EQUIPMENT LIST FOR DESERT WOMEN’S CARE PHYSICIANS

D&C : Weighted vaginal speculum, anterior blade vaginal , Foley with bag, Pratt , uterine sound, sharp-tooth , telfa, (various sizes), fletcher- vandoran polyp , pickups

Diagnostic Hysteroscopy: Weighted vaginal speculum, anterior blade vaginal retractor, Foley catheter with bag, Pratt dilators, uterine sound, sharp-tooth tenaculum, telfa, currettes (various sizes), fletcher-vandoran polyp forceps, pickups, 0 degree hysteroscope with flow-through system, 2L glycine bags for infusion medium, pressure bag.

Operative hysteroscopy: Weighted vaginal speculum, anterior blade vaginal retractor, Foley catheter with bag, Pratt dilators, uterine sound, sharp-tooth tenaculum, telfa, curettes (various sizes), fletcher-vandoran polyp forceps, pickups, 0 degree hysteroscope with flow-through system, 2 L glycine bags for infusion medium, pressure bag, operating sleeve, instruments to fit down operating channel (scissors, biopsy forceps), track ball and loop excision device, with cautery device. Ask surgeon about availability of Myosure device.

Hysteroscopic Steriliztion: Weighted vaginal speculum, anterior blade vaginal retractor, Foley catheter with bag, Pratt dilators, uterine sound, sharp-tooth tenaculum, telfa, curettes (various sizes), fletcher-vandoran polyp forceps, pickups, 0 degree hysteroscope with flow-through system, 2L glycine bags for infusion medium, pressure bag, operating sleeve and Essure system

Endometrial Ablation: Weighted vaginal speculum, anterior blade vaginal retractor, Foley catheter, Pratt dilators, uterine sound, sharp-tooth tenaculum, telfa, curettes (various sizes), fletcher-vandoran polyp forceps, pickups, Gynecare ThermaChoice3 device

Diagnostic Laparoscopy: Weighted vaginal speculum, anterior blade vaginal retractor, Foley catheter with bag, Pratt dilators, uterine sound, sharp-tooth tenaculum, Cohen cannula with three acorn tips, Verres needle, sterile tubing for CO2 insufflation, with small bayonet blade, disposable 11 mm port with gas connection, 5 mm port (more available), Carter-Thomason site closure device (Cooper Surgical), 1-O Vicryl with small needle, 3-O nylon with cutting needle, pickups with teeth, Adson pickups, suture scissors, large bandages

Operative Laparosopy: Weighted vaginal speculum, anterior blade vaginal retractor, Foley cathter with bag, Pratt dilators, uterine sound, sharp-tooth tenaculum, Cohen cannula with acorn tips, verres needle, sterile tubing for CO2 insufflation, scalpel with small bayonet blade, disposable 11 mm port (bladed) with gas connection, 5 mm port (more available), 11 mm ports available, laparoscopic instruments (scissors, graspers with teeth, graspers without teeth, aspirating needle, endo-tenaculum 10-mm size), Nezhat or equivalent irrigation system with 1 L sterile saline irrigation IV bags, Covidien Endo-Stitch (available) with sutures (available in quantity), closed loop knot-pusher, 1-O, 3-O Vicryl for Endo-Stitch device, 1-O SurgiDac suture for Endo-Stitch device, ConMed Altrus system (5-mm and 10-mm sizes available) or Covidien Ligasure system (5-mm and 10mm sizes available), uni- and bi-polar cautery device with sterile cord, Klepinger bipolar cautery (available), Carter-Thomason trocar site closure device (Cooper Surgical), 1-O Vicryl with small needle, 3-O nylon with cutting needle, suture scissors, pickups with teeth, Adson pickups, large bandages.

Operative Laparosopy with Elevest (Utero-Sacral Ligament shortening): see Operative Laparoscopy with Elevest kit from Cooper Surgical

Operative Laparosopy with Metra (Uterine Suspension): see Operative Laparoscopy with Metra kit from Cooper Surgical.

