Mayo stand and back table instruments for Breast Biopsy surgery setup

Clamping & Occluding

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  Penetrating Towel Clamp

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  Curved Hemostat

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  Kocher Forceps

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  Mosquito Clamp – Curved

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  Straight Hemostat

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  Tonsil Clamp

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  Allis Forceps

Cutting & Dissecting

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  #3 Knife Handle

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  Metzenbaum Scissor

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  Straight Mayo Scissor

Grasping & Holding

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  Toothed Forcep

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  Adson Forceps

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  Non toothed Pickup

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  Debakey Forceps

Retracting & Exposing

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  Freer Skin Hook

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  Freeman Rake

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  Weitlaner Retractor

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  Army-Navy Retractor

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  Senn Retractor

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  Richardson Retractor

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  Deaver Retractor

Suctioning

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  Yankauer Suction

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  Ferg-Frazier Suction

Suturing & Stapling

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  Mayo-Hegar Needle Holder

What to expect during Breast Biopsy

Surgery Steps: The doctor will make their incision in close proximity of where they are taking the biopsy. They may use either a 15 or 10 blade depending on the size of the incision. For retraction, senns, rakes, or skin hooks may be used for small incisions. For a bigger incision, army-navys or Richardsons make be used. They will then dissect down to reach the lesion, usually using cautery, DeBakey forcep, and Metzenbaum scissors. Once dissected down, a Weitlaner may be used to retract. When the lesion is in view, an Allis clamp may be used to grasp onto it so it can be removed the rest of the way. Once the lesion is removed, a making/orientation stitch is usually placed using the needle driver, adsons, and straight mayo scissors. The specimen is then sent to pathology. A drain may also be used at the end if the incision was bigger.

Extra Equipment: ESU, suction

Drapes: Four folded towels, laparotomy drape

Notes: Always make a note of side and cite where specimen is being taken, as well as where the orientation stitch is placed, and double check specimen sheets. Formalin is usually not used on breast biopsies.