Mayo stand and back table instruments for Transanal Hemorrhoidal Dearterialization surgery setupClamping & Occluding
Curved Hemostat
Pennington Forceps
Straight Hemostat
Cutting & Dissecting
#3 Knife Handle
Metzenbaum Scissor
Straight Mayo Scissor
Grasping & Holding
Adson Forceps
Debakey Forcep
Forester Sponge Forceps
Toothed Forcep
Retracting & Exposing
Hill Ferguson Rectal Retractor
Pratt Rectal Speculum
Sawyer Retractor
Suctioning
Yankauer Suction
Suturing & Stapling
Mayo-Hegar Needle Holder
What to expect during Transanal Hemorrhoidal Dearterialization
Curved Hemostat
Pennington Forceps
Straight Hemostat
#3 Knife Handle
Metzenbaum Scissor
Straight Mayo Scissor
Adson Forceps
Debakey Forcep
Forester Sponge Forceps
Toothed Forcep
Hill Ferguson Rectal Retractor
Pratt Rectal Speculum
Sawyer Retractor
Yankauer Suction
Mayo-Hegar Needle Holder
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.
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