Trolly layout for cervical spine surgery and a view from assistant perspective.

While spine surgery is one of the major critical surgery according to surgical aspect .

Patient position

Patient will be position at porne ( face down ) provided diathermy plate .

C arm would be position like the x-ray tube under the patient/table and not over it. Under couch systems provide better protection from scattered dose .

Trolly for surgery

Drapping part

Swab holding forcep

Gauze and small bowl .

Firstly use spirit and then after bitadine to properly disinfect the surgical fracture area .

Afterthat we use rubber sheet and laterly green sheet to properly cover the area .

And use disposable ioban to cover that portion

Fix it properly with towel clip and fixing a diathermy cable and and suction pipe for further loss blood suction.

Surgical part

We need kidney tray to provide B.P handle(4) and proper size blade (24 )

Austriotam and retractor ( lagenback small blade ) or self retaning retractor according to doctors need. And a mop to Swab blood and and artery forcep for point out vessel and artery . And coccus to cut the unrecognizable tissue. And a niblar to trun out the lapse bone or tissue and wet roller pack with adrenaline

Then after stainman pin and hammer needed to point out the fracture .

Hence they need oll , sound and pointers to fix the screw .

After all that a rod holder and a implant ( spine rod ) need to fix the fracture place

Hence , we need normal salaine in kidney tray with adrenaline then successfully sucking the whole loos blood and dead cell we need vicryle suture according to skin and then after fixing the sucction drain non absorbable suture needed like trulon to stich the skin properly .

Dressing bandage part

Hence clean the area with bitadine wet gauze and then use benzene outside to disinfectant and laterly fix micropole to fix the bandage .

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Thanking you .

Gourab Das

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