Breast lumpectomy - Revision history

Ashwinibhat: added minor addition on considering TIVA

2022-08-08T01:07:57Z

added minor addition on considering TIVA

← Older revision		Revision as of 18:07, 7 August 2022
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	\|		\|
	\|}		\|}
	=== Labs and studies ~~<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. -->~~ ===		=== Labs and studies ===
	=== Operating room setup <!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===		=== Operating room setup <!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===
	=== Patient preparation and premedication <!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===		=== Patient preparation and premedication <!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===
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	=== Maintenance and surgical considerations <!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===		=== Maintenance and surgical considerations <!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===

	*		* Consider TIVA or partial TIVA, due to higher risk of PONV (patient population tends to be older females, who are at higher risk of PONV) and faster emergence.

	=== Emergence <!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===		=== Emergence <!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===

Chris.Rishel at 06:27, 5 April 2022

2022-04-05T06:27:06Z

← Older revision		Revision as of 23:27, 4 April 2022
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	{{Infobox surgical case reference		{{Infobox surgical case reference
	\| anesthesia_type = ~~GA vs.~~ MAC		\| anesthesia_type = MAC or General
	\| airway = LMA ~~for~~ GA		\| airway = LMA/ETT if GA
	\| lines_access = PIV		\| lines_access = PIV
	\| monitors = Standard		\| monitors = Standard
	\| considerations_preoperative =		\| considerations_preoperative =
	\| considerations_intraoperative =		\| considerations_intraoperative =
	\| considerations_postoperative =		\| considerations_postoperative = PONV
	}}A '''breast lumpectomy''' is the removal of a discrete portion or “lump” of breast tissue. This procedure is sometimes referred to as a '''partial mastectomy'''.		}}A '''breast lumpectomy''' is the removal of a discrete portion or “lump” of breast tissue. This procedure is sometimes referred to as a '''partial mastectomy'''.

Chris.Rishel: Text replacement - "|Respiratory" to "|Pulmonary"

2022-02-22T05:45:18Z

Text replacement - "|Respiratory" to "|Pulmonary"

← Older revision		Revision as of 22:45, 21 February 2022
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	\|		\|
	\|-		\|-
	\|~~Respiratory~~		\|Pulmonary
	\|		\|
	\|-		\|-

Chris.Rishel at 09:37, 9 July 2021

2021-07-09T09:37:49Z

← Older revision		Revision as of 02:37, 9 July 2021
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	[[Category:Surgical procedures]]		[[Category:Surgical procedures]]
			[[Category:General surgery]]
			[[Category:Breast surgery]]

Chris.Rishel at 23:09, 29 June 2021

2021-06-29T23:09:11Z

← Older revision		Revision as of 16:09, 29 June 2021
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	}}A '''breast lumpectomy''' is the removal of a discrete portion or “lump” of breast tissue. This procedure is sometimes referred to as a '''partial mastectomy'''.		}}A '''breast lumpectomy''' is the removal of a discrete portion or “lump” of breast tissue. This procedure is sometimes referred to as a '''partial mastectomy'''.

	Sometimes the procedure ~~involves~~ wire localization, where a radiologist inserts the tip of a wire into the target tissue under fluoroscopic guidance preoperatively. This enables the surgeon to more precisely localize the lesion, and is more commonly performed for deeper lesions.		Sometimes the procedure is performed with wire localization, where a radiologist inserts the tip of a wire into the target tissue under fluoroscopic guidance preoperatively. This enables the surgeon to more precisely localize the lesion, and is more commonly performed for deeper lesions.

	== Preoperative management ==		== Preoperative management ==

Chris.Rishel: Revised summary

2021-06-29T22:36:29Z

Revised summary

← Older revision		Revision as of 15:36, 29 June 2021
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	\| considerations_intraoperative =		\| considerations_intraoperative =
	\| considerations_postoperative =		\| considerations_postoperative =
	}}A lumpectomy is the removal of a discrete portion or “lump” of breast tissue. This procedure is sometimes referred to as a partial mastectomy.		}}A '''breast lumpectomy''' is the removal of a discrete portion or “lump” of breast tissue. This procedure is sometimes referred to as a '''partial mastectomy'''.

	Sometimes the procedure involves a wire localization ~~step~~, where the ~~patient has~~ a wire ~~inserted~~ into the ~~breast~~ tissue under fluoroscopic guidance ~~pre-operatively~~. ~~The wire is placed by a radiologist such that the tip resides in the target tissue, thus enabling~~ the surgeon to more precisely localize the lesion~~. Wire localization~~ is more ~~often done if the lesion is~~ deeper.		Sometimes the procedure involves wire localization, where a radiologist inserts the tip of a wire into the target tissue under fluoroscopic guidance preoperatively. This enables the surgeon to more precisely localize the lesion, and is more commonly performed for deeper lesions.

	== Preoperative management ==		== Preoperative management ==

Tony.Wang at 14:26, 29 June 2021

2021-06-29T14:26:50Z

← Older revision		Revision as of 07:26, 29 June 2021
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	* PIV x 1		* PIV x 1

	* Place BP cuff ~~office~~ the surgical field		* Place BP cuff off the surgical field
	* Make sure EKG leads are not near the sterile field		* Make sure EKG leads are not near the sterile field

Barrett.Larson at 16:10, 16 April 2021

2021-04-16T16:10:17Z

← Older revision		Revision as of 09:10, 16 April 2021
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	\| considerations_intraoperative =		\| considerations_intraoperative =
	\| considerations_postoperative =		\| considerations_postoperative =
	}}A lumpectomy is the removal of a discrete portion or “lump” of breast tissue. This procedure is sometimes referred to as a partial mastectomy.		}}A lumpectomy is the removal of a discrete portion or “lump” of breast tissue. This procedure is sometimes referred to as a partial mastectomy.

			Sometimes the procedure involves a wire localization step, where the patient has a wire inserted into the breast tissue under fluoroscopic guidance pre-operatively. The wire is placed by a radiologist such that the tip resides in the target tissue, thus enabling the surgeon to more precisely localize the lesion. Wire localization is more often done if the lesion is deeper.

	== Preoperative management ==		== Preoperative management ==
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	* Supine		* Supine
			* Arms out

	=== Maintenance and surgical considerations <!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===		=== Maintenance and surgical considerations <!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===
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	\|+		\|+
	!		!
	!~~Variant 1~~		!Superficial
	!~~Variant 2~~		!Deep
	\|-		\|-
	\|Unique considerations		\|Unique considerations
	\|		\|More likely MAC
	\|		\|More likely GA
	\|-		\|-
	\|Position		\|Position
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	\|-		\|-
	\|Surgical time		\|Surgical time
	\|		\|15-45 mins
	\|		\|30-60 mins
	\|-		\|-
	\|EBL		\|EBL
	\|		\|5-10cc
	\|		\|5-10cc
	\|-		\|-
	\|Postoperative disposition		\|Postoperative disposition

Barrett.Larson at 16:01, 16 April 2021

2021-04-16T16:01:53Z

← Older revision		Revision as of 09:01, 16 April 2021
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	{{Infobox surgical case reference		{{Infobox surgical case reference
	\| anesthesia_type =		\| anesthesia_type = GA vs. MAC
	\| airway =		\| airway = LMA for GA
	\| lines_access =		\| lines_access = PIV
	\| monitors =		\| monitors = Standard
	\| considerations_preoperative =		\| considerations_preoperative =
	\| considerations_intraoperative =		\| considerations_intraoperative =
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	== Intraoperative management ==		== Intraoperative management ==
	=== Monitoring and access <!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===		=== Monitoring and access <!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===

			* PIV x 1

			* Place BP cuff office the surgical field
			* Make sure EKG leads are not near the sterile field

	=== Induction and airway management <!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===		=== Induction and airway management <!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===

	=== Positioning <!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===		=== Positioning <!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===

			* Supine

	=== Maintenance and surgical considerations <!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===		=== Maintenance and surgical considerations <!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===

			*

	=== Emergence <!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===		=== Emergence <!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===

Barrett.Larson at 15:58, 16 April 2021

2021-04-16T15:58:43Z

← Older revision		Revision as of 08:58, 16 April 2021
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	\| considerations_intraoperative =		\| considerations_intraoperative =
	\| considerations_postoperative =		\| considerations_postoperative =
	}}~~Provide~~ a ~~brief summary~~ of ~~this surgical~~ procedure ~~and its indications here~~.		}}A lumpectomy is the removal of a discrete portion or “lump” of breast tissue. This procedure is sometimes referred to as a partial mastectomy.

	== Preoperative management ==		== Preoperative management ==