Thoracic Spine Exposure

Thoracotomy for Spine Exposure

Set Up
OR Table – OSI Flat top
Single lumen tube
Typically left side up – no bean bag
Foley
a-line

Supplies
Thoracotomy tray
Rib cutter/box cutter
Long Cautery tip
Rib spreader retractor
Omni retractor – with regular and radio lucent blades
Medium and Large clips with long appliers
Andrew Morris suction
Long right angle – fine tip

Sutures
0 prolene CT-2 X 4 – if open diaphragm
#1 Ethibond Excel CTX non pop-off/swedged
0 Vicryl CT-1 X 3 – swedged
0 PDS looped TP1 X 1
2-0 Silk ties
0 Silk Chest tube suture X 1
3-0 Vicryl sh X 2 – swedged
4-0 Monocryl X 1

Chest Tube
28 fr chest tube X 1
Pleurevac canister X 1
Rundall gloves:
8 1/2 blue
8 Biogel PI micro

Patient position set up marking.spine exposure

Spine exposure open.1

Procedure
Typically Left Thoracotomy
9th intