100 Flashcards
(14 cards)
Layers of Abdo wall.
Which fat layer do you thin and why?
What makes up the anterior and posterior rectus sheath?
How is above and below arcuate line differ wrt to sheath?
What are the Huger Zones?
What are the nerves of the abdominal wall?
What is a pleasing UMBO?
Hx For Abdominoplasty?
PE for abdominoplasty.
Examine: Standing, supine, sitting.
Inspection:
Scars (subcostal - no undermining)/ Striae (above unbo can be prominant)/ Excoriation/ Rash/ Adhesions.
Excess skin
Palpation: Hernia–> gen sx coordination.
Special: Diver/Pinch for MF laxity
Diastasis (Scaphoid abdomen for plication)
Consent for Abdo’plasty
Early/ Late, General/ Proc Specific.
Wound healing (Flap and UMBO)
Hemantoma OR/ Seroma/ Innection.
General: PE 8% (OR>140min) SCD, DVT, Early Amb.
Late:
Asym/ Umbo position/ Increased awareness of thighs.
Scars: Location lower abdomen and T.
Cutaneous deformity …
Revisions $$$$$$$ Discuss
Recovery 6w/ Time off work
What is a SCIP prootocol for infection.
What abdominoplasty procedure will you do?
What are your preoperative abdominoplasty markings:
Standing with Undergarmets to plan
ASIS/ Pubic Bone
Lateral aspect of fold,
Transverse marking- 6cm above V. Commissure extending superior laterally to lateral extent inferior to asis.
Pinch test for upper marking. - Discuss UMBO vertical needed.
Mark Lipo.
OR Abdominoplasty
How do you risk manage DVT propolaxis?
Risk assessment - caprini 2005
PreOP: Teds, Anticoag….Warming Pre/Fluids.
Post Op: Early Amb/ Hydration
