Colon Resection

Mayo stand and back table instruments for Colon Resection surgery setup

Clamping & Occluding

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  Allis Forceps

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  Babcock

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  Curved Hemostat

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  Hemostatic Clip Applier

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  Kelly Forceps

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  Kocher Forceps

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  Right Angle Clamp

Cutting & Dissecting

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  #3 Knife Handle

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  Curved Mayo Scissor

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  Metzenbaum Scissor

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  Straight Mayo Scissor

Grasping & Holding

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  Adson Forceps

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  Debakey Forcep

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  Ferris Smith Tissue Forceps

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  Forester Sponge Forceps

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  Non toothed Pickup

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  Russian Tissue Forceps

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  Smooth Adson

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  Toothed Forcep

Retracting & Exposing

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  Army-Navy Retractor

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  Bookwalter Retractor

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  Deaver Retractor

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  Richardson Retractor

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  Tessier Malleable Retractor

Suctioning

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  Poole Suction Probe

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  Yankauer Suction

Suturing & Stapling

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  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.