OR Setup for an Open Incisional Hernia Repair with Mesh (South College, Knoxville, TN)
Shannon Morris, AS-ST, CST
South College, Knoxville, TN
Successful surgical treatment of incisional hernias after abdominal surgery depends in part on the creation and maintenance of the sterile field. Optimal arrangement of surgical instrumentation and organization of the sterile field are important elements that can impact surgical outcomes and patient safety. This educational video covers sterile field preparation, including back table and Mayo stand arrangement, preparation for the initial surgical count with a circulator, and mesh management. This setup shown here presents how to arrange forceps by type/usages, and establish specific zones for sharps. The initial surgical count includes all sponges, sharps, and instruments according to current surgical safety guidelines. The goal of this educational video is to demonstrate how surgical technologists create and maintain the sterile field and prepare for the initial surgical count to support efficient surgical operations and patient safety.
OR Setup for a Laparoscopic Cholecystectomy (South College, Knoxville, TN)
Madison Campbell, AS-Ed, AS-ST, CST
South College, Knoxville, TN
The laparoscopic approach is widely regarded as the preferred surgical method for gallbladder removal procedures. The operating room setup for laparoscopic cholecystectomy follows established protocols that provide patient safety through the use of aseptic technique and AORN guidelines for surgical counts. These procedures form the foundation for successful surgery and are covered in this article.
Scalpels
Brandon Buckner, CST, CRCST
Lamar State College Port Arthur (TX)
Surgical instruments have a long history, but their modern versions have only been around for a relatively short period of time. Available in different shapes and sizes for diverse surgeries, contemporary scalpel blades and handles are typically crafted from hardened and tempered steel, stainless steel, and high carbon steel, with blade shapes designed according to their intended use. Recognized as indispensable surgical tools, scalpel blades contribute to precise incisions and minimal scarring, which is particularly crucial in minimally invasive, ophthalmic, cardiovascular, and endoscopic surgeries. Cutting in a firm and controlled way, usually at angles of 30–90 degrees from the tissues, necessitates holding the instrument in various ways, often placing a steadying forefinger along the back of the instrument. The tissue through which the scalpel is incising should also be steadied and put under a slight degree of tension.
The demonstration of surgical scalpels in this video provides valuable insights into their usage. The handles are available in different designs, serving two functions: fitting the appropriate size of surgical blades and ensuring a firm hold to reduce the chance of slipping.
Surgical blades come in sterile packaging, and the number on a surgical blade communicates both its size and shape. This video demonstration aids in understanding how each blade is tailored to meet certain demands in surgery.
Surgical Technologist Prepares the OR for a Case
Lauren Beausoleil, CST
Massachusetts General Hospital
Establishing a sterile field, opening and organizing equipment and supplies, and preparing the operating room (OR) for a case are the foundations for ensuring an environment conducive to a safe and efficient operation. Surgical donning of gown and gloves is an integral component of infection control in the OR. Healthcare professionals must adhere to strict protocols to protect both patient and healthcare worker safety. Proper training, vigilance, and attention to detail are crucial in maintaining a sterile environment before and during surgical procedures. This article explores key considerations for healthcare professionals as they open up surgical equipment, establish and maintain a sterile field, doff and don gowns and gloves, and prepare the OR for a surgical procedure.
The New Gold Standard for Surgical Videos