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Lipoma Excision mayo stand and back table surgery setup

Darnell Evans Avatar

setup author

Surgery setup images for Lipoma Excision

Lipoma Excision surgery instruments

Clamping & Occluding instruments

Curved Hemostat
Curved Hemostat
Allis Forceps
Allis Forceps

Cutting & Dissecting instruments

#3 Knife Handle
#3 Knife Handle
Stevens Tenotomy Scissor
Stevens Tenotomy Scissor
Metzenbaum Scissor
Metzenbaum Scissor
Straight Mayo Scissor
Straight Mayo Scissor

Grasping & Holding instruments

Adson Forceps
Adson Forceps
Adson Brown Forceps
Adson Brown Forceps

Retracting & Exposing instruments

Freer Skin Hook
Freer Skin Hook
Army-Navy Retractor
Army-Navy Retractor
Senn Retractor
Senn Retractor

Suctioning instruments

Yankauer Suction
Yankauer Suction

Suturing & Stapling instruments

Crile Wood Needle Holder
Crile Wood Needle Holder
Mayo-Hegar Needle Holder
Mayo-Hegar Needle Holder

What to expect during Lipoma Excision

Lipoma excision is a surgical procedure performed to remove a benign, fatty tumor known as a lipoma from beneath the skin. The procedure involves making an incision, dissecting down to the lipoma, excising it, and suturing the wound closed. It is a relatively straightforward procedure that can be done on an outpatient basis under local anesthesia. Lipomas are typically not harmful, but may be removed if they are causing discomfort or affecting the appearance of the affected area.

Step 1: Making the Incision
The surgeon will use the 15 or 11 blade loaded on a #3 knife handle to make an incision on the skin overlying the lipoma. The size of the incision will depend on the size of the lipoma. The surgical technologist should ensure that the blade is sharp and sterile before handing it over to the surgeon.

Step 2: Dissecting Down to the Lipoma
Once the incision has been made, the surgeon will use metz or tenotomy scissors with an adson forceps to dissect down to the lipoma. The surgical technologist should ensure that the scissors are sharp and the adson forceps are sterile before handing them over to the surgeon.

Step 3: Retracting the Wound
After the lipoma has been exposed, the surgical technologist will use senn retractors or skin hooks to retract the wound edges. This will help to provide better visualization of the lipoma and aid in its excision.

Step 4: Excising the Lipoma
The surgeon will use a combination of scissors and forceps to carefully excise the lipoma from surrounding tissues. The surgical technologist should ensure that the instruments are sterile and in good condition before handing them over to the surgeon.

Step 5: Irrigating the Wound
Once the lipoma has been excised, the surgical technologist should irrigate the wound with sterile saline or another appropriate solution. This will help to remove any debris or bacteria and promote wound healing.

Step 6: Closing the Wound
The surgeon will then suture the wound closed using appropriate suturing materials. The surgical technologist should ensure that the sutures are sterile and the correct size before handing them over to the surgeon.

The Surgery Sparknotes

  1. Make incision with sharp, sterile 15 or 11 blade.
  2. Dissect down to lipoma with metz or tenotomy scissors and adson forceps.
  3. Retract wound edges with senn retractors or skin hooks.
  4. Excise lipoma with scissors and forceps.
  5. Irrigate wound with sterile solution.
  6. Suture wound closed with appropriate suturing materials.

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