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PREOPERATIVE AND POSTOPERATIVE CARE IN RECONSTRUCTIVE SURGERY

JAMES BARRETT BROWN, M.D.; LOUIS T. BYARS, M.D.; FRANK McDOWELL, M.D.
Arch Surg. 1940;40(6):1192-1210. doi:10.1001/archsurg.1940.04080050155014.
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Attention to the special details of preoperative and postoperative care may make the difference between success and failure in plastic operations. This requires the cooperation of an enthusiastic and well trained surgical house staff and nursing staff plus a great deal of personal care by the surgeon himself.

PREPARATION  The patient should be examined carefully for possible cutaneous infections, as a small pimple anywhere on the body may be a contraindication to operation.Routine laboratory work should be done, but if there are multiple admissions close together this may be slackened somewhat. The clotting time and bleeding time should be noted in all cases in which extensive procedures are to be undertaken and especially if there is to be much undermining, as in raising a large flap. Steps should be taken to correct any abnormalities in the clotting time if possible; if not, the operation should be delayed.Sedation the

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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