Operative Laparosopy with Vagino-Sacropexy: see Operative Laparoscopy with Covidien Protac 5mm tacker, and Bard Surgical Alyte “Y” shaped Type 1 Polypropylene Mesh, disposable 10mm Fan Retractor, Endo-Stitch, at least thirty 2-O Surgidac sutures > 50” for Endo-Stitch, at least twenty 3-O Polysorb sutures > 50” for Endo-Stitch, self-righting , at least five 2-O Prolene suture > 42”

Operative Laparosopy with Oophorectomy: see Operative Laparoscopy with Anchor Surgical 175 and 190 bags available, suction irrigator with trap for pelvic washings, weighted vaginal speculum, right angle retractor, sharp-toothed tenaculum, Haney curved needle holder, long pick-ups with teeth, long curved , vaginal suction, O-vicryl suture with CT1 needle, curved Kelly clamps.

Laparosopic Supra-Cervical Hysterectomy: see Operative Laparoscopy with weighted vaginal speculum, right angle retractor, sharp-toothed tenaculum, Haney curved needle holder, long pick-ups with teeth, long curved Mayo scissors, kocher clamps, vaginal suction, O-vicryl suture with CT1 needle, curved Kelly clamps and Lina disposable morcellator available.

Total Laparoscopic Hysterectomy: see Operative Laparoscopy with Rumi manipulator with Koh colpotomizer and pneumo-occluder balooon (multiple cap and tip sizes available), weighted vaginal speculum, right angle retractor, sharp-toothed tenaculum, two Heaney vaginal retractors, Heaney curved needle holder, long pick-ups with teeth, long curved Mayo scissors, kocher clamps, vaginal suction, O-vicryl suture with CT1 needle, curved Kelly clamps and Lina disposable morcellator available.

Operative Laparosopy with Sterilizaion: see Operative Laparoscopy with Filshie Clip introducer device and Filshie Clips

Anterior and Posterior Colporraphy or Avaulta: Weighted vaginal speculum, anterior blade vaginal retractor, Foley catheter with bag, scalpel with curved blade, 100cc sterile injectable saline, 1 20 cc syringe with 21 gauge needle, large and small pickups with teeth, twelve Alice clamps, four curved 6" clamps, suture scissors, , 1-O and 3-O Vicryl sutures, curved and straight needle holders, Raytech, lap pads, electro cautery available. Bard Surgical Anterior and Posterior Avaulta kits available. Cystoscope available with normal saline infusion solution.

Trans-Obturator Tape: Weighted vaginal speculum, anterior blade vaginal retractor, Foley catheter wit bag, scalpel with curved blade, large and small pickups with teeth, twelve Alice clamps, four curved 6" clamps, suture scissors, Metzenbaum scissors, 1-O and 3-O Vicryl sutures, 3-O Nylon Sutures, Adson forceps, curved and straight needle holders, Raytech, lap pads, hand cautery device, BARD Surgical AlignTO kit, cystoscope, cystoscope set, Sterile normal saline infusion solution

Bartholin gland marsupialization / excision): Weighted vaginal speculum, anterior blade vaginal retractor, Foley catheter wit bag, scalpel with curved blade, large and small pickups with teeth, four curved 6" clamps, suture scissors, Metzenbaum scissors, 1-O and 3-O Chromic sutures, 1-O and 3-O Vicryl sutures, curved and straight needle holders, Raytech, lap pads, hand cautery device, 1/4" Iodoform packing

Colposcopy with LEEP: Foley catheter with bag, electrically isolated graves speculum large, electrically isolated side-spreaders, 3% acetic acid solution, Ferric Sub-Sulfate (Monsel’s) solution, long pickups with teeth, 2cm x 1cm LEEP Tip, Large ball cautery tip, colposcope with green light

Laparoscopic procedures are available for view on our website: www.DesertWomensCare.com. Click the YouTube icon to access our channel. We encourage staff to familiarize themselves with these procedures prior to the surgical date when possible.