Mayo stand and back table instruments for Abdominal Laparoscopy surgery setup
Clamping & Occluding
Cutting & Dissecting
Grasping & Holding
Laparoscopic Wave Grasper
Laparoscopic Fenestrated Grasper
Laparoscopic DeBakey Forceps
Laparoscopic Maryland Dissector Grasper
Retracting & Exposing
Suturing & Stapling
What to expect during Abdominal Laparoscopy
The scalpel usually an 11 blade, will be used to make approximately 3-4 incisions to insert trocars. A Verres needle may be introduced into the umbilical incision to introduce CO2 into the abdomen. With this method, a Kelley and two towel clips should be available to insert the Verres needle. A syringe of saline may also be needed after inserting the Verres needle. S retractors or Army-Navys may be used to retract to insert trocars. Another method is to insert a trocar, and then attach the CO2 tubing, achieving pneumoperitoneum. The rest of the trocars will then be placed. The laparoscope will then be inserted into the abdomen for viewing. Fat or adhesions can be dissected with graspers, hook cautery, Maryland, or laparoscopic scissors. With a basic laparoscopy, the doctor will view the contents of the abdomen using their preference of graspers. Once they have looked inside the abdomen, the ports will be removed, and the incisions will be closed. A needle driver and an adson pick-up will be needed for suturing, and the straight mayo scissors should be available for cutting sutures.
Extra Equipment: Camera, light cord, CO2 tubing, suction tubing, Endopouch, bovie, poss. port closure device, poss. Verres needle, trocars, poss. Cholangiogram device, telescopes, poss aspirating needle
Drapes: Four folded towels and laparotomy drape
Notes: With a laparoscopy, there is a high chance it may turn into a bigger case requiring the surgeon to open the abdomen. This will require more instrument pans. Always try to have a major procedure pan and a bookwalter retractor pan in your room just in case.