COMPONENTS STEPS ORT As you go through this template use the notes view to read along Surgery Plan Repair Hypospadias COMPONENTS STEPS ORT OPERATING ROOM Technician ORT Surgery Plan Repair Hypospadias ID: 933654
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Slide1
Surgery Plan: Name of procedure
COMPONENTS
STEPSORT*
As you go through
this template use the “notes” view to read along
Slide2Surgery Plan: Repair Hypospadias
COMPONENTS
STEPSORT*
*
OPERATING ROOM Technician (ORT)
Slide3Surgery Plan: Repair Hypospadias
COMPONENTS
STEPSORT*1. Strategy2. Complex scrotoplasty3. Reconstruct appearance of penis skin4. Glans suture5. Urethrotomy6. Catheterize urethra
7.
Robot setup (After strategy)
8.
Circumcise and release chordee
9.
Simple scrotoplasty
10.
Approximate glans
wings
11.
Resurface skin on penis ventrum
12.
Crede and dressing
*
OPERATING ROOM Technician (ORT)
Slide4Surgery Plan: Repair Hypospadias
COMPONENTS
STEPSORT*1. StrategyConfirm meatus, Crede, evaluate concealment, erection2. Complex scrotoplastyMidline incision, paired base incision3. Reconstruct appearance of penis skinNormalize preputial meatus, foreskin4. Glans sutureWalk needle, needle exits 1/3 glans width5. UrethrotomyCrede, goal posts on web, cut between, recheck stream6. Catheterize urethra
Advance to PSJ, ID thin urethra, suture catheter
7.
Robot setup (After strategy)
Avoid child’s head and dislodging ET tube, suture taut
8.
Circumcise and release chordee
Circumcise to release chordee and
fibrous paraurethral tissue, release/free glans wings
9.
Simple scrotoplasty
Release dartos, make incision as “Y”
10.
Approximate glans
wings
Approximate glans spongiosum, anchor glans inner skin
11.
Resurface skin on penis ventrum
Resurface proximal and distal shaft, close circumcision
12.
Crede and dressing
Dressing sequence, Crede
*
OPERATING ROOM Technician (ORT)
Slide5Surgery Plan: Repair Hypospadias
COMPONENTS
STEPSORT*1. StrategyConfirm meatus, Crede, evaluate concealment, erection gauze sponge, towel, snugger (rubber band tourniquet) , 5-0 Ti-Cron, “grandfather” locking forceps2. Complex scrotoplastyMidline incision, paired base incisionmarking pen, scalpel, 3. Reconstruct appearance of penis skinNormalize preputial meatus, foreskinfather forceps, 6-0 VICRYL4. Glans sutureWalk needle, needle exits 1/3 glans width?5-0 ticron, straight hemostat, 5. UrethrotomyCrede, goal posts on web, cut between, recheck streamBaby forceps, scalpel, Weck-Cel Cellulose Eye Spearssaline for irrigation, 6-0 vicryl6.
Catheterize urethra
Advance to PSJ, ID thin urethra, suture catheter
Assorted catheters, straight iris scissors, straight hemostat, “"Fathers" fine forceps”
5-0 Ti-Cron
7.
Robot setup (After strategy)
Avoid child’s head and dislodging ET tube, suture taut
Elmed Retract-robot
8.
Circumcise and release chordee
Circumcise to release chordee and
fibrous paraurethral tissue, release/free glans wings
Straight serrated scissors, "Fathers" fine forceps, Bovie
9.
Simple scrotoplasty
Release dartos, make incision as “Y”
Bovie, "Fathers" fine forceps, rake retractor, 4x4,
10.
Approximate glans
wings
Approximate glans spongiosum, anchor glans inner skin
Single arm 6-0 pds, "Fathers" fine forceps, Westcott scissors, 7-0 vicryl,
11.
Resurface skin on penis ventrum
Resurface proximal and distal shaft, close circumcision
Straight serrated, "Fathers" fine forceps, Bovie, 4x4, Wescott scissors, 5-0 chromic,
12.
Crede and dressing
Dressing sequence, Crede
Mastisol, Xeroform gauze, Excelon gauze, Tegaderm, Coban
+blue towel (protect people from pee)
instrument “nicknames”
instrument commercial name
westcott
scissors
Westcott utility stitch scissors, 5 1/8''
grandfather
fathers forceps
baby forceps
STERN CASTRO SUTURE FORCEPS W/LOCK .5mm
micro forceps with teeth
Bishop forceps
*
OPERATING ROOM Technician (ORT)
Slide6Surgery Plan: Name of procedure
COMPONENTS
STEPSORT*