Liposuction of Medial Thighs

  • This Card is to be used for:

    • All cases with medial thigh liposuction

  • Dr. Brown:

    • Gown – XL, XL Length

    • Gloves – 8 Indicator Glove, 7.5 Biogel Glove

  • Dr. Chandler:

    • Gown – L

    • Gloves – 5.5, 6.0 if 5.5 unavailable

  • Sean Kirby PA-C:

    • Gown – XL

    • Gloves – 7.5 Indicator Glove, 7 Nonlatex Glove

  • Pre-operative Medications:

    • None

  • Intra-operative Medications

    • Ancef 2 grams IV or Vancomycin 1g IV to be administered in pre-op prior to procedure

    • Infiltration Solution (PHARMACY TO PREPARE, IN PRE-OP ORDERS):

      • NS or LR 500 mL

      • Ropivicaine 300mg

      • Clonidine 0.3mg

      • Dexamethasone 4mg

    • Liposuction Tumescent Solution for Fat Graft harvesting:

      • LR 1L + 2g Epinephrine (2 amps of 1:1000)

      • Warm in towel warmer

      • Please have two made and “ingredients” for two more bags in the room if more tumescent is needed

  • Patient Position

    • Supine

    • The bed must be able to sit up 90 degrees for visualization of symmetry

    • One pillow under patient’s knees

    • Foam pad wrapped around patient’s heel

    • If prone – patient will need to have two chest rolls and a roll horizontal on the bed underneath their hips

  • Bed Attachments

    • Arm boards with purple pads underneath arms and then wrap the arms in Kerlix

  • Patient Warming

    • Blanketrol, Arctic Sun, or underbody warmer

    • IV fluid warmer

    • Sterile fluid warmer with 2L of Normal Saline

  • DVT Prophylaxis

    • Bilateral SCDs in OR. ON and working BEFORE induction of anesthesia

  • Foley Catheter

    • Yes – have tubing run down leg and secured in SCD

  • Instrument Sets

    • Breast & Body

    • Microaire Liposuction Handpiece, “Purple” Power Box, Power cord, Cannulas 

  • Surgical Packs

    • Breast or Body Pack, depending on concomitant surgery

  • Surgical Prep

    • Chloraprep x 5 – place in fluid warmer prior to use

  • Irrigation Solutions

    • Warmed Normal Saline (as mentioned in patient warming)

    • 1L sterile water in basin for washing instruments

    • Iodine/Antibiotic Solution:

      • Ancef 2g

      • Gentamycin 160mg

      • 100mL of full strength 10% stock providone-iodine (This is PAINT not scrub)

      • Mixed into 1L Normal Saline

  • Suction

    • Not mandatory, but can assist with keeping the patient clean

  • Blades

    • 15 x 1

    • 11 x 1

  • Bovie

    • Not needed for liposuction and fat grafting independently

  • Drains

    • Not needed for liposuction

  • Additional Supplies

    • Marking pen x 6

    • Paper Ruler 

    • Infusion tubing (to pump in tumescent fluid)

    • Liposuction tubing

    • Infusion/Peristaltic Pump (to pump in tumescent fluid and fat)

    • Canisters from Body/Breast pack or 2500mL Microaire fat grafting canister set

  • Dressing

    • 2 x 2 Band-Aid for lipoports

    • Gauze if draining significant liposuction fluid

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