Laparoscopic Hernia Repair mayo stand and back table surgery setup

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Mayo stand and back table instruments for Laparoscopic Hernia Repair surgery setup

Clamping & Occluding

  • Curved Hemostat

    Curved Hemostat

  • Kelly Forceps

    Kelly Forceps

Cutting & Dissecting

  • Laparoscopic Metz Scissor

    Laparoscopic Metz Scissor

  • Metzenbaum Scissor

    Metzenbaum Scissor

  • Straight Mayo Scissor

    Straight Mayo Scissor

Grasping & Holding

  • Adson Forceps

    Adson Forceps

  • Bowel Grasper

    Bowel Grasper

  • Laparoscopic Maryland Dissector Grasper

    Laparoscopic Maryland Dissector Grasper

  • Laparoscopic Wave Grasper

    Laparoscopic Wave Grasper

  • Toothed Forcep

    Toothed Forcep

Misc

  • 0 Degree Scope

    0 Degree Scope

  • Camera Cord

    Camera Cord

  • Light Cord

    Light Cord

Retracting & Exposing

  • Army-Navy Retractor

    Army-Navy Retractor

  • Hasson S Retractor

    Hasson S Retractor

  • Senn Retractor

    Senn Retractor

Suctioning

  • Suction Irrigator

    Suction Irrigator

Suturing & Stapling

  • Mayo-Hegar Needle Holder

    Mayo-Hegar Needle Holder

What to expect during Laparoscopic Hernia Repair

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.

2 thoughts on “Laparoscopic Hernia Repair

  1. Wanda Tocco says:

    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?

    • Diana Lei-aloha says:

      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.

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