Biopsy vs dissection
Had an order for a PICC on a patient who had bilateral mastectomies......the first in the distant past with lymph node disection and the second more recently with sentinal node biopsy only. Initially I recommended a Hohn because of the situation, but the surgeon and internist said OK to do on the side with lymph node biopsy only since IV access in that situation is not contraindicated. So we did....... I had never had that sort of discussion and outcome before. Is there concensus that it's OK to do it on the side that had biopsy only?