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THIGH LIFT with LIPOSUCTION

CATEGORY

300 BODY

CASE NO.

313

 

OPERATIVE TIME

4 HOURS

USUAL LOCATION(S)

PRES DAY

FREQUENCY

1-2/YEAR

ASSISTANT

Yes

ICD9 CODE:

755.6 Thigh

CPT CODE(S):

15823 Thigh Lift

 

ANESTHESIA NOTES

Gen ETT or LMA, fluid warmer

PATIENT POSITION | SETUP

■Dr. C will tattoo markings

■Plexipulses over stockinette

■Foley catheter, prep with Technicare

■Baer huggers, upper body

■Headlight and [2] light sources

TABLE POSITION

standard, arm boards

ROOM SETUP

Pre-warm room and OR table

 

EQUIPMENT

■[4] pressure bags at head of table

■Baer huggers, upper body

■Plexi-pulses

LIPOSUCTION MACHINE

Liposuction machine, Liposuction tubing, check to make sure that the machine is working, all tubes connected, at least 2 canisters, liposuction flow sheet.

PREP

CHG prep set down to blue chux

DRAPING

Lap abd drape, basic pack, mag pad, [1] 3/4 sheet, mayo cover, [1] table cover cut I half, [8] sticky paper drapes

CAUTERY

50/50 pure, silver flat tip

SUCTION

2 suctions - Saf-T-Vac and Yankauer

STERILE SUPPLIES

[3] packages green towels, [4] marking pens, [2] needle books,

[2] Y-Bladder irrig set #2C4041

SPONGES

[4] lap sponge packs

NON-STERILE SUPPLIES

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

Pressure bags for tumescent solution, bag decanter

 

SOLUTIONS | IRRIGATION

■Saline irrigation, Asepto

■[2] L Solution A, [2] L solution A-minus.

NEEDLES | SYRINGES

[2] 20cc syringes, [2] long Quincke 22g spinal needles

LOCAL ANESTHETIC

Solution “C” Mix :

50cc - 2%lidocaine w/epi

50cc -0.5%Marcaine w/epi

100cc -NS

MEDICATIONS

□Bacitracin ointment 2 oz

□methylene blue

 

SETS TO OPEN

Plastic set, lipo cannulas, extra saline basin, prep cups

INSTRUMENTS USED (ON MAYO STAND)

     FORCEPS

01 Adson, 03 Adson, dissector Adson, long Adson-Brown

     SCISSORS

Straight Mayo, Curved Mayo, Curved and straight Stevens, curved Metz, str Metz

     NEEDLE HOLDERS

[2] Crile wood, [2] Mayo Hagar

     RETRACTORS

Richardson, [2] large facelift

KNIFE | BLADES

[2] knife handles, [4] # 10 blades, [2] # 15 blades

LIPO CANNULAS

Hunsdadt infiltration handles, pliers

4mm, 5mm lipo cannulas - medium and long

     OTHER

Ligaclip applier and white ligaclips (hold)

 

 

No

Type

SN

status

SUTURES

CLOSURE 

[ 2-4 ]

3-0 Nylon PS1

1663

open

 

[ 8 ]

0 Vicryl CT1

J260

open

 

[ 4 ]

2-0 Vicryl CT1

J259

open

 

[ 4 ]

3-0 Vicryl SH

J416

open

 

[ 4 ]

4-0 Monocryl PS2

Y496G

open

 

[ 2 ]

Ligaclip applier w/ white ligaclips

 

hold

[ 4 ]

Dermabond

 

 

hold

 

DRAINS

[ 2-4 ] 15 fr Jackson Pratt with connectors and bulbs

DRESSINGS

ASK. Drain sponges, tongue blades, ointment

 

POSTOPERATIVE

apply compression stockings, pressure garment (pt brings)

NOTES

 

 

COMMENTS

 

DIAGRAM

 

DESCRIPTION

 

SEE ALSO, SAME AS, REFERENCES

324 Liposuction, 305 Abdominoplasty, 103 Breast reduction

DATE MODIFIED

October 31, 2007




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