Chapter 19 Pt 2 Flashcards
breast + abdominal procedures
causes of gynecomastia
heredity
tumors
hormone imbalance
drugs
percent of men with gynecomastia
40%
types/ options of boob implants
silicone v saline
teardrop v round
textures v smooth
under or over pecs
incisions for augmentation mammoplasty
axillary crease
periareolar
inframammary fold
umbilicus
steps for bewb augmentation
incision
create pocket
trial sizers
place stitches to close pocket
insert implant
examine aesthetic appearance
close
2 forms of breast reconstruction
implant reconstruction
flap reconstruction
(immediate and delayed)
what is immediate breast reconstruction
if patient has enough tissue and is cancer free
what is delayed breast reconstruction
tissue expander inflated over several weeks
second procedure later for prosthetic implantation
what is reconstruction mammoplasty from flap reconstruction
flap graft taken from another part of the body to put onto bewb
what is a free flap
moving it form an area and transplanting it onto breast
- vascular
- no sensation
what is a pedicle flap
tissue that remains attached but stretched over onto bewbie
- tissue tunneled under the skin
- usually taken from lats
considerations with reconstruction mammoplasty
if done after mastectomy, new gloves instruments everything
nipple reconstruction may be done later
what is a tram flap
taken from non operative side of the rectus abdonimus, rotated up to bewb
what does the tram in tram flap stand for
trasnverse rectus abdominus musculocutaneous flap
when is nipple reconstruction done
8-10 weeks post breast recon
what is a mastopexy
suspension of the breast to relive breast ptosis
breast suspension incisions
crescent
benelli lift
benelli- lollipop
anchor (most common)
steps for a mastoplexy anchor technique
incision
de-epithelization of pedicle
dissect and remove excess tissue
stay stitches
closure
what instruments do you use to remove pedicle and excess breast tissue
bovie, adson w/ teeth, lahey
what type of procedure is lipo
contouring procedure, not weight loss
3 most common types of lipos
laser
- vaporizes fat
ultrasonic
- breaks down walls of fat cells
tumescent
- breaking up and suctioning out
cosideration of lipo
excessive suctioning can lead to hypovolemic shock
steps for tumescent lipo
incision
- 11 or 15 on 3
infusion of tumescent
suction
closure
pressure dressing
difference between abdominoplasty and panniculectomy
abdominal plasty is above genitalia area
pann is tissue from obese or formerly obese patients
