310 LIMITED LOWER ABDOMINOPLASTY

with or without LIPOSUCTION with or without TURNOVER

This procedure is the limited version. It does not require umbilicus transposition.

Main difference is in sutures.

It is mainly a skin excision procedure.

Also know as a “mini” tummy tuck or “Victorias Secret” tummy tuck.

Updated March 19, 2016

 

OPERATIVE TIME 4 hours

 

ICD10 CODE:

CPT CODE(S):15831- Abdominoplasty, 15877- Liposuction

 

ANESTHESIA NOTES

If turnover, put to sleep on stretcher, then turn over to prone position onto gel rolls.

PATIENT POSITION | SETUP

Supine, arms on boards, gel pads, wrap with towels 2" tape. Pillow under legs. Plexipulses or Sequentials.

Foley catheter using Technicare- remove foley at end of case.

Dr. C to tattoo markings with 3cc syringe, 18g needle, 22 g needle, large non-sterile gloves.

TABLE POSITION

normal, large chest gel pads with blanket if turnover

ROOM SETUP

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

 

LIPOSUCTION SETUP

Liposuction machine with tubing. Check to make sure machine is working, have 1-2 canisters ready.

[2] pressure bags at head of table.

NOTE: download liposuction flow sheet. Click here

EQUIPMENT

Metric weighing scale, [2] Baer huggers upper body and lower body, Plexi-pulses or Sequentials. Dr. Cuadros Headlight, lightsource and cart, hydraulic stool

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

SPECIALS

none

PREP

[2] CHG prep set down to blue chux (x 2 if turnover)

DRAPING

[2] Drape sets, Mayo stand cover cut in half, Plastic Pack,

[2] Lap chole drapes, 3/4 sheets, [6]sticky drapes

[1] medium sheet

CAUTERY

none for lipo, set to 50/50 pure for abdominoplasty,

Valley lab silver flat tip (E1450X), Have extended tip available

SUCTION

No suction for lipo portion;

[2] suctions for abdominoplasty: Saf-T-Vac and Yankauer

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

 

STERILE SUPPLIES

[4] marking pens w/ ruler, IV tubing,

[2-4] single-head cysto tubing sets, one for each pressure bag

Foley catheter #12 fr

SPONGES and TOWELS

[4] lap sponge packs, [4] towels

NON-STERILE SUPPLIES

metric digital scale to weigh specimens,

[2] small suction cannisters, [4] pressure bags

 

SOLUTIONS | IRRIGATION

[4] liters plain saline, large bulbs

NEEDLES | SYRINGES

[2] 10cc syringes; [2] 25g needles 1 ½"

[2] 20cc syringes with [2] 22g spinal Whitaker needles

LOCAL ANESTHETIC

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

Mix 50cc 2%lidocaine w/epi, then

           add 50cc 0.5% Marcaine w/epi

           add 100cc NS

NOTE: To download local and tumescent solutions: Click here

MEDICATIONS

2oz Bacitracin ointment

Methylene blue for preop tattoo markings

 

310 LIMITED LOWER ABDOMINOPLASTY

with LIPOSUCTION with or without TURNOVER

Updated July 22, 2009 – Page 2

 

SETS TO OPEN

Special plastic, lipo cannula set, 4mm and 5mm only

INSTRUMENTS USED (ON MAYO STAND)

     FORCEPS

for lipo: adson w/ teeth, 03 adson

for abd: 01, 03, Russians, long adson brown

     SCISSORS

for lipo: str stevens tenotomy

for abd: Straight & Curved Mayo, straight & curved 6" Metz, Reese

     NEEDLE HOLDERS

for lipo: [2] crile wood

for abd: crile-wood, mayo-hagar,

     RETRACTORS

Israel, extra large Richardson, large facelift, narrow Deaver, Breast, Senn

     KNIFE | BLADES

for lipo: [1] No. 15

for abd: [2] No. 10. [1] No. 15

     LIPO CANNULAS

for lipo: Hunsdadt infiltration handle, blue connector

     OTHER

Large mixter right angle clamp, [2] hemostats, [4] towel clamps, Kelly clamp, metal emesis basins

 

 

No

Type

SN

status

SUTURES for LIPO

[ 2 ]

5-0 Vicryl P3

J493G

open

 

[ 2 ]

5-0 fast PC-1

1915G

open

 

SUTURES for ABD  

[ 6 ]

0 Vicryl CT1

J946H

open

 

[ 4 ]

2-0 Vicryl CT1

J945

open

 

[ 4 ]

3-0 Vicryl SH

J416

open

 

[ 2 ]

4-0 Vicryl PS2

J496

 

hold

[ 4 ]

#1 Ethibond

X425H

 

hold

[ 2 ]

3-0 Nylon PS1

1663

open

 

[ 3 ]

4-0 Monocryl PS2

Y496G

open

 

 

DRAINS

[2] 15fr Jackson Pratt drains with connectors and bulbs

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

paper tape for dressing, abdominal binder (pt to bring), 2-3 pillows under knees move to stretcher, safety pins for drain bulbs, label bulbs with marker pen

NOTES

 

 

DATE MODIFIED

Feb 2007, Aug 2007, May 2008, July 2009, Mar 2016