Mayo stand and back table instruments for Sacral/Buttock Debridement surgery setupClamping & Occluding
Curved Hemostat
Tonsil Clamp
Cutting & Dissecting
#3 Knife Handle
Curved Mayo Scissor
Metzenbaum Scissor
Straight Mayo Scissor
Grasping & Holding
Adson Forceps
Debakey Forcep
Toothed Forcep
Suctioning
Yankauer Suction
What to expect during Sacral/Buttock Debridement
Curved Hemostat
Tonsil Clamp
#3 Knife Handle
Curved Mayo Scissor
Metzenbaum Scissor
Straight Mayo Scissor
Adson Forceps
Debakey Forcep
Toothed Forcep
Yankauer Suction
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.