Sentinel Node/Lymph Node Dissection

Mayo stand and back table instruments for Sentinel Node/Lymph Node Dissection surgery setup

Clamping & Occluding

  • Curved Hemostat

    Curved Hemostat

  • Mosquito Clamp – Curved

    Mosquito Clamp – Curved

  • Tonsil Clamp

    Tonsil Clamp

Cutting & Dissecting

  • #3 Knife Handle

    #3 Knife Handle

  • Metzenbaum Scissor

    Metzenbaum Scissor

  • Straight Mayo Scissor

    Straight Mayo Scissor

Grasping & Holding

  • Adson Forceps

    Adson Forceps

  • Debakey Forcep

    Debakey Forcep

Retracting & Exposing

  • Army-Navy Retractor

    Army-Navy Retractor

  • Freer Skin Hook

    Freer Skin Hook

  • Richardson Retractor

    Richardson Retractor

Suctioning

  • Yankauer Suction

    Yankauer Suction

Suturing & Stapling

  • Mayo-Hegar Needle Holder

    Mayo-Hegar Needle Holder

What to expect during Sentinel Node/Lymph Node Dissection

Lymph nodes can be taken from several areas of the body, but most of the instrumentation will be the same no matter where you are at.

The surgeon will start by making their incision with a 15 blade loaded on a #3 knife handle, and then dissect down with metz, debakeys, and a tonsil to the nodes that will be taken out. They will more than likely retract with skin hooks or army-navys, depending on how deep they go.

It is common for specimens to be sent to the lab to be read for cancer before the surgeon closes the incision to guarantee they have collected all they need to, but they also may close before getting results.

Methylene blue may be injected before the start of the case to the nodes can be easily found. This can either be done unsterile, or sterile. A probe may also need to be draped to be used to find the nodes depending on the doctor’s preference.

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