Mayo stand and back table instruments for Bowel Resection (Colectomy/Hemicolectomy) surgery setup

Clamping & Occluding

Hemostatic Clip Applier
Curved Hemostat
Right Angle Clamp
Kocher Forceps
Kelly Forceps
Straight Hemostat
Babcock
Allis Forceps

Cutting & Dissecting

#3 Knife Handle
Metzenbaum Scissor
Curved Mayo Scissor
Straight Mayo Scissor

Grasping & Holding

Toothed Forcep
Smooth Adson
Adson Forceps
Russian Tissue Forceps
Forester Sponge Forceps
Ferris Smith Tissue Forceps
Non toothed Pickup
Debakey Forceps

Retracting & Exposing

Bookwalter Retractor
Balfour Retractor
Tessier Malleable Retractor
Army-Navy Retractor
Richardson Retractor
Deaver Retractor

Suctioning

Yankauer Suction
Poole Suction Probe

Suturing & Stapling

Mayo-Hegar Needle Holder

What to expect during Bowel Resection (Colectomy/Hemicolectomy)

Surgery Steps: An incision is made to make the small bowel accessible, usually with a 10 blade. The mesentery will be cut into and dissected, all while maintaining hemostasis. The affected part of small bowel is found, and removed, usually using either a TA or GIA stapler to connect the two ends of small bowel back together. The resected piece of small bowel should be handed off as a specimen. After hemostasis is ensured, closure will begin in layers.

Extra Equipment: ESU, suction

Drapes: Folded towels, laparotomy drape

Notes: Have long instrument trays available, as well as a Balfour and Bookwalter retractor. Always have different size clips easily accessible. The resected part of the bowel being removed should be kept separate in order to avoid contaminating the rest of the sterile setup. Any instruments that become contaminated with bowel contents should also be taken off of the sterile field. A separate sterile field may be requested for the end of the case for closing, containing extra gowns, gloves, and a minor procedure tray.

All Setups, General

Bowel Resection (Colectomy/Hemicolectomy) mayo stand and back table surgery setup