Mayo stand and back table instruments for Rib Plating surgery setup

Clamping & Occluding

• 

  Adson Hemostatic Forceps

• 

  Kelly Forceps

• 

  Kocher Forceps

• 

  Roch Pean Forceps

Cutting & Dissecting

• 

  #3 Knife Handle

• 

  Cobb Elevator

• 

  Metzenbaum Scissor

• 

  Straight Mayo Scissor

Grasping & Holding

• 

  Adson Tissue forceps with tying platform

• 

  Ferris Smith Tissue Forceps

Retracting & Exposing

• 

  Davidson Scapula Retractor

• 

  Richardson Retractor

Suctioning

• 

  Yankauer Suction

Suturing & Stapling

• 

  Olsen Hegar Needle Holder

What to expect during Rib Plating

At our hospital we use a thoracotomy retractor tray and a ortho major and the synthesis rib matrix plates and instruments.

The surgeon will direct down using the knife and bovie then you will use some retactors to retract to muscle and skin back then they will take the caliper out of the synthesis set to measure how thick the ribs are ( that determines the drill bit size) once they figure out the size they will tell you and you load up the correct bit. They will then take some reduction clamps from the set and a plate and measure how many holes they will need they will then cut the plate using the plate cutter from the set once they do that you will need a drill guide from the pan. Once they start drilling you fill the holes with the corresponding size of screw to match the drill bit once they plate all the ribs you will the insert a chest tube and start closing.