Inguinal... · Web viewLaparoscopic Inguinal Hernia Repair - Elective Gloves: 7 ½ Biogel Patient...
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Transcript of Inguinal... · Web viewLaparoscopic Inguinal Hernia Repair - Elective Gloves: 7 ½ Biogel Patient...
Updated 11/29/16
Laparoscopic Inguinal Hernia Repair - ElectiveGloves: 7 ½ Biogel
Patient Positioning: Both arms tucked Chloraprep from nipples to pubisFoot pedal opposite of herniaMonitor at the feet
Local: 0.25% Marcaine w Epi
Trocars:Veress needle5mm Covidien locking trocar x2 Auto Suture 10mm balloon trocar
Instruments:Covidien Parietex preformed mesh – verify correct side(TECT1510AL or TECT1510AR)10mm 0 degree laparoscopeS Shape x2Platypus or dolphin nose x210ml Tisseel fibrin glue, if frozen: place in warm water at start of case. If mixed: put 4 vials in heater at start of caseDuplo Tisseel sprayer preferred, if not available, laparoscopic applicatorLaparoscopic Metzenbaum
Suture: 4-0 Monocryl x1 PS-20 Vicryl UR6
Dressing:Dermabond or generic equivalent
Laparoscopic Cautery, no hand cautery
Available, Not Opened:Suction/Irrigator in room unopenedVeress needle