Mayo stand and back table instruments for Sentinel Node/Lymph Node Dissection surgery setupClamping & Occluding
Curved Hemostat
Mosquito Clamp – Curved
Tonsil Clamp
Cutting & Dissecting
#3 Knife Handle
Metzenbaum Scissor
Straight Mayo Scissor
Grasping & Holding
Adson Forceps
Debakey Forcep
Retracting & Exposing
Army-Navy Retractor
Freer Skin Hook
Richardson Retractor
Suctioning
Yankauer Suction
Suturing & Stapling
Mayo-Hegar Needle Holder
What to expect during Sentinel Node/Lymph Node Dissection
Curved Hemostat
Mosquito Clamp – Curved
Tonsil Clamp
#3 Knife Handle
Metzenbaum Scissor
Straight Mayo Scissor
Adson Forceps
Debakey Forcep
Army-Navy Retractor
Freer Skin Hook
Richardson Retractor
Yankauer Suction
Mayo-Hegar Needle Holder
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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