scrub net

Laparoscopic Right Hemicolectomy

scrub777 — Thu, 16 Aug 2007 10:59:21 +0000

Trays

Laparoscopic tray
Laparotomy (on side)

Singles

0° Telescope
Soft Bowel clamps and Purse string device

Disposables

Prepack Hemicolectomy laparoscopic ports and CDH 29 mm
12mm x 3, 5mm x 2 Open as required
Suction tubing (on side)
Hand port
Bovey
Light handle
Camera cover
Sharps box
Lap Sterets
2 x 20 ml syringe + blue needle + Marcaine ask anaethetist 0.5% or 0.25%
Clips + opsite spray

Sutures

J Vicryl stitch W9335
2/0 Vicryl
1 PDS peritoneum Right iliac fossa

Position

Surgeon and assistant patient‘s Left
Scrub and stack patient‘s Right
Mayo stand end of table Right
Harmonic, Diathermy, and Suction patient’s end
Patient initially in lithotomy, reverse trendlbum with Left tiltWrap patient’s arms in jellies by side with inko pads
Skin Prep patient’s abdomen and peri-anal area with betadine

Drapes

Universal, Leggings velcro strip, diathermy bag, mayo cover

Harmonic

LSSC harmonic laparoscopic shears

Diathermy

Coag 30 cutting 60

Equipment

Laparoscopic stack system
Harmonic generator
Diathermy machine default settings
Suction
Jellies
Lloyd davies fins

Gastrectomy

scrub777 — Thu, 17 May 2007 10:40:10 +0000

Trays

Laparotomy setOmni tractArterial (on side)Bowl set

SinglesEdward helium (on side)O shaugnesssy forcep (on side)

DisposablesDiathermy pencil + long tip10 blade Suction tubingDiscarda padLight handle x 2Sharps boxOpsite dressings20 Fg Robinsons drainFreka jejunostomy Bleep2659 nurtrition nurse for a new freak jejunostomy tube20 ml syringe + 20 mls IV normal salineTLC 75mm + 6 reloads Sutures2/0 Ties2/0 Polysorb GL 223 x 2 3/0 Polysorb GL 1222/0 Silk SS623 2/0 Surgipro VP 94554/0 Surgipro 3/0 Polysorb undyed SL 643 skin1 PDS x 3

Position Supine + catheterise pt

Skin prep Red staining

Drapes Universal + velcro strip + diathermy bag Diathermy 00 40 30

Specimen Several small specimen jars + large specimen box, cork + pins Bleep 3956

Equipment Laparoscopic stackLaparscopic ultrasound + probe Mayo tableBody straps (for tilting table)

Laparoscopic Adrenalectomy

scrub777 — Thu, 17 May 2007 10:22:36 +0000

Sets

Urology Laparoscopic tray

Laparotomy (on side)

Singles

0° Telescope + 30°

Purple Hemolok applicator

2 x Large Langenbecks (on side)

Disposables

Prepack Nephrectomy Box

Laparoscopic Pledgets

Disposable scissors end

Elefant suction tubing

Disposable laparoscopic ligaclip applicator both 5mm + 10mm (on side)

Light handle

Camera cover

Sharps box

Lap Sterets

Bovey

2 x 20 ml syringe + blue needle + Marcaine ask anaethetist 0.5% or 0.25%

Hemolok Weck Clips purple and green (on side)

Clips + opsite spray

Sutures

J Vicryl stitch W9335

Position Lateral – operative side up, lumber supports and jellies

Body strap x 2, arm gutter, pillow between legs, padding + jellies ++

Surgeon + Assistant pt’s back

Scrub/Stack pt’s abdomen

Mayo stand next to surgeons left

Skin Prep Red Staining

Drapes Universal + Velcro strip + diathermy bag + mayo cover

Diathermy Bipolar pedal left:Yellow right settings 40/60/30 place on inko pad

Abdomnal Aortic Aneuryism

scrub777 — Thu, 10 May 2007 07:28:16 +0000

Trays

Arterial tray

Laparotomy tray

Omintract

Bowl set x 2

Disposables

Bovey

10/11 Blade

Discarda pad

Light handle x 2

Sharps box

5000 IU Heparin + 500 ml N/S

Vessel loops x 6

Steri drape

20 ml Syringe x 2 + pink needles

Graft (unopened)

Skin Clips

Sutures

0 Ties

2/0 Ties

3/80 or 4/0 Prolene

2/0 Ploysorb GL 223

Position Supine + catheterise patient

Skin prep Betadine prep from thighs to nipple line

Drapes Universal + velcro strip + diathermy bag

Carotid Endarterectomy

scrub777 — Wed, 09 May 2007 21:39:22 +0000

Trays

Arterial tray

Bowl set

Singles

10 x Sawtell AF

Magnotronce Mat

Mr Smith’s Cooley clamp (on side)

Disposables

Bovey

10/11 Blade

Discarda pad

Light handle x 2

Sharps box

5000 IU Heparin + 500 ml N/S

Vessel loops x 4

14 Redivac drain

Steri drape

Javid Carotid shunt

20 ml Syringe x 2 + pink needles

Graft (unopened)

Sutures

2/0 Ties

6/0 Prolene W8707

2/0 Ploysorb GL 223

3/0 Biosyn

2/0 Sofsilk

Position Supine

Skin prep Betadine

Drapes Universal + velcro strip + diathermy bag

Injection of Macroplastique

scrub777 — Wed, 09 May 2007 21:20:56 +0000

Trays

Cystoscopy tray + cystoscope 22 Fg

Catheterisation unit

Macroplastique gun

30 Telescope

Disposables

MPQ-2.5 x 3

Endoscopic needle

Fluid + gviving set

Camera cover sleeve

Position Lithotomy – Lloyd davies fins

Skin prep Cetrimide

Drapes TURP drapes

Laparoscopic nissen fundoplication

scrub777 — Wed, 09 May 2007 19:45:05 +0000

Surgical Details

Operative time 2 - 3 hours

Type of anaesthetic General

Trays

Laparoscopic trays 1 + 2

Laparioscopic nissen tray

Harmonic scalpel

30 telescope

Disposables

11 blade

Suction tubing

Light handle

Sharps box

Sterrets

Surgical tape

Hartmans + IV extension + giving set (on side)

Camera sleeve

20 ml syringe + blue needle + local anaesthetic

10/12 mm disposable port ethicon

10 mm disposable port ethicon

Sutures

2/0 Ethibond

1 J Vicryl

2/0 Surgipro VP945

3/0 Polysorb undyed skin

6 mm tape

Position Supine + catheterise patient + Scrub stands on patient’s right

Skin prep Betadine + Tsept for sterile field

Drapes Universal +leggings + velcro strip + diathermy bag

Diathermy 00 40 30

Equipment Laparoscopic stack pt’s right side, harmonic scalpel end of bed, scrub pt’s right

Ileo-anal pouch procedure

scrub777 — Wed, 09 May 2007 18:57:30 +0000

Surgical Details

This is part of a restorative procedure following a pan proctocolectomy for either ulcerative colitis or hereditary colonic disease sucha as familial adenomatous polposis (FAP) or ocassional hereditary non-polyposis colon cancer (HNPCC).

The patient’s ileostomy is excised from the abdominal wall. The small bowel is freed of adhesions, the rectum is excised. A loop of bowel is formed with a TLC 75mm and then it is anastomised with the anus. A loop ileostomy is also formed.

Operative time 2 - 4 hours

Type of anaesthetic General +/- epidural +/- arterial line

Trays

Laparotomy set

Bowl set

Singles

Long #4 scalpel handle

Purse string device (on side)

Disposables

Diathermy pencil + long tip

10 blade

Taped swabs

Suction tubing

Light handle

Sharps box

Stoma bridge 65mm + stoma bag

Guns

Ethicon CDH 25mm, 29mm, 33mm generally 29

Ethicon TX 30 G

Ethicon TLC 75mm + 5-6 reloads

Sutures

2/0 Polysorb GL223 muscle

2/0 Surgipro VP945 for anvil of stapling gun

1 Monosof x 2

3/0 Maxon

Clips

Position Lithotomy + catheterise patient + Scrub stands on patient’s right

Skin prep Betadine + Tsept for sterile field

Drapes Universal +leggings + velcro strip + diathermy bag

Diathermy 00 40 30

Reversal of Hartmans

scrub777 — Thu, 03 May 2007 18:55:51 +0000

Surgical Details

This procedure is to re-anastamose the rectal stump and the end of large bowel that has been defunctioned. The patient’s stoma is excised from the abdominal wall, then the rectal stump is identified. Depending on adhesions the bowel may be have to be freed up to the sphlenic flexure. The stoma end of the bowel is examined for tears and checked that the anastamosis to the rectal stump will be tension free.

Operative time 1.5 to 3 hours

Type of anaesthetic General

Trays

Laparotomy set

Bowl set

Singles

Intestinal set

Purse string device

Disposables

Diathermy pencil

10 blade

Taped swabs

Suction tubing

Light handle

Sharps box

0.5% marcaine 20mls + 20 ml syringe + green needle – ask anaesthetist

Guns

Ethicon CDH 25mm, 29mm, 33mm generally 29

Ethicon TX 60 G (on side, if rectal stump needs resecting)

Sutures

2/0 Polysorb GL223 muscle

2/0 Surgipro VP945 for anvil of stapling gun

3/0 Biosyn for skin

Position Lithotomy + catheterise patient + Scrub stands on patient’s right

Skin prep Betadine + Tsept for sterile field

Drapes Universal +leggins +velcro strip + diathermy bag

Diathermy 00 40 30

Radical Orchidectomy

scrub777 — Thu, 03 May 2007 16:54:31 +0000

Surgical Details

This procedure is to for testicular cancer . An incision is made at eh inguinal canal and the teticle and the spermatic cord is removed and ligated.

Operative time half an hour

Type of anaesthetic General

Trays

General set

Bowl set

Singles

Norfolk Norwich (on side)

Soft clamp (bowel)

Disposables

Bovey + short tip

10 blade

Discarda pad

Light handle

Sharps box

0.5% marcaine 20mls + 20 ml syringe + green needle – ask anaesthetist

Sutures

2/0 Polysorb GL223 muscle

2/0 Ties

3/0 Biosyn for skin

Position Supine

Skin prep Betadine

Drapes Universal + velcro strip + diathermy bag

Diathermy 00 40 30

scrub net

Laparoscopic Right Hemicolectomy

Gastrectomy

Trays

Laparoscopic Adrenalectomy

Sets

Singles

Disposables

Abdomnal Aortic Aneuryism

Trays

Disposables

Carotid Endarterectomy

Trays

Singles

Disposables

Injection of Macroplastique

Trays

Disposables

Laparoscopic nissen fundoplication

Surgical Details Operative time 2 - 3 hours Type of anaesthetic General Trays

Operative time 2 - 3 hours Type of anaesthetic General Trays

Ileo-anal pouch procedure

Trays

Reversal of Hartmans

Trays

Radical Orchidectomy

Surgical Details This procedure is to for testicular cancer . An incision is made at eh inguinal canal and the teticle and the spermatic cord is removed and ligated. Operative time half an hour Type of anaesthetic General

This procedure is to for testicular cancer . An incision is made at eh inguinal canal and the teticle and the spermatic cord is removed and ligated. Operative time half an hour Type of anaesthetic General

Trays

Surgical Details

Operative time 2 - 3 hours

Type of anaesthetic General

Trays

Operative time 2 - 3 hours

Type of anaesthetic General

Trays

Surgical Details

This procedure is to for testicular cancer . An incision is made at eh inguinal canal and the teticle and the spermatic cord is removed and ligated.

Operative time half an hour

Type of anaesthetic General

This procedure is to for testicular cancer . An incision is made at eh inguinal canal and the teticle and the spermatic cord is removed and ligated.

Operative time half an hour

Type of anaesthetic General