Surgery setup images for Colon Resection


Mayo stand and back table instruments for Colon Resection surgery setup

Clamping & Occluding

  • Allis Forceps

    Allis Forceps

  • Babcock


  • Curved Hemostat

    Curved Hemostat

  • Hemostatic Clip Applier

    Hemostatic Clip Applier

  • Kelly Forceps

    Kelly Forceps

  • Kocher Forceps

    Kocher Forceps

  • Right Angle Clamp

    Right Angle Clamp

Cutting & Dissecting

  • #3 Knife Handle

    #3 Knife Handle

  • Curved Mayo Scissor

    Curved Mayo Scissor

  • Metzenbaum Scissor

    Metzenbaum Scissor

  • Straight Mayo Scissor

    Straight Mayo Scissor

Grasping & Holding

  • Adson Forceps

    Adson Forceps

  • Debakey Forcep

    Debakey Forcep

  • Ferris Smith Tissue Forceps

    Ferris Smith Tissue Forceps

  • Forester Sponge Forceps

    Forester Sponge Forceps

  • Non toothed Pickup

    Non toothed Pickup

  • Russian Tissue Forceps

    Russian Tissue Forceps

  • Smooth Adson

    Smooth Adson

  • Toothed Forcep

    Toothed Forcep

Retracting & Exposing

  • Army-Navy Retractor

    Army-Navy Retractor

  • Bookwalter Retractor

    Bookwalter Retractor

  • Deaver Retractor

    Deaver Retractor

  • Richardson Retractor

    Richardson Retractor

  • Tessier Malleable Retractor

    Tessier Malleable Retractor


  • Poole Suction Probe

    Poole Suction Probe

  • Yankauer Suction

    Yankauer Suction

Suturing & Stapling

  • Mayo-Hegar Needle Holder

    Mayo-Hegar Needle Holder

What to expect during Colon Resection

Colon resection, also known as colectomy, is a surgical procedure to remove a portion of the colon (large intestine). It is typically performed to treat conditions such as colon cancer, diverticulitis, inflammatory bowel disease, or bowel obstruction. During the procedure, the affected section of the colon is removed, and the remaining parts are reconnected. In some cases, a colostomy bag may be necessary temporarily or permanently to divert waste from the body while the remaining parts of the colon heal. Colon resection is a major surgery and requires careful preparation and aftercare.

Extra Equipment
ESU, suction

Folded towels, laparotomy drape

Step 1: Incision and Access
An incision is made to expose the small bowel, typically using a 10 blade. The abdominal cavity is opened and explored to locate the affected part of the small bowel.

Step 2: Dissection and Hemostasis
The mesentery is dissected and cut into, ensuring hemostasis is maintained throughout the procedure. Hemostatic instruments such as clamps, bipolar forceps, and LigaSure may be used.

Step 3: Resection
The affected part of the small bowel is identified and removed. A TA (linear cutter) or GIA (circular stapler) may be used to connect the two ends of the small bowel back together. The resected piece of small bowel should be handed off as a specimen.

Step 4: Hemostasis and Closure
After hemostasis is ensured, the surgical site is closed in layers. Suture material such as Vicryl or Monocryl may be used to close the tissue layers. Hemostatic agents, such as Surgicel or Floseal, may also be used to control bleeding. The final layer of closure is typically the skin.

Tips and tricks
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.

The Surgery Sparknotes

  1. Incise small bowel with 10 blade.
  2. Cut and dissect mesentery while maintaining hemostasis.
  3. Locate and remove affected part of small bowel.
  4. Connect two ends of small bowel with TA or GIA stapler.
  5. Hand off resected piece as specimen.
  6. Ensure hemostasis before beginning closure in layers.

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