Surgical Procedure Simulators
"An Educational Tool"
Bowel Resection Instructions
for the Lap Sim Insert
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A simulated bowel resection can be performed on both the Large and small bowel. Click here for a video demonstration of a simulated Delletec Bowel Resection |
Instructions:
- Place the Lap Sim Insert into the Laparotomy Torso
- Place the Torso on the OR bed. Tape the Torso to the OR bed to prevent movement during the procedure.
- Drape the simulator in the normal fashion.
- Make a midline incision in the center of the Laparotomy Sim Disc.
- Disect through the adipose tissue using the knife, bovie, or scissors until the superficial vessels are encountered. Clamp, cut and tie the vessels as needed.
- Continue to dissect through the adipose tissue to the fascia layer. Incise the fascia with the knife and mayo scissors. Apply Ochsner clamps to the edge of the fascia layer.
- Bluntly dissect the fascia layer away from the muscle, using a knife, metzenbaum, or mayo scissors.
- Grasp the peritoneum with two hemostats and incise the tisue with the knife or metzenbaum scissors.
- Once the abdominal cavity is opened, place a Balfour retractor or other appropriate self retaining retractor.
- Grasp the omentum (optional) and reflect it superiorly to expose the bowel. A lap sponge may be placed in the abdominal cavity.
- Place clamps above and below the portion of bowel to be removed.(Remember, do not take a large portion of bowel. Leave enough to perform at least two more procedures) The involved area is removed with a scalpel.
- The continuity of the gastrointestinal track is established by an end to end, end to side, or side to side anastomosis.
- Potentially contaminated instruments used on the bowel are placed in a discard basin and removed from the field. Including sponge forceps and suction.
- Remove the lap sponge and draw the omentum over the cavity. Close the peritoneum, fascia, and adipose layers with appropriate suture. Close the skin with suture or staples.
- Apply a dressing
