Mayo stand and back table instruments for Colon Resection surgery setup

Clamping & Occluding

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

Cutting & Dissecting

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

Grasping & Holding

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

Retracting & Exposing

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

Suctioning

Poole Suction Probe
Yankauer Suction

Suturing & Stapling

Mayo-Hegar Needle Holder

What to expect during Colon Resection

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

Colon Resection