Presentasi Dr. Deddy Saputra, SpBP-RE FIX
Presentasi Dr. Deddy Saputra, SpBP-RE FIX
Presentasi Dr. Deddy Saputra, SpBP-RE FIX
BP-RE
Step 4
Step 1 Step 2 Step 3
Mostly, one’s surgical planning Decisions Back up plan ! the Prevent Wasting
should be performed before intraoperative primary plan might fail or Precious Time and
the procedure. need alteration. Patient Safety
Principle 2
Ensure That Your Operative Goals Are in Alignment with the
Patient’s Preoperatively
Initial
The Day Of
Consultation
Surgery
define and articulate the Note the patient’s goals in Ask the patient preoperatively
patient’s goals, and find what the chart explicitly and let it to reiterate their main goals
can be achieved reasonably. guide the operative plan that must be achieved for them
Principle 3
When in Doubt, Don’t
P R E V E N T
HESITANCY
Skin closure is ultimately the only part of Overeversion of wound edges does not necessarily
your work that the patient sees directly. produce better cosmesis
Use pear-shaped deep layer sutures Precise approximation of the wound edges with
(fascia or dermis only) uniformity and without palpable edges or irregularities
Approximate but do not strangulate wound
edges with slight eversion
Use pear-shaped deep layer sutures
(fascia or dermis only)
DO NOT OVER EVERSION !!
normotensive
Modern
- Use a drain to maximize tissue
Portfolio
layer adherence and diminish
early postoperative swelling and
Presentation
bruising
Minimizing postoperative complications and optimizing wound
healing
Principle 9
Repeat and Refine Your Technique Continuously—
Being Self-Critical Is Essential to Becoming an Expert
Surgeons determining 02
“how much,” “how big,”
or “how far.”
Principle 12
If It Doesn’t Look Good on the Operating Table,
Won’t Look Any Better Later