Images These are the images used in this course. Click on any of the thumbnails to enlarge the image. Figure 1-3. Scrub attire (back view). Figure 1-1. Scrub reaching for sterile supplies Figure 1-4. Circulating nurse “flipping” sterile suture material from a suture packet onto the back table. Figure 3-1. Flaps on top. Figure 3-2. Distal flap Figure 3-3. Left flap Figure 3-5. Near flap. Figure 3-6. The circulator beginning to open a sterile pack. Figure 3-7. The circulator bringing the second fold over the end of the table. Figure 3-8. Open sterile package. Figure 3-9. Hand enclosed by wrapper. Figure 3-10. The circulator pouring solutions. Figure 3-12. Grasp cuff. Figure 3-13. Hand in glove. Figure 3-14. Starts at the site of incision. Figure 3-15. Scrubs with a circular, ever-widening motion. Figure 3-16. Completes scrub with antiseptic solution. Figure 3-17. Draping the Mayo stand. Figure 3-18. The circulator continues to pull the Mayo stand cover over the Mayo stand. Figure 3-19. Completing the draping of the Mayo stand Figure 3-20. Instrument set. Figure 3-21. Instruments arranged on the back table Figure 3-22. Arrangement of instruments on the Mayo stand. Figure 3-24. The scrub preparing sponges for first sponge count. Figure 3-25. Performing the sponge count. Figure 3-26. Unwind suture material. Figure 3-27. Prepare correct lengths Figure 3-28. Correct lengths. Figure 3-29. Cutting proper lengths. Figure 3-30. Placing the Mayo stand into position over the patient. Figure 3-31. The sterile field. Figure 4-1. SF 517, Clinical Record – Anesthesia. Figure 4-2. DA Form 4107, Operation Request and Worksheet Figure 4-3. Scrub handing tonsil hemostat to surgeon. Figure 4-4. Scrub handing tissue forceps to surgeon Figure 4-5. Scrub passing a threaded suture in a needle holder. Yankauer suction tube Nonperforating towel clip Laparotomy Tape #4 Knife Handle #20 Blade #3 Knife Handle #10 Blade Tissue Forceps Mosquito forceps Crile hemostat Straight Mayo scissors Richardson Retractor Army Navy Retractor Kelly Hemostat Curved Mayo Scissors Metzenbaum scissors Balfour retractor Hegar-Mayo needle holder Adson tissue forceps Upper Abdominal Midline Incision Anterior Fascia External Oblique Muscle is Split Peritoneum is Exposed Peritoneum is incised and the abdomen is open Closing the Peritoneum Closing the Muscle Closing the Anterior Fascia Subcutaneous Tissue Skin Closure Retention Bridges