“Dog Ear” Scar Revision – OFFICE

• Dr. Brown:
  • Gown – XL, XL Length
  • Gloves – 8  Indicator glove,  7.5 Biogel gloves
• Dr. Chandler:
  • Gown – L
  • Gloves – 5.5, 6.0 if unavailable
• Sean Kirby PA-C
  • Gown – XL
  • Gloves – 7.5 under glove, 7 over glove

• Pre-operative Medications
  • Night before:
    • Scopolamine patch placed behind ear
    • Shower with Hibiclens for couple days before surgery 4% topical chlorhexidine soap.
  • In office ~1 hour before surgery:
    • Tylenol 975mg PO x1
    • Gabapentin 600mg PO x1
    • Celebrex 400mg PO x1

• Intra-operative Medications
  • Have two 10mL syringes filled with 1% lidocaine with epinephrine
  • please have additional vial of local anesthesia in room

• Post-operative Medications (Prescribed pre-op)
  • Tylenol 650mg PO q6 hours scheduled
  • Methocarbamol 1500mg PO q6 hours scheduled
  • Gabapentin 300mg PO PO q6 hours scheduled  (if not too expensive)
  • Cephalexin 500mg PO q6 hours scheduled for 4 doses starting after surgery
  • Celebrex 200mg PO BID scheduled (if not too expensive)
  • Pericolace 1 tab PO BID scheduled
  • Phenergan 25mg PO q8 hours PRN nausea
  • Oxycodone 5mg tabs, 1-3 tabs PO q4 hours PRN pain
  • Ibuprofen 600mg PO q6 hours scheduled, starting 48 hours after surgery

• Patient Position
  • Supine

• Instrument Sets
  • Body

• Surgical Packs
  • Body

• Surgical Prep
  • Chloraprep x 2.

• Irrigation Solutions
  • Warmed Normal Saline

• Blades
  • 11 x 1
  • 10 x 2

• Bovie
  • Short protected ENT tip x 1
  • 40/40 pure and fulgurate

• Suture Available
  • 3-0 Monocryl Large cutting x 3
  • 2-0 PDS Large taper x 3
  • 4-0 Plain Gut x 1

• Drains
  • 10mm perforated flat JP drain, on trocar if availalbe, 100mL bulb suction

• Additional Supplies
  • Marking pen, Paper Ruler

• Dressing
  • Bacitracin
  • Xeroform
  • 4×4 gauze
  • Kerlex