Sacral/Buttock Debridement

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Mayo stand and back table instruments for Sacral/Buttock Debridement surgery setup

Clamping & Occluding

  • Curved Hemostat

    Curved Hemostat

  • Tonsil Clamp

    Tonsil Clamp

Cutting & Dissecting

  • #3 Knife Handle

    #3 Knife Handle

  • Curved Mayo Scissor

    Curved Mayo Scissor

  • Metzenbaum Scissor

    Metzenbaum Scissor

  • Straight Mayo Scissor

    Straight Mayo Scissor

Grasping & Holding

  • Adson Forceps

    Adson Forceps

  • Debakey Forcep

    Debakey Forcep

  • Toothed Forcep

    Toothed Forcep

Suctioning

  • Yankauer Suction

    Yankauer Suction

What to expect during Sacral/Buttock Debridement

Position: Prone

Drapes: Folded towels, abdominal drape or universal drape pack

Surgery Description: Depending on the surgical site, the surgeon may or may not need a scalpel. The wound may be completely open already. A 15 blade loaded on a #3 knife handle should be ready just in case.

They will start by cutting and scraping away any dead tissue. Either curved mayo scissors or metzenbaums with rat tooth or DeBakey forceps will be used. A hemostat or a tonsil also should be available.

Once all of the infected tissue is removed, the site will be thoroughly irrigated, and depending on how big the site is, it will either be packed with gauze, or will be sutured closed.

Tips: These cases usually smell very badly, so you may want to rub some mastisol or peppermint oil on the outside of your mask to hide the smell.
You should always have culture tubes available.
If the surgical site is packed at the end and not closed, the packing is often soaked in Betadine prior to being used.
I chose to work off of my back table instead of draping a mayo stand because the ORs at my hospital are small, but it is personal preference.

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