Mayo stand and back table instruments for Umbilical Hernia Repair surgery setup

Clamping & Occluding

• 

  Allis Forceps

• 

  Curved Hemostat

• 

  Kocher Forceps

• 

  Penetrating Towel Clamp

• 

  Tonsil Clamp

Cutting & Dissecting

• 

  #3 Knife Handle

• 

  Metzenbaum Scissor

• 

  Straight Mayo Scissor

Grasping & Holding

• 

  Adson Forceps

• 

  Debakey Forcep

• 

  Toothed Forcep

Retracting & Exposing

• 

  Army-Navy Retractor

• 

  Senn Retractor

• 

  Weitlaner Retractor

Suctioning

• 

  Yankauer Suction

Suturing & Stapling

• 

  Mayo-Hegar Needle Holder

What to expect during Umbilical Hernia Repair

Umbilical Hernia Repair is a surgical procedure that is performed to repair a bulge or protrusion that occurs in the abdominal wall near the belly button, known as an umbilical hernia. The hernia can cause discomfort, pain, and other complications, and the surgery involves repairing the hernia and closing the opening in the abdominal wall. The procedure is performed under general anesthesia and usually involves a small incision near the belly button.

Position
Supine

Drapes
Folded towels and a laparotomy drape will be used to drape the patient out. The bovie and suction need to be thrown off and attached to the drape.

Step 1: Incision and Dissection
The surgeon will begin by injecting local anesthetic into the surgical site. A 15 blade will then be used to make the initial incision. Once the incision is made, the bovie, Metz, debakeys, and adsons instruments will be used to carefully dissect down to the hernia. Allis clamps may be used to hold and manipulate surrounding tissue during the dissection.

Step 2: Hernia Sac Removal
After the hernia is reached, the hernia sac may be carefully dissected and removed. The sac should be sent to pathology for further examination.

Step 3: Closure of Hernia
Once the hernia sac is removed, the hernia will be closed using a PDS suture or a similar suture material. The suture should be placed carefully to ensure that the hernia is completely closed, without any tension.

Step 4: Closure of Incision
Finally, the rest of the incision will be closed with Vicryl and Monocryl sutures. The sutures should be placed in a layered closure to ensure adequate wound healing and minimize the risk of postoperative complications.

The Surgery Sparknotes

1. Local anesthesia injected, incision made with 15 blade, bovie, Metz, debakeys, and adsons used for dissection, Allis clamps used for manipulation.
2. Hernia sac removed and sent to pathology.
3. Hernia closed with PDS suture or similar.
4. Incision closed with Vicryl and Monocryl sutures.