Eye Padding

First, tape the eye closed with a single piece of vertically-oriented tape. Then, fold a 4x4 piece of gauze to the size of the orbit. Place the gauze on the orbit such that the folded parts are against the brow ridge and the nose. Secure in place with Tegaderms. 

Fascia Lata

First, bend the knee and internally rotate the hip. Put a pink foam donut under the heel. Put a folded pillow under the knee. Put a thin purple foam over the lower leg and go around with 3-inch tape to secure the leg to the bed and hold it in an internally-rotated position. 

Mark the head of the fibula and the greater trochanter. When the leg is held in the internally-rotated position, the location of the IT band stands out on the lateral leg as a shallow linear depression (red arrows). 

Mark a 3-inch linear incision parallel to the IT band midway between the marks for the greater

Quiz questions

• What nerve is at risk of injury with a fascia lata harvest incision that is too high? 
  • Lateral femoral cutaneous nerve

Discharge

Nasopores and Doyles - continue antibiotics until postop day 5.

Merocels - continue antibiotics until packing is removed.