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
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
Suturing & Stapling
What to expect during Simple Mastectomy

Hemostatic Clip Applier

Penetrating Towel Clamp

Curved Hemostat

Right Angle Clamp

Kocher Forceps

Tonsil Clamp

Allis Forceps

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
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?