Mayo stand and back table instruments for Transanal Hemorrhoidal Dearterialization surgery setup
Clamping & Occluding
Cutting & Dissecting
Grasping & Holding
Retracting & Exposing
Suturing & Stapling
What to expect during Transanal Hemorrhoidal Dearterialization
For this specific hemorrhoidal surgery, a Doppler proctoscope is usually used to visualize the arteries/blood supply. There isn’t much that techs need to do with the scope besides passing off the cords, and making sure it doesn’t fall from the field.
For retraction, most doctors I’ve worked with prefer either the Hill Ferguson retractor, or the Pratt rectal speculum.
Once a hemorrhoid has been located, a Pennington clamp is usually placed on it, and cautery is used to take the hemorrhoid off. Make sure you suction the smoke during this because it can get pretty nasty.
The spots are usually sutured up with an absorbable suture, toothed pickups or debakeys, and straight mayo scissors.