Clinic/ OR standard of care?

JenyD · 09-03-2009, 02:08 AM

In your opinion, is it safe to extract an implant in a PS's clinic in a regular patient room? Open the crease to clean the pocket? Insert drains? Insert a new implant?

Just wondering if this type of thing should not be happening in the OR. My PS seems ok with doing it in his clinic.

sweetm · 09-03-2009, 04:25 AM

I can't really comment on whether it is safe or not, but I'm sure that the better option would be to do it in the OR than in the clinic.

That said, my best friend had to get 1 implant taken out 4 weeks post-breast augmentation because the inner stitches ruptured and then the crease got infected. The implant removal and flushing of the pocket was done in the clinic, under local anaesthesia. It turned out OK.

In terms of inserting the implant, I would personally be hesitant to have it inserted in the clinic - too germy for my liking. ORs and clinics might both be equally clean (or dirty), but I would just feel better having it done in the OR where things seem cleaner to me.

DrSorokin · 09-03-2009, 07:52 PM

Taking an implant out does not matter as much. Putting an implant in deserves a sterile environment. Many surgeons have true ORs in their offices.

09-03-2009, 02:08 AM	#1
JenyD Join Date: Jun 2009 Location: Manhattan, KS Posts: 92 Thanks: 13 Thanked 58 Times in 18 Posts	Clinic/ OR standard of care? In your opinion, is it safe to extract an implant in a PS's clinic in a regular patient room? Open the crease to clean the pocket? Insert drains? Insert a new implant? Just wondering if this type of thing should not be happening in the OR. My PS seems ok with doing it in his clinic. __________________ 1st breast augmentation: 6/22/09 550cc HP silicone 2nd breast augmentation: 3/11/10 371 silicone mod+ and full anchor lift Left extracted 7/13/09 for rupture caused by doctor Pre-breast augmentation: Flat B to 36DD/34DDD After all I've been through, size isn't nearly as important as shape.

09-03-2009, 04:25 AM	#2
sweetm 4 months out and loving them everyday! Join Date: Aug 2009 Location: Ontario Posts: 425 Thanks: 139 Thanked 164 Times in 139 Posts	I can't really comment on whether it is safe or not, but I'm sure that the better option would be to do it in the OR than in the clinic. That said, my best friend had to get 1 implant taken out 4 weeks post-breast augmentation because the inner stitches ruptured and then the crease got infected. The implant removal and flushing of the pocket was done in the clinic, under local anaesthesia. It turned out OK. In terms of inserting the implant, I would personally be hesitant to have it inserted in the clinic - too germy for my liking. ORs and clinics might both be equally clean (or dirty), but I would just feel better having it done in the OR where things seem cleaner to me. __________________ 5'6" 125 pounds Before: 34 A/small B After: 34C 330cc mod profile, round, textured, under the muscle, crease incision Boobs born on November 3, 2009!

09-03-2009, 07:52 PM	#3
DrSorokin Certified by the ABPS Join Date: Sep 2007 Location: Marlton New Jersey Posts: 616 Thanks: 6 Thanked 470 Times in 288 Posts	Taking an implant out does not matter as much. Putting an implant in deserves a sterile environment. Many surgeons have true ORs in their offices. __________________ www.delawarevalleybreasts.com www.delawarevalleyplasticsurgery.com esorokin@delawarevalleyplasticsurgery.com www.njplasticsurgeryblog.com The above message is not intended as or to imply medical advice as this cannot be given in a forum such as this without an appropriate history and physical and doctor/patient relationship. If you cannot accept this policy, please ignore my messages.

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