PACIENTES PERFORATOR

THURSDAY

11/08/2018
 CLAUDIA ZAMIRA ABUSAID
• ID: CC 39686417
• 55 Y.O
• CHIEF COMPLAINT: breast asymmetry
• Hypertension, liposuction rhynoplasty,
hysterectomy.
• PREVIOUS MEDICAL RECORD:
– right breast in situ ductal carcinoma
– (02/2018) Lumpectomy + Radiotherapy
– MY RISK study PALB2 +
 CLAUDIA ZAMIRA ABUSAID
• PHYSICAL EXAMINATION:
– Ptotic breasts, wide base, asymmetry.
– Mild abdominal fibrosis due to previous
liposuction.
 CLAUDIA ZAMIRA ABUSAID
• PLAN: Left mrm + Breast Reconstruction w/
Lumbar Artery Perforator Flap
• Surgeon: Elias Quintero (ablative surgeon),
Koenrad Van Landuyt, Gemma Pons, Camilo
Mejia
• Resident: Juan Carlos Perez
• Assistant: Viviana Plazas
• Anesthesia: Mauricio Veloza
• Surgical Nurse:
• Circulating nurse: Nancy Hernandez
 MARIA EMILIA FIGULS
• ID: CE 298216
• 61 Y.O
• Chief Complaint: left arm lymphoedema.
• DM, Previous smoker (quit 2 years ago).
• PREVIOUS MEDICAL RECORD:
– 09/2.016 infiltrating lobulillar carcinoma
– 04/2017 Modified Radical Mastectomy + lymph node
disesction + immediate breast reconstruction w/ expander
– Multiple seromas requiring drainage
– Two years after mastectomy, lymphedema grade III
– 02/2018 expander extraction
 MARIA EMILIA FIGULS
• PHYSICAL EXAMINATION:
– BMI 32
– Grade III lymphedema left arm
– Skin and surrounding tissue atrophy + fibrosis due
to radiation in left breast.
 MARIA EMILIA FIGULS
• PLAN: Total Breast Anatomy Restoration.
• Surgeon: Phillip Blondeel – Jaume Masia –
Marcela Sanchez
• Resident: Rolf Smit
• Assistant: Cristian Torres
• Anesthesia: German Parra
• Surgical Nurse: Diana Joya.
• Circulating nurse: Jessica
 MARTHA LINDA GRISALES (Second
Option)
• ID: CC 52024521
• 46 Y.O
• Chief Complaint: breast asymmetry and right arm
lymphedema
• Hysterectomy, endometroisis
• PREVIOS MEDICAL RECORD:
– 06/2017 right breast DIC, MRM + immediate
reconstruction w/ Latissimus Dorsi and expander.
– Acute radiodermatitis.
 MARTHA LINDA GRISALES (Second
Option)
• PHYSICAL EXAMINATION:
– Right capsular contracture.
– Atrophy due to radiation.
– Grade II lymphedema of the right arm
 MARTHA LINDA GRISALES (Second
Option)
• PLAN: Total Breast Anatomy Restoration.
• Surgeon: Phillip Blondeel – Jaume Masia –
Marcela Sanchez
• Resident: Rolf Smit
• Assistant: Cristian Torres
• Anesthesia: German Parra
• Surgical Nurse: Diana Joya.
• Circulating nurse: Jessica
 NATALIA FERNANDA ALFONSO
• ID: CC 40402720
• 44 Y.O
• Chief Complaint: right arm lymphoedema
• C-section, Mondor disease (2017), BMI>30
• PREVIOUS MEDICAL RECORD:
– 02/2.017 left breast ductal carcinoma
– 08/2017 Modified Radical Mastectomy + lymph node
dissection + immediate breast reconstruction w/
expander
– Six months after mastectomy, lymphoedema grade II
– 02/2018 expander extraction
 NATALIA FERNANDA ALFONSO
• PHYSICAL EXAMINATION:
– BMI >30
– Grade III lymphoedema left arm
– Atrophic changes due to radiation therapy in left
breast. Capsular contracture grade III.
 NATALIA FERNANDA ALFONSO
• PLAN: Lympho-Venous Anastomosis (LVA) +
Vascularized Lymph Node transfer (VLNT).
• Surgeon: Peter Nelligan – Catherine Baron
• Resident: Erica Menze
• Assistant: Diego Hernandez
• Anesthesia: Hernando Alvarez
• Surgical Nurse:
• Circulating nurse:
FRIDAY

11/09/2018
 DANIEL ALFONSO CUELLAR
• ID: CC 795603
• 40 Y.O
• Chief Complaint: Hidradenitis suppurativa
• Left axillary H.S resection + TDAP
• PREVIOUS MEDICAL RECORD:
– Bilateral axillary H.S
 DANIEL ALFONSO CUELLAR
• PHYSICAL EXAMINATION:
– Right axillary fosa Hidradenitis supurativa
secuelae.
– Left axillary flap vital, no signs of isquemia o
venous congestion.
 DANIEL ALFONSO CUELLAR
• PLAN: Right TDAP flap.
• Surgeon: Steven Morris – Yixin Zhang – Camilo
Mejia
• Resident: Rosa Uribe
• Assistant: Viviana Plazas
• Anesthesia: Giovanni Cuccaro
• Surgical Nurse:
• Circulating nurse:
 ELSA STELLA TORRES (Second option)
• ID: CC 51793209
• 52 Y.O
• Chief Complaint: Left cuadrantectomy
secuelae.
• PREVIOUS MEDICAL RECORD:
– Liposuction and abdominoplasty.
– Augmentation bilateral mammaplasty.
– Implant resection.
 ELSA STELLA TORRES (Second option)
• PHYSICAL EXAMINATION:
– Soft tissue rectraction in left breast after
radiotherapy sessions.
– Right breast with implant.
 ELSA STELLA TORRES (Second option)
• PLAN: TGAP
• Surgeon: Steven Morris – Yixin Zhang – Camilo
Mejia
• Resident: Rosa Uribe
• Assistant: Viviana Plazas
• Anesthesia: Giovanni Cuccaro
• Surgical Nurse:
• Circulating nurse:
 LUZ ELENA CEBALLOS
• ID: CC 39659023
• 46 Y.O
• Chief Complaint:
• PREVIOUS MEDICAL RECORD:
 LUZ ELENA CEBALLOS
• PLAN: SGAP flap for breast reconstruction
• Surgeon: Eric Santamaria – Jian Farhadi –
Susana Correa
• Resident: Gonzalo Mallarino
• Assistant: Claudia Restrepo
• Anesthesia: Mauricio Guiot
• Surgical Nurse: Diana Joya
• Circulating nurse:
 MOYRA STREIDINGER DE GONZALEZ
(Second option)
• ID: CC 32636930
• 64 Y.O
• Chief Complaint: Breast asymmetry.
• PREVIOUS MEDICAL RECORD:
– Left breast cuadrantectomy.
– Chemotherapy and radiotherapy.
– Bilateral breast augmentation.
– Abdominoplasty.
 MOYRA STREIDINGER DE GONZALEZ
(Second option)
• PREVIOUS MEDICAL RECORD:
– 10- 09 - 2018 Implant change and compensation
right mammaplasty.
 MOYRA STREIDINGER DE GONZALEZ
(Second option)
• PHYSICAL EXAMINATION:
– Bilateral deep scar in inferior semicircular areolar
nipple complex.
– Breast asymmetry.
– Soft tissue radiation therapy secuelae.
 MOYRA STREIDINGER DE GONZALEZ
(Second option)
• PLAN: SGAP flap for breast reconstruction
• Surgeon: Eric Santamaria – Jian Farhadi –
Susana Correa
• Resident: Gonzalo Mallarino
• Assistant: Claudia Restrepo
• Anesthesia: Mauricio Guiot
• Surgical Nurse: Diana Joya
• Circulating nurse:
 CARLOS ISMAEL PASAYO
• ID: CC
• Y.O
• Chief Complaint: Burn secuelae in left
popliteal crease.
• PREVIOUS MEDICAL RECORD:
– Burn secuelae in left inferior extremity.
 CARLOS ISMAEL PASAYO
• PLAN: ALT flap.
• Surgeon: Geoffrey Hallock
• Resident: Dario Fernandez
• Assistant: David Duque – Ana Maria Sastre
• Anesthesia: Hernando Alvarez
• Surgical Nurse:
• Circulating nurse: Nancy Hernandez