Lasers, Lights and Other Technologies by Unknown

Author:Unknown
Language: eng
Format: epub
ISBN: 9783319167992
Publisher: Springer International Publishing

Preoperative Considerations

During the consultation, complete anamneses should be performed, and the real objectives regarding the procedure must be identified (McBean and Katz 2011).

Drug allergies must be investigated. Patients should be informed about drugs that should be avoided before the procedure, such as warfarin, clopidogrel bisulfate, aspirin, or other nonsteroidal anti-inflammatories, to avoid bleeding. Drugs that inhibit the cytochrome P450 liver enzymes, such as selective inhibitors of serotonin and antifungal azole agents, decrease the metabolism of lidocaine and should also be avoided (McBean and Katz 2011).

The laboratorial tests should be done to hold off some disorders in the liver, kidney, and blood. Some infections, such as HIV and hepatitis, and pregnancy are also contraindication (McBean and Katz 2011).

During the physical examination, the patient should be standing and without clothes. With the aim of obtaining better body contour , the patient may benefit from the treatment of adjacent areas, for example, to treat the abdomen and flanks, even when their initial complaint is limited to the abdomen (McBean and Katz 2011).

To assess the tonus and the elasticity of the skin on the area to be treated, the physician should perform the clamp test, in which the skin is gently pulled between the forefinger and the thumb and subsequently released. If the skin instantly returns, it indicates good elasticity. If the skin returns slowly, it indicates poor elasticity. Patients with excess flaccidity are not good candidates (McBean and Katz 2011).

Previous photographic documentation is important and mandatory to identify all irregularities, ripples, or previous scars and objectively evaluate the postoperative results (McBean and Katz 2011).

A preinformed consent form with guidance about the procedure and about postoperative cares should be signed by the patient before the procedure (Morton 2008).

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