Mayo stand and back table instruments for Breast Biopsy surgery setupClamping & Occluding

Penetrating Towel Clamp

Curved Hemostat

Kocher Forceps

Mosquito Clamp – Curved

Straight Hemostat

Tonsil Clamp

Allis Forceps
Cutting & Dissecting
Grasping & Holding
Retracting & Exposing

Freer Skin Hook

Freeman Rake

Weitlaner Retractor

Army-Navy Retractor

Senn Retractor

Richardson Retractor

Deaver Retractor
Suctioning
Suturing & Stapling
What to expect during Breast Biopsy

Penetrating Towel Clamp

Curved Hemostat

Kocher Forceps

Mosquito Clamp – Curved

Straight Hemostat

Tonsil Clamp

Allis Forceps

Freer Skin Hook

Freeman Rake

Weitlaner Retractor

Army-Navy Retractor

Senn Retractor

Richardson Retractor

Deaver Retractor
Surgery Steps:Â 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:Â ESU, suction
Drapes:Â Four folded towels, laparotomy drape
Notes:Â 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.