Technical Tip: a simple method of securing the kidney dish to the surgical drapes

Technical Tip: a simple method of securing the kidney dish to the surgical drapes

The ‘Celtic cross’ technique for immediate umbilical reconstruction Acknowledgement The authors would like to express their appreciation to Dr Subhas...

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The ‘Celtic cross’ technique for immediate umbilical reconstruction

Acknowledgement The authors would like to express their appreciation to Dr Subhas Gupta, Program Director and Chief of the Division of Plastic Surgery at Loma Linda University, for reviewing the manuscript.

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TECHNICAL TIP Technical Tip: a simple method of securing the kidney dish to the surgical drapes Surgeons are continually striving to improve surgical efficiency. Having instruments that are easily and safely accessible can minimise the disruption to operative workflow. We describe a simple, safe and cost-effective method which allows a kidney dish to be used as an instrument holder whilst secured to the surgical drapes, allowing the operator to have a continued fluidity of movement. A single-sided adhesive surgical drape tape is folded upon itself and placed in the desirable position with regards to the surgeon’s hand dominance and vicinity to the operative field (Figure 1). A kidney dish is positioned onto the adhesive tape, ensuring maximal surface-area contact with its base, thereby allowing the dish to be secured to the drapes (Figure 2). As a result, commonly used instruments, such as a scalpel, can safely be placed within the secured kidney dish, permitting easy accessibility for the surgeon and reducing the necessity for

Figure 2 The kidney dish is then placed onto the adhesive tape ensuring maximal surface contact.

instruments to be handed to and from the scrub nurse. The secured kidney dish acting as an instrument holder is particularly useful when the patient is in the lateral position, as often in these circumstances the instruments slide off and become desterilised. This easy and practical method makes the theatre equipment readily available to all surgeons.

Conflicts of interest None S.Saour P.-N.Mohanna St Thomas’ Hospital, London, UK E-mail address: [email protected]

Figure 1 The single-sided adhesive tape is folded upon itself and secured on the drapes of a patient in the left lateral position.

ª 2008 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. doi:10.1016/j.bjps.2008.07.024