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

A diagnostic laparoscopy is a minimally invasive surgical procedure that involves inserting a small camera through a small incision in the abdomen to look inside the body. This procedure is usually performed to diagnose and treat certain medical conditions related to the abdomen and pelvis, such as abdominal pain, infertility, or unexplained bleeding. It is a short procedure that typically lasts around 30 minutes, and patients can usually go home on the same day.

Step 1: Preparing for the Procedure
Before starting the diagnostic laparoscopy, the surgeon will need to gather the necessary instruments. The basic instruments required are an 11 blade, 15 blade, or a bovie to make the laparoscopic trocar incision sites. They may also require S retractors or Army-Navy’s if a larger incision is needed. These instruments will be used to make the initial incisions to insert the laparoscopic ports.

Step 2: Inserting the Trocar Sheaths
Once the initial incisions have been made, the surgeon will insert the trocar sheaths into the ports. They will then connect the insufflation tubing and fill up the abdomen with gas. This allows the surgeon to have a clear view of the internal organs during the procedure. After that, they will insert the scope and check around, before inserting the rest of the ports.

Step 3: Using Laparoscopic Graspers
During the procedure, laparoscopic graspers will be used to move the bowel around. Surgeons can choose between bowel graspers, laparoscopic DeBakey graspers, or plain laparoscopic graspers based on their preference.

Step 4: Finishing the Procedure
Diagnostic laparoscopies are usually brief and finish after the surgeon takes a look around the patient’s abdominal cavity. The surgeon will try to identify the cause of the patient’s symptoms and develop a treatment plan accordingly.

Step 5: Closing the Incision Sites
Once the procedure is complete, the surgeon will use adson forceps, a Mayo hegar needle driver, and straight Mayo scissors to close the incision sites. The instruments will help in securing the incision sites and prevent any further damage.

Step 6: Dressing the Incision Sites
Finally, the incision sites will be dressed using skin glue, steri-strips, or gauze covered with an opsite or tegaderm. The dressing will help to keep the incision site clean and promote proper healing.

The Surgery Sparknotes

1. Insert trocar sheaths and insufflate the abdomen.
2. Use laparoscopic graspers to move bowel around.
3. Identify problem, develop treatment plan, and finish procedure.
4. Close incision sites using adson forceps, Mayo hegar needle driver, and Mayo scissors.
5. Dress the incision sites with skin glue, steri-strips, or gauze covered with an opsite or tegaderm.