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Total Knee Replacement (Zimmer)

This guide is directed solely to the Zimmer system. For a general total knee guide, see www.CSTSetup.com/total-knee-arthroplasty

After incision and dissection the surgeon will start with patella resection. The patella caliper will be used to tell the patella thickness. The patella clamp will be used . . .

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Neuroma Excision

The most common neuroma is found in the foot. They are called a Morton’s neuroma or intermetatarsal neuroma.

For a dorsal approach, the surgeon will make their incision with a 15 blade on the top of the foot. They will dissect down using Adsons, and either Metz or Tenotomy . . .

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Breast Reduction – Reduction Mammoplasty

An incision will be made around the areola with a 15 blade loaded on a #3 knife handle. Adsons and the bovie will be used to dessert down into the breast tissue. Metz and DeBakeys will also be used.

A variety of retractors will be used, depending on how deep . . .

See this full guide and instruments as a pro member

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Percutaneous Nephrolithotomy

A Percutaneous Nephrolithotomy, aka PCNL is performed when a patient forms kidney stones that are too large or too hard to extract through a regular lithotripsy or ureteroscopy. The patient will be positioned prone, and a tube will be placed through the urethra into the kidney so the area can be easily seen under x-ray. […]

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Basic operating room setup

Having an understanding of basic instrumentation that you can have available for a surgery is very important. You can use parts of this setup for close to any general surgery. Here are some basic instruments you should feel comfortable putting on your Mayo stand: Clamps: keep in mind the tissue the surgeon will be handling […]

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Rhinoplasty

The surgeon will make an inter-nasal incision with a 15 or 11 blade on a #3 knife handle.

A variety of scissors (usually Iris), possible a Cottle, and pickups will be used to separate the nasal mucosal lining from the septum. Skin hooks will be used for retraction. During . . .

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Tympanoplasty

A tympanoplasty is done to reconstruct or fix an eardrum that has a hole in it.

An incision behind the ear will be made with a 15 blade on a #3 knife handle. A periostial elevator will be used to elevate the periosteum. Small scissors such as iris or Jorgensen . . .

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Endovascular AAA

Patients are usually sedated or injected with a local anesthetic. Sometimes they are put under general depending on their circumstances. The surgeon will cut the skin over femoral artery in the groin. Once they dissect down to the artery, they will insert a wire into the femoral artery and pass it up to the aneurysm. […]

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Anterior Lumbar Interbody Fusion (ALIF)

To sum up what is happening during an ALIF... the surgeon is working on the spine from the front (anteriorlly) to remove a disc in the lower portion of the spine. A bone graft will be placed where the old disc was removed, and this will force the discs above . . .

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Mammoplasty

Positioning: Supine with arms out on armbands

Drapes: Towels squaring off site (sometimes attached with a skin stapler or towel clamps), and a breast or universal drape over top

Procedure: The patients are usually intubated with general anesthesia. Incisions can be placed a couple of different places. They can be . . .

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