Mayo stand and back table instruments for Simple Mastectomy surgery setupClamping & Occluding
Hemostatic Clip Applier
Penetrating Towel Clamp
Curved Hemostat
Right Angle Clamp
Kocher Forceps
Tonsil Clamp
Allis Forceps
Cutting & Dissecting
#3 Knife Handle
Metzenbaum Scissor
Curved Mayo Scissor
Straight Mayo Scissor
Grasping & Holding
Toothed Forcep
Smooth Adson
Adson Forceps
Russian Tissue Forceps
Ferris Smith Tissue Forceps
Non toothed Pickup
Debakey Forceps
Retracting & Exposing
Freer Skin Hook
Freeman Rake
Weitlaner Retractor
Army-Navy Retractor
Senn Retractor
Richardson Retractor
Harrington Retractor
Deaver Retractor
Gelpi Retractor
Suctioning
Yankauer Suction
Suturing & Stapling
Ryder Needle Holder
Crile Wood Needle Holder
Mayo-Hegar Needle Holder
What to expect during Simple Mastectomy
Hemostatic Clip Applier
Penetrating Towel Clamp
Curved Hemostat
Right Angle Clamp
Kocher Forceps
Tonsil Clamp
Allis Forceps
#3 Knife Handle
Metzenbaum Scissor
Curved Mayo Scissor
Straight Mayo Scissor
Toothed Forcep
Smooth Adson
Adson Forceps
Russian Tissue Forceps
Ferris Smith Tissue Forceps
Non toothed Pickup
Debakey Forceps
Freer Skin Hook
Freeman Rake
Weitlaner Retractor
Army-Navy Retractor
Senn Retractor
Richardson Retractor
Harrington Retractor
Deaver Retractor
Gelpi Retractor
Yankauer Suction
Ryder Needle Holder
Crile Wood Needle Holder
Mayo-Hegar Needle Holder
When starting the Mastectomy, the surgeon will make an incision with either a 15 or 10 blade on a #3 knife handle. They will begin dissection with adson pickups, metzenbaum scissors, and their bovie. Retractors will gradually get bigger, starting with skin hooks or senns, and move up to richardsons or a harrington. Ties should be loaded onto tonsils, and clips should be ready. After a little bit of breast dissection, the doctor will move onto longer pickups, usually debakeys.
Bovie smoke plume should be suctioned using the yankauer.
Breast specimens should quickly be passed off of your field and taken to pathology.
Closure will happen in layers, and your needle drivers will change depending on the suture needle size, and how deep you are in the incision.
A drain might be placed at the end.
Five Stars! I’ll see you at work :)
I have a question do this set up needs a separate table for closure?
You should not need a separate table for closure in a simple mastectomy unless it’s the surgeon’s preference. There’s no “dirty” or contaminated portion that would warrant a separate table.
Scrub tech student here! I have two questions…
#1 Is it true that your type of irrigation should be sterile water instead of normal saline due to the saline spreading cancer? or is that dependent on the doctors preference? We’re taught this in my program but every time I’ve mentioned it others don’t seem to know if there is a difference.
#2 what sutures are used for closing?