Mayo stand and back table instruments for Sacral Neuromodulation Stage 2 surgery setup

Clamping & Occluding

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  Kelly Forceps

Cutting & Dissecting

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  #3 Knife Handle

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  Metzenbaum Scissor

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  Straight Mayo Scissor

Grasping & Holding

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  Adson Forceps

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  Debakey Forceps

Retracting & Exposing

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  Army-Navy Retractor

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  Senn Retractor

Suctioning

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  Yankauer Suction

Suturing & Stapling

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  Crile Wood Needle Holder

What to expect during Sacral Neuromodulation Stage 2

The patient is Prone. Laparotomy drape with 4 towels. Rep with supplies. Blades: #11 & #15. Suture: 3-0 Vicryl & 4-0 Monocryl. This procedure is much shorter than the Stage 1 procedure; maybe 15-20 minutes. No X-ray is needed for this procedure.

Here are my quick notes of how the procedure is done:
1- Numb with lidocaine
2- 11 blade to cut open the previous incision.
-pull out the extension cable & cut tubing with scissors
-take out sutures (will use Adsons & cautery)
3- Mini screwdriver to free lead & extension pulled free *hold lead to side
4- Army-Navy or Senn to hold open incision
-incision made deeper with cautery to make room for the battery pack
5- Wound is irrigated with ancef solution & suctioned as needed
6- Battery pack is attached to the lead & placed in the pocket & incision is closed with Vicryl & Monocryl. (Pickups)
7- Closing count
8- Wet & Dry to clean the incision site
9- Dressings applied 1/2″ Steri-Strips, Benzoin, & 4×4 Tegaderm