Transcript excerpt from a YouTube conversation (Robert Whitfield MD) describing use of acidic solutions (acetic acid, dilute bleach/Dakin) for pocket infection control during explant and related procedures, and noting that average explant surgery duration is about 2 to 2.5 hours. The speaker also mentions concerns about drains and infection risk in fat transfer patients.
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About 2 to 2.5 hours.
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And there's antibiotic solutions for the pocket. There's acidic solutions for the pocket. We prefer acidic solution because, you know, acid will always dictate a better cytal or kill rate of a bacteria or fungus. Think of something like, you know, during the pandemic, they were like, use 70% alcohol or use bleach. So bleach is just, you know, an acid product. So in medicine, there's been acetic acid used in patients wounds for long periods of time. There's been Dakin solution, which is basically dilute Clorox. These things all kill bacteria and fungus and other pathogens. So that's basically our. Our mode is to use an acidic environment to control the pocket and then figure out ways to tunnel to the abdomen and the flanks. And of course, when I'm doing fat transfers, which are super, you know, for me, I want everybody to have the best possible fat transfer result. That's why a bunch of people fly into town for this. We don't want a drain tube that could lead to an infection in a fat transfer patient, but I don't want a drain tube in anybody that can lead to an infection.
How long is the surgery for the explant? Really quick. I forgot to ask you that.
