Mayo stand and back table instruments for Laparoscopic Hernia Repair surgery setupClamping & Occluding
Curved Hemostat
Kelly Forceps
Cutting & Dissecting
Laparoscopic Metz Scissor
Metzenbaum Scissor
Straight Mayo Scissor
Grasping & Holding
Adson Forceps
Bowel Grasper
Laparoscopic Maryland Dissector Grasper
Laparoscopic Wave Grasper
Toothed Forcep
Misc
0 Degree Scope
Camera Cord
Light Cord
Retracting & Exposing
Army-Navy Retractor
Hasson S Retractor
Senn Retractor
Suctioning
Suction Irrigator
Suturing & Stapling
Mayo-Hegar Needle Holder
What to expect during Laparoscopic Hernia Repair
Curved Hemostat
Kelly Forceps
Laparoscopic Metz Scissor
Metzenbaum Scissor
Straight Mayo Scissor
Adson Forceps
Bowel Grasper
Laparoscopic Maryland Dissector Grasper
Laparoscopic Wave Grasper
Toothed Forcep
0 Degree Scope
Camera Cord
Light Cord
Army-Navy Retractor
Hasson S Retractor
Senn Retractor
Suction Irrigator
Mayo-Hegar Needle Holder
The patient will be supine with folded towels around incision site, along with a lap drape.
The camera, light cord, insufflation tubing, suction irrigator, and bovie will be passed off and clamped to the drape.
The surgeon will use a 15 or 11 blade to made incisions where the ports will go. Usually 2-3 5mm ports and either a 12mm or 8mm port will be placed.
Bowel or wave graspers will be used throughout the surgery to separate the tissue from the hernia inside the abdomen. Scissors, a Maryland, or a bullet grasper may also be used.
Once the hernia has been emptied of bowel, a piece of mesh is usually place to prevent reoccurrence. Either a mesh tacker or suture will be used to hold it in place.
Once the mesh has been placed, the gas will be turned off, and the port sites will be closed. A monocryl is commonly used for closure, and skin glue is usually used for a dressing.
Are there specific types of mesh for laparoscopic hernias vs an open hernia? My hospitals preference card just says to have a whole mesh cart in the room?
There are specifically labelled mesh for laparoscopic surgeries, but each surgeon may not necessarily use those specific ones. I would definitely have the mesh cart close by so that you can show the surgeon several options and sizes at one time.