oct 2014, Nov 2014, Nov 2015