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Colon Resection mayo stand and back table surgery setup

Diana Lei-aloha Avatar

setup author

Surgery setup images for Colon Resection

Colon Resection surgery instruments

Clamping & Occluding instruments

Hemostatic Clip Applier
Hemostatic Clip Applier
Curved Hemostat
Curved Hemostat
Right Angle Clamp
Right Angle Clamp
Kocher Forceps
Kocher Forceps
Kelly Forceps
Kelly Forceps
Babcock
Babcock
Allis Forceps
Allis Forceps

Cutting & Dissecting instruments

#3 Knife Handle
#3 Knife Handle
Metzenbaum Scissor
Metzenbaum Scissor
Curved Mayo Scissor
Curved Mayo Scissor
Straight Mayo Scissor
Straight Mayo Scissor

Grasping & Holding instruments

Debakey Forcep
Debakey Forcep
Toothed Forcep
Toothed Forcep
Smooth Adson
Smooth Adson
Adson Forceps
Adson Forceps
Russian Tissue Forceps
Russian Tissue Forceps
Forester Sponge Forceps
Forester Sponge Forceps
Ferris Smith Tissue Forceps
Ferris Smith Tissue Forceps
Non toothed Pickup
Non toothed Pickup

Retracting & Exposing instruments

Bookwalter Retractor
Bookwalter Retractor
Tessier Malleable Retractor
Tessier Malleable Retractor
Army-Navy Retractor
Army-Navy Retractor
Richardson Retractor
Richardson Retractor
Deaver Retractor
Deaver Retractor

Suctioning instruments

Yankauer Suction
Yankauer Suction
Poole Suction Probe
Poole Suction Probe

Suturing & Stapling instruments

Mayo-Hegar Needle Holder
Mayo-Hegar Needle Holder

What to expect during Colon Resection

Colon resection, also known as colectomy, is a surgical procedure to remove a portion of the colon (large intestine). It is typically performed to treat conditions such as colon cancer, diverticulitis, inflammatory bowel disease, or bowel obstruction. During the procedure, the affected section of the colon is removed, and the remaining parts are reconnected. In some cases, a colostomy bag may be necessary temporarily or permanently to divert waste from the body while the remaining parts of the colon heal. Colon resection is a major surgery and requires careful preparation and aftercare.

Extra Equipment
ESU, suction

Drapes
Folded towels, laparotomy drape

Step 1: Incision and Access
An incision is made to expose the small bowel, typically using a 10 blade. The abdominal cavity is opened and explored to locate the affected part of the small bowel.

Step 2: Dissection and Hemostasis
The mesentery is dissected and cut into, ensuring hemostasis is maintained throughout the procedure. Hemostatic instruments such as clamps, bipolar forceps, and LigaSure may be used.

Step 3: Resection
The affected part of the small bowel is identified and removed. A TA (linear cutter) or GIA (circular stapler) may be used to connect the two ends of the small bowel back together. The resected piece of small bowel should be handed off as a specimen.

Step 4: Hemostasis and Closure
After hemostasis is ensured, the surgical site is closed in layers. Suture material such as Vicryl or Monocryl may be used to close the tissue layers. Hemostatic agents, such as Surgicel or Floseal, may also be used to control bleeding. The final layer of closure is typically the skin.

Tips and tricks
Have long instrument trays available, as well as a Balfour and Bookwalter retractor. Always have different size clips easily accessible. The resected part of the bowel being removed should be kept separate in order to avoid contaminating the rest of the sterile setup. Any instruments that become contaminated with bowel contents should also be taken off of the sterile field. A separate sterile field may be requested for the end of the case for closing, containing extra gowns, gloves, and a minor procedure tray.

The Surgery Sparknotes

  1. Incise small bowel with 10 blade.
  2. Cut and dissect mesentery while maintaining hemostasis.
  3. Locate and remove affected part of small bowel.
  4. Connect two ends of small bowel with TA or GIA stapler.
  5. Hand off resected piece as specimen.
  6. Ensure hemostasis before beginning closure in layers.

One response to “Colon Resection”

  1. Carol Rutledge Avatar
    Carol Rutledge

    This has been one of my favorite surgeries. You get to hold all of the guts!

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