Mayo stand and back table instruments for Diagnostic Laparoscopy surgery setup

Clamping & Occluding

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  Kelly Forceps

Cutting & Dissecting

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  #3 Knife Handle

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  Straight Mayo Scissor

Grasping & Holding

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  Adson Forceps

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  Laparoscopic Bowel Grasper

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  Laparoscopic DeBakey Forceps

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  Laparoscopic Grasper

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  Laparoscopic Maryland Dissector Grasper

Retracting & Exposing

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  Army-Navy Retractor

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  Hasson S Retractor

Suctioning

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  Suction Irrigator

Suturing & Stapling

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  Mayo-Hegar Needle Holder

What to expect during Diagnostic Laparoscopy

The surgeon will start with some basic instruments. They will use either an 11 blade, 15 blade, or sometimes a bovie to make their laparoscopic trocar incision sites. They may use S retractors or Army-Navy’s to do this if they are making an incision bigger than a 5mm port.

Once they have an least one trocar sheath in, they will connect the insufflation tubing, and fill up the abdomen. They will then insert the scope to look around, then then insert the rest of the ports.

Laparoscopic instruments will now be used. Surgeons either prefer bowel graspers, laparoscopic DeBakey graspers, or plain laparoscopic graspers to move bowel around.

Diagnostic laparoscopies are usually very short, and finish after the surgeon takes a look around. They are simply trying to figure out what is going on with the patient, and then after figuring it out, fixing the problem.

The incision sites will then be closed using adson forceps, a Mayo hegar needle driver, and straight Mayo scissors.

For dressings, either skin glue, steri-strips, or gauze covered with an opsite or tegaderm will be used.