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

Surgical Intervention: Procedure Steps

Counts

• Initial

• First closing

• Final closing– Sponges– Sharps

Specimen & Care

• Identified as

• Handled: usually routine

Postop Complications

Resources