Surgery setup images for Breast Biopsy

941FA4DC-9EAF-4449-9522-730A99CDBE6C499424BF-7482-4178-9254-0B34E553CD8CB670CC28-B086-42DB-8707-ABFD0C8AE705

Mayo stand and back table instruments for Breast Biopsy surgery setup

Clamping & Occluding

  • Penetrating Towel Clamp

    Penetrating Towel Clamp

  • Curved Hemostat

    Curved Hemostat

  • Kocher Forceps

    Kocher Forceps

  • Mosquito Clamp – Curved

    Mosquito Clamp – Curved

  • Straight Hemostat

    Straight Hemostat

  • Tonsil Clamp

    Tonsil Clamp

  • Allis Forceps

    Allis Forceps

Cutting & Dissecting

  • #3 Knife Handle

    #3 Knife Handle

  • Metzenbaum Scissor

    Metzenbaum Scissor

  • Straight Mayo Scissor

    Straight Mayo Scissor

Grasping & Holding

  • Toothed Forcep

    Toothed Forcep

  • Adson Forceps

    Adson Forceps

  • Non toothed Pickup

    Non toothed Pickup

  • Debakey Forceps

    Debakey Forceps

Retracting & Exposing

  • Freer Skin Hook

    Freer Skin Hook

  • Freeman Rake

    Freeman Rake

  • Weitlaner Retractor

    Weitlaner Retractor

  • Army-Navy Retractor

    Army-Navy Retractor

  • Senn Retractor

    Senn Retractor

  • Richardson Retractor

    Richardson Retractor

  • Deaver Retractor

    Deaver Retractor

Suctioning

  • Yankauer Suction

    Yankauer Suction

  • Ferg-Frazier Suction

    Ferg-Frazier Suction

Suturing & Stapling

  • Mayo-Hegar Needle Holder

    Mayo-Hegar Needle Holder

What to expect during Breast Biopsy

A breast biopsy is a medical procedure used to obtain a small sample of breast tissue for examination under a microscope. It is typically done to investigate a suspicious lump or abnormality found during a breast exam or imaging test, such as a mammogram or ultrasound. The biopsy helps determine if the tissue is cancerous or not, and provides important information for the diagnosis and treatment of breast cancer.

Extra Equipment

ESU, suction

Drapes
Four folded towels, laparotomy drape

Step 1: Incision
The doctor will make an incision near the location of the biopsy, using a 10 or 15 blade depending on the size of the incision needed.

Step 2: Retraction
For small incisions, use senns, rakes, or skin hooks for retraction. For larger incisions, use army-navys or Richardsons.

Step 3: Dissection
The doctor will dissect down to reach the lesion, using cautery, DeBakey forcep, and Metzenbaum scissors.

Step 4: Retraction
Once dissected down, use a Weitlaner to retract the lesion into view.

Step 5: Clamping
An Allis clamp may be used to grasp the lesion and remove it.

Step 6: Stitching
After removing the lesion, a making/orientation stitch is usually placed using a needle driver, adsons, and straight mayo scissors.

Step 7: Pathology
The specimen is then sent to pathology for analysis.

Step 8: Drain
If the incision was bigger, a drain may also be used at the end.

Tips and tricks
Always make a note of the side and location of the specimen, as well as where the orientation stitch is placed, and double check specimen sheets.
Formalin is usually not used on breast biopsies.

The Surgery Sparknotes

  1. Make incision with 15 or 10 blade
  2. Retract with senns, rakes, skin hooks or army-navys, Richardsons for larger incisions
  3. Dissect with cautery, DeBakey forcep, and Metzenbaum scissors
  4. Use Weitlaner to retract when lesion is in view
  5. Grasp lesion with Allis clamp and remove it
  6. Place making/orientation stitch with needle driver, adsons, and straight mayo scissors
  7. Send specimen to pathology and consider using a drain for larger incisions

2 thoughts on “Breast Biopsy

  1. James roberts says:

    Awesome deep dive into the breast biopsy process! It’s always great to have guides like this. A little curious about the ‘double-checking specimen sheets’ tip. I’m assuming this is crucial to ensure no mistakes in pathology? Would be cool to hear more about best practices there. The ‘Surgery Sparknotes’ is such a neat addition for a quick overview!

    • Diana Lei-aloha says:

      Thank you! Yes, it’s always a good idea to double check with the surgeon that you have written down the specimen names correctly, as well as make sure the circulator has written them correctly on the pathology sheet.
      Sometimes there can be multiple specimens with similar names, and clarification is very important to avoid any confusion in pathology.

Share your thoughts or setup image

Your email address will not be published. Required fields are marked *

The maximum upload file size: 256 MB. You can upload: image, audio. Links to YouTube, Facebook, Twitter and other services inserted in the comment text will be automatically embedded. Drop files here