Mayo stand and back table instruments for Laparoscopic Appendectomy surgery setupClamping & Occluding
Cutting & Dissecting
Grasping & Holding

Toothed Forcep

Standard Laparoscopic Grasper

Laparoscopic Babcock Forceps

Laparoscopic Hunter Bowel Grasper

Laparoscopic Wave Grasper

Laparoscopic Fenestrated Grasper

Adson Forceps

Non toothed Pickup
Misc
Retracting & Exposing
Suctioning
Suturing & Stapling
What to expect during Laparoscopic Appendectomy

Toothed Forcep

Standard Laparoscopic Grasper

Laparoscopic Babcock Forceps

Laparoscopic Hunter Bowel Grasper

Laparoscopic Wave Grasper

Laparoscopic Fenestrated Grasper

Adson Forceps

Non toothed Pickup
Surgery Steps: The scalpel will be used to make approximately 3-4 incisions to insert trocars. A Verres needle may be used to introduce CO2 into the abdomen. With this method, a Kelley and two towel clips should be available to insert the Verres needle. A syringe of saline may also be needed after inserting the Verres needle. S retractors or Army-Navys may be used to retract to insert trocars.
Another method is to insert a trocar, and then attach the CO2 tubing, achieving pneumoperitoneum. Fat or adhesions can be dissected with graspers, hook cautery, and Maryland. Once dissected, the cecum will be found using an instrument that won’t cause damage, and the appendix will be at the end of it. Using a laparoscopic stapler, the appendix as well as the artery in the appendix will be ligated and the appendix will then be amputated. The stump left behind from the appendix is then usually cauterized to avoid bleeding.
Another way of amputating the appendix is to use a suture loop, and then laparoscopic scissors. The appendix will then be removed through one of the trocars. CO2 gas in released from the abdomen, and the trocars will then be removed, and the port sites will be closed. A needle driver and an adson pick-up will be needed for suturing, and the straight mayo scissors should be available for cutting suture.
Instruments:
Misc: Verres needle, Endopouch, Endoloop, Culture Tubes
Extra Equipment:
ESU, suction, CO2 tubing, camera, light cord, trocars, video monitors,
Drapes: Folded towels, laparotomy drape
Notes: An endopouch may be used if the appendix is inflamed. Cultures may be taken depending on severity. Isolate instruments that come in contact with the amputated appendix to preserve sterility.

I’m a new surg tech student and cannot tell you how much this site helps me! Thank you so much for putting all this great info on here, including the pictures!!
My first Lap Appy. This was done with the Weck Closure Device. Really cool to watch them deploy the Weck Device.