Mayo stand and back table instruments for Orchiopexy surgery setupClamping & Occluding
Allis Forceps
Curved Hemostat
Mosquito Clamp – Curved
Cutting & Dissecting
#3 Knife Handle
Curved Iris Scissor
Metzenbaum Scissor
Stevens Tenotomy Scissor
Straight Mayo Scissor
Grasping & Holding
Adson Forceps
Debakey Forcep
Toothed Forcep
Retracting & Exposing
Army-Navy Retractor
Freer Elevator
Senn Retractor
Weitlaner Retractor
Suctioning
Ferg-Frazier Suction
Yankauer Suction
Suturing & Stapling
Mayo-Hegar Needle Holder
Ryder Needle Holder
What to expect during Orchiopexy
Allis Forceps
Curved Hemostat
Mosquito Clamp – Curved
#3 Knife Handle
Curved Iris Scissor
Metzenbaum Scissor
Stevens Tenotomy Scissor
Straight Mayo Scissor
Adson Forceps
Debakey Forcep
Toothed Forcep
Army-Navy Retractor
Freer Elevator
Senn Retractor
Weitlaner Retractor
Ferg-Frazier Suction
Yankauer Suction
Mayo-Hegar Needle Holder
Ryder Needle Holder
Positioning: Supine
Drapes: 4 folded towels, laparotomy drape
Surgery Steps: A 15 blade will be used to make an incision on the scrotum. The surgeon will dissect down to the inguinal ring and find the testis. The spermatic cord will be freed of any torsion.
Tacking sutures will be used to keep the fascia out of the way of the testis. This will allow the testis to have plenty of room to sit.
An orchiopexy can also be performed through an inguinal approach rather then a scrotal approach. The steps are basically the same, incision, dissection, and freeing the testis from anything that would shorten the length of the testis to allow it to sit comfortably.
All of the bleeding will be stopped and the incision will be closed.
Does the specimen go to pathology like normal?
There usually isn’t a specimen during an orchiopexy since nothing is being removed (unless the doctor runs into some strange tissue or something that looks abnormal, but that is rare). However, there would be a specimen during an orchiectomy when the testicle is being removed. It would be sent to pathology like normal.