Short Answer: Incisions

A visible blood vessel has been exposed (ties are available); what would you pass?

Non absorbable tie

The initial oozing is controlled, and the surgeon is ready to dissect; what would you pass for dissection?

Potts Scissors

The tissue is deeper and retraction of about 1 1/2 inches of tissue is needed; what instruments might be passed?

Richardson Retractor

Assuming no one was relieved during the case, how many counts would you anticipate are made during the case?

Usually three - an initial count, a count at close, and a count at closure of the skin.

Upper longitudinal midline

F.

Upper right paramedian

A.

Lower left paramedian

B.

The surgeon has transected the peritoneum and is ready to place a self-retaining retractor for a laparotomy; a large bookwalter is not available and this is an emergency procedure. Describe how to pass the most likely self-retaining retractor.

Balfour

Right subcostal

C.

Right midline transverse

D.

Pfannenstiel

E.

Lower longitudinal midline

G.

McBurney's

H.

Time out has been completed and the incision is made with visual oozing of blood notes; what would you pass?

Hemostat

Right inguinal oblique

I.

Right thoracoabdominal

J.

The patient is morbidly obese with a height of 5ft and a weight of 200lbs. Anticipation requires planning, as you note this when the patient arrives in the operating room (OR). What type of instrumentation may be needed for emergency laparotomy surgery for patients who have a deep cavity?

Long & deep instruments

The surgeon has reached the level of the peritoneum and the earlier retractor is not providing adequate retraction; what instrument might be passed?

Longer/Deeper retractor