Plastic Surgery | Lesion Removal Mayo Stand & Back Table Set Up
This is a very small set up- but a very common one. This is used for almost all types of small to medium lesion removals with frozen sections. This set up I would use for a plastic surgeon or an ENT surgeon (except I’d swap the Adson bipolar with bayonet bipolar).
Lesion Removal Mayo Stand
15 blade (have one per lesion)
Adsons (with teeth)
Bipolar adson
Curved Iris
Straight Iris
2 mosquitos (I don’t recall ever actually using these- it just feels naked without!)
Raytecs
Ruler
Marker
10 cc syringe, 27 g. hypo for local
Lesion Removal Back Table
Most facilities have a ‘minor tray’ or a ‘plastics tray’ which are made for these type of procedures. There is a handful of retractors from Senns to Ragnells, to skin hooks. This surgeon routinely uses a 4-0 Monocryl PS-2 and a 5-0 Prolene P-3 for closure. Not pictured is the 2-0 Ethilon PS-2 used as a marking stitch on the specimen.
INTRAOPERATIVE TIP
INTRAOPERATIVE TIP
Always arrange your back table instruments neatly even if you believe you won’t need them. You never know when something can be requested, and you don’t want to fumble through instruments trying to find what you need- especially with skin hooks
INTRAOPERATIVE TIP
INTRAOPERATIVE TIP
Litler and Tenotomy scissors are other very commonly used scissors by plastic surgeons. I keep those easily accessible on the very far left of my small instrument roll. I like to preload suture (as long as it can be kept in a safe place). It only saves a few seconds, but if your hands are busy holding a retractor, suction, pressure, etc., you’ll be happy it’s loaded and ready to go.
Not pictured- ring stand with suction with a 7fr frazier tip, bovie, bipolar cord, light handles, towels, and drapes
This is a basic set up that you can almost always start with, then add the surgeons preferences. You never know what you’re going to get with a lesion removal- it could range from a super small lesion that requires only a scalpel, or it could be larger and deeper requiring more dissection. You usually do not see the size or exact location (general location is listed, but “back” could mean a million things) until the patient rolls in the room.
