Abdominoplasty


Pre-op Meds: Ancef  or clindamycin

Anesthesia:  general

Patient position:  supine

Bed position:  no turn

DVT ppx:  compression boots on and working BEFORE induction of anesthesia

Side Table:  non-

Lights: overhead door lights only

Power:  non-

Bovie Settings: two bovies,  Teflon guarded tips, 30/30  setting

Preinjection:  none

Prep: chloro prep

Drapes:  laparotomy drape

Instrument sets:  abdominoplasty said

Special Instruments:  liposuction machine,

Devices/Implants:  EXPAREL

Hypodermic needles:  25 kids

Syringes:  10 mL

Drains:  to number 10 Blake drains

Suture: 0  Ethibond, 2-0 PDS, 2-0 monocryl, 3-0 monocryl

Anesthesia on field:  1% lidocaine 1/100 K epinephrine

Dressing:  derma bond, Telfa, Tegaderm

Admission status:  overnight or same-day

Estimated time:  three hours

Coding:  CPT is 15847,   I C  D-9 is  V. 50

Post-op wound care:  JP drain instruction,  no bath for 10 days, shower okay

next day.

Post-op activity restirctions:  No heavy exertion for three weeks, remain in flux position while moving for one week

Follow up:  one week

©2013 STEPHEN B. BAKER, MD, DDS, FACS