Centimeter rule  Sterile marking pen  Scalpel 
Large needle holder 
Small needle holder 
Adson tweezers with plate 
Coarse surgical tweezers 
Monopolar electrocoagulation 
Insulated anatomical tweezers for hemostasis 
Large Metzenbaum dissecting scissors 
Cooper scissors 
Illuminated retractor 
Langenbeck retractor 
Sharp 4-pronged retractor 
Redon introducer 
Curved forceps 
Roux retractor 
Duplicate Patient Information -2
The patient is first given comprehensive information about the objec- S
tives and risks of the procedure on the day of the first consultation. w
A written record is kept of this. 2
One day before the surgical procedure, the patient is again given com- ^
prehensive information on two separate occasions: once by the surgeon and once by the surgical resident. All the risks are set down in writing at this time.
In addition to general operative risks such as wound infection, impairment to wound healing, injuries to blood vessels and nerves, scar formation, subsequent bleeding, thrombosis and embolism, in the case of breast enlargement it is also necessary to give information to the patient about circulatory disturbances and sensitivity disturbances relating to the nipple, impairment of ability to breast-feed, necrosis of the skin, glands, and adipose tissue, asymmetry (especially if this exists already before the operation) and specifically about capsular fibrosis, prosthetic defects, and possible displacement of the prosthesis.
■ Current results of preoperative routine laboratory tests
■ Up-to-date mammogram with findings
■ Clinical examination, particularly of the nipple and axilla
Upper body, standing:
■ Half turned to the right and left
■ Side view right and left
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