Procedures Intermediate Format Breast Augmentation

Objectives Assess the related terminology and pathophysiology of the breast Analyze the diagnostic interventions for a patient undergoing a Plan the intraoperative course for a patient undergoing Assemble supplies, equipment, and instrumentation needed for the procedure.

Objectives Choose the appropriate patient position Identify the incision used for the procedure Analyze the procedural steps for breast augmentation Describe the care of the specimen

Terms and Definitions

Definition/Purpose of Procedure

Pathophysiology

Surgical Intervention: Special Considerations Patient Factors Room Set-up –Privacy for all patients—windows covered please

Surgical Intervention: Positioning Position during procedure Supplies and equipment Special considerations: high risk areas

Surgical Intervention: Special Considerations/Incision Special considerations State/Describe incision

Surgical Intervention: Supplies General: Basic pack, Transverse sheet, large gowns, wet prep kit, light handles, disposamag, raytex x 2 Specific –Suture: 4-0 Vicryl, 5-0 Vicryl, 5-0 Prolene; possibly 4- 0 Nylon for implant exchange –Blades: # 15 x2 –Medications on field: Bacitracin ointment; Xylocaine 1 % w/epi 30 cc; Marcaine.5 % with epi (Do not mix) –Catheters & Drains

Surgical Intervention: Supplies cont’d Dressings: 4x4s (two), 6 in ace wrap, patient’s bra

Surgical Intervention: Instruments General Specific –

Surgical Intervention: Equipment General Specific: light source for lighted retractors

Surgical Intervention: Procedure Steps

Counts Initial First closing Final closing –Sponges –Sharps

Specimen & Care Identified as Handled: usually routine

Postop Complications

Resources