Haematoma - A collection of following the TM procedure Minor managed conservatively by aspiration in clinic or – Major requiring surgical evacuation. – Infection - A hot, red swollen breast associated with one of the following; a temperature, pus at the wound site, a raised white cell count; a positive wound culture within the first 30 days following surgery. This will be further classified as: Minor requiring oral antibiotics only; – Major 1 requiring admission for IV antibiotics and/or debridement; – 2 requiring surgical drainage/debridement – Skin necrosis - any area of skin loss on the operated breast including T junction Minor managed conservatively with dressings – requiring surgical debridement under general anaesthesia (GA) – Wound dehiscence separation of skin edges at any of the wound sites – Minor treated conservatively; – requiring return to theatre – Nipple necrosis Any area of necrosis of the nipple areolar complex (NAC) – Minor managed conservatively with dressings; – 1 requiring surgical debridement under GA; – Major 2 complete nipple loss – In hospital complication any complication that occurs during the patient’s initial – hospital stay at the time of their TM. This includes systematic complications such as DVT/PE and procedure specific complications such as haematoma. Readmission to hospital any re-admission to hospital in 30 days following surgery – directly related to the procedure (e.g with infection requiring antibiotics or systemic complications including pulmonary embolus) Return to theatre Return to the operating theatre at any time during the first 30 – days following surgery to deal with any complication of the TM. Major complication - Any complication requiring readmission to hospital or return to theatre Minor complication - Any other complication
Haematoma - A collection of following the TM procedure Minor – managed conservatively by aspiration in clinic or Major – requiring surgical evacuation. Infection - A hot, red swollen breast associated with one of the following; a temperature, pus at the wound site, a raised white cell count; a positive wound culture within the first 30 days following surgery. This will be further classified as: Minor – requiring oral antibiotics only; Major 1 – requiring admission for IV antibiotics and/or debridement; 2 – requiring surgical drainage/debridement Skin necrosis - any area of skin loss on the operated breast including T junction Minor – managed conservatively with dressings – requiring surgical debridement under general anaesthesia (GA) Wound dehiscence – separation of skin edges at any of the wound sites Minor – treated conservatively; – requiring return to theatre Nipple necrosis – Any area of necrosis of the nipple areolar complex (NAC) Minor – managed conservatively with dressings; 1 – requiring surgical debridement under GA; Major 2 – complete nipple loss In hospital complication – any complication that occurs during the patient’s initial hospital stay at the time of their TM. This includes systematic complications such as DVT/PE and procedure specific complications such as haematoma. Readmission to hospital – any re-admission to hospital in 30 days following surgery directly related to the procedure (e.g with infection requiring antibiotics or systemic complications including pulmonary embolus) Return to theatre – Return to the operating theatre at any time during the first 30 days following surgery to deal with any complication of the TM. Major complication - Any complication requiring readmission to hospital or return to theatre Minor complication - Any other complication
TM-Audit-protocol-v6-22nd-May-2016.docx