Setup for an Open Cholecystectomy (Kingsborough Community College, Brooklyn, NY)

This instructional video shows how to prepare a back table, Mayo stand, and ring stand for an open cholecystectomy. Surgical instrumentation, radiopaque sponges, sutures, and blades are organized carefully prior to an initial count with a circulating nurse or other licensed professional.

Open cholecystectomy remains the procedure of choice in cases when laparoscopy is contraindicated.^1–4 Proper setup contributes directly to operative safety and surgical efficiency. As with all surgical procedures, open cholecystectomy requires detailed preparation of the sterile field.

The back table, Mayo stand, and ring basin set had been sterilely draped prior to placing any instruments or supplies. Sterility was confirmed through verification of external and internal chemical indicators with the circulating nurse, to ensure that sterilization parameters had been met. Medications on the field were likewise verified for name, dosage, and expiration date, and were clearly labeled in accordance with recommended safety procedures.

The major tray setup was initiated by preparing an instrument roll with a blue towel. Ringed instruments were placed on a towel roll. Forceps were separated by category, with penetrating instruments placed to the right and non-penetrating to the left. Knife handles were isolated to reduce injury risk. All instruments were placed in a manner that ensured visibility during the surgical count, an important requirement for preventing retained surgical items.

Blades were loaded using a needle holder. The Mayo stand was prepared with a light handle cover, Bovie electrosurgical unit, suction tubing with a Yankauer tip, and patient drapes. The surgeon’s gown and gloves were also placed on the Mayo stand, as they will be needed before the procedure can begin.

An initial count must be performed with a circulator. Soft goods (sponges) are counted first, followed by sharps, instrumentation, and other items. Upon completion of the initial count, the surgical technologist  is ready to gown and glove the surgeon and others who will participate in the procedure.

This educational video aims to help surgical technology students by connecting clinical experience (back table, Mayo stand, and ring stand setup for this procedure) with academic knowledge, and promote patient safety.

Nothing to disclose.