Mayo stand and back table instruments for Basic operating room setup surgery setup
Clamping & Occluding
Cutting & Dissecting
Grasping & Holding
Retracting & Exposing
Suturing & Stapling
What to expect during 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 when choosing your clamps. Hemostats and Kelleys are safe bets when doing open bowel cases. Kochers are good for aggressively pulling tissue up or together. Tonsils are commonly used for spreading deep tissue before using the bovie, as well as passing ties.
Grasping: Adsons are perfect when handling skin and right below the surface. Once the surgeon has a large incision that is a bit deeper, Rat Tooths/ Toothed pickups will work well. For delicate tissue DeBakeys will be your best bet.
Cutting: it’s always safe to have a pair of straight Mayo scissors. Metzenbaums are also very commonly used on tissue. Most open general surgeries require Metz. Curved Mayo scissors are less commonly used, but may be needed if dealing with thicker tissue.
Retractors: Senns are commonly used for small incisions. Army-Navys and Richardson’s are popular for deep tissue. Weitlaners are perfect for when the surgeon needs a self-retaining retractor, maybe when he doesn’t have another helper.
Suctioning: yankauers are better for larger areas, whereas Frazier’s are perfect for tight/ intricate spaces.
Suturing: Mayo-hegars are your classic needledrivers that can be used in almost any space in general surgery.