Wound Revision and Hemostasis Using the Illuminated Retractor and Bipolar Tweezers

■ Hemostasis is carried out by means of electrocoagulation and with the assistance of an endoscope or an illuminated retractor. This hemostasis is carried out twice. One always begins with the right breast. After dissection and hemostasis have been completed, a damp compress is applied. When the left side has been dissected, a second hemostasis is carried out before incorporation of the implant. Until now, we have not seen any postoperative bleeding in patients where this second hemostasis has been carried out. The patient, however, must not get up for 24 h after the operation, during which time her blood pressure is monitored, and the patient is supine with the upper body raised and with a light compression bandage.

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