Mayo stand and back table instruments for Lipoma Excision surgery setup

Clamping & Occluding

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  Curved Hemostat

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  Allis Forceps

Cutting & Dissecting

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  #3 Knife Handle

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  Stevens Tenotomy Scissor

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  Metzenbaum Scissor

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  Straight Mayo Scissor

Grasping & Holding

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  Adson Forceps

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  Adson Brown Forceps

Retracting & Exposing

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  Freer Skin Hook

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  Army-Navy Retractor

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  Senn Retractor

Suctioning

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  Yankauer Suction

Suturing & Stapling

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  Crile Wood Needle Holder

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  Mayo-Hegar Needle Holder

What to expect during Lipoma Excision

Lipoma excision is a surgical procedure performed to remove a benign, fatty tumor known as a lipoma from beneath the skin. The procedure involves making an incision, dissecting down to the lipoma, excising it, and suturing the wound closed. It is a relatively straightforward procedure that can be done on an outpatient basis under local anesthesia. Lipomas are typically not harmful, but may be removed if they are causing discomfort or affecting the appearance of the affected area.

Step 1: Making the Incision
The surgeon will use the 15 or 11 blade loaded on a #3 knife handle to make an incision on the skin overlying the lipoma. The size of the incision will depend on the size of the lipoma. The surgical technologist should ensure that the blade is sharp and sterile before handing it over to the surgeon.

Step 2: Dissecting Down to the Lipoma
Once the incision has been made, the surgeon will use metz or tenotomy scissors with an adson forceps to dissect down to the lipoma. The surgical technologist should ensure that the scissors are sharp and the adson forceps are sterile before handing them over to the surgeon.

Step 3: Retracting the Wound
After the lipoma has been exposed, the surgical technologist will use senn retractors or skin hooks to retract the wound edges. This will help to provide better visualization of the lipoma and aid in its excision.

Step 4: Excising the Lipoma
The surgeon will use a combination of scissors and forceps to carefully excise the lipoma from surrounding tissues. The surgical technologist should ensure that the instruments are sterile and in good condition before handing them over to the surgeon.

Step 5: Irrigating the Wound
Once the lipoma has been excised, the surgical technologist should irrigate the wound with sterile saline or another appropriate solution. This will help to remove any debris or bacteria and promote wound healing.

Step 6: Closing the Wound
The surgeon will then suture the wound closed using appropriate suturing materials. The surgical technologist should ensure that the sutures are sterile and the correct size before handing them over to the surgeon.

The Surgery Sparknotes

1. Make incision with sharp, sterile 15 or 11 blade.
2. Dissect down to lipoma with metz or tenotomy scissors and adson forceps.
3. Retract wound edges with senn retractors or skin hooks.
4. Excise lipoma with scissors and forceps.
5. Irrigate wound with sterile solution.
6. Suture wound closed with appropriate suturing materials.