Clamping & Occluding

  • Kelly Forceps

    Kelly Forceps

Cutting & Dissecting

  • #3 Knife Handle

    #3 Knife Handle

  • Metzenbaum Scissor

    Metzenbaum Scissor

  • Straight Mayo Scissor

    Straight Mayo Scissor

Grasping & Holding

  • Adson Forceps

    Adson Forceps

  • Debakey Forceps

    Debakey Forceps

Retracting & Exposing

  • Army-Navy Retractor

    Army-Navy Retractor

  • Senn Retractor

    Senn Retractor

Suctioning

  • Yankauer Suction

    Yankauer Suction

Suturing & Stapling

  • Crile Wood Needle Holder

    Crile Wood Needle Holder

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

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