Mayo stand and back table instruments for Kidney Transplant surgery setup

Clamping & Occluding

  • Allis Forceps

    Allis Forceps

  • Bulldog Clamp

    Bulldog Clamp

  • Curved Hemostat

    Curved Hemostat

  • Debakey Bulldog Clamp

    Debakey Bulldog Clamp

  • Fogarty Clamp

    Fogarty Clamp

  • Hemostatic Clip Applier

    Hemostatic Clip Applier

  • Kelly Forceps

    Kelly Forceps

  • Mosquito Clamp – Curved

    Mosquito Clamp – Curved

  • Right Angle Clamp

    Right Angle Clamp

  • Tonsil Clamp

    Tonsil Clamp

Cutting & Dissecting

  • #3 Knife Handle

    #3 Knife Handle

  • #7 Knife Handle

    #7 Knife Handle

  • Metzenbaum Scissor

    Metzenbaum Scissor

  • Potts Smith Scissors

    Potts Smith Scissors

  • Straight Mayo Scissor

    Straight Mayo Scissor

Grasping & Holding

  • Adson Forceps

    Adson Forceps

  • Debakey Forcep

    Debakey Forcep

  • Forester Sponge Forceps

    Forester Sponge Forceps

Retracting & Exposing

  • Army-Navy Retractor

    Army-Navy Retractor

  • Bookwalter Retractor

    Bookwalter Retractor

  • Richardson Retractor

    Richardson Retractor

Suctioning

  • Yankauer Suction

    Yankauer Suction

Suturing & Stapling

  • Castroviejo Needle Holder

    Castroviejo Needle Holder

  • Mayo-Hegar Needle Holder

    Mayo-Hegar Needle Holder

  • Micro Vascular Needle Holder

    Micro Vascular Needle Holder

  • Ryder Needle Holder

    Ryder Needle Holder

What to expect during Kidney Transplant

The donor kidney will be brought to the OR and will be prepared to be implanted into the recipient. Fat will be cleaned off, and the vessels will be dissected clean and will be shortened to make the anastomosis easier. An aortic cuff may be used if the kidney came from a deceased patient.

The veins need to be reconstructed, and there will be branches that will need to be ligated, but a large renal vein will be kept.

The kidney will either be place in the iliac fossa, or in the retroperitoneum.

An large incision with a 10 blade will be made, and the external oblique muscle and fascia are dissected. The internal oblique and transverse muscles will be divided to expose the peritoneum. The inferior epigastric will be ligated, and the spermatic cord will be preserved.

The renal artery and vein will be anastomosed. The renal vein will be attached to the external iliac vein, usually with a small Prolene suture. The artery will be attached to the external iliac artery. The aortic cuff will be trimmed and fitted to the renal artery, and attached to the arrteriotomy in the external iliac artery.

Now the urinary tract will be reconstructed. The bladder will be incised, and the patients’ ureter is found. An incision is made in it.the donor ureter will be fed through the incision into the bladder and anastomosed with absorbable suture. The bladder incision sis closed, and the bladder is filled to check for leaks.

The tissue will be reapproximated and closed with suture.

Notes: booties should be placed on some mosquitos for clamping suture, and ties should always be available on the sterile field.

 

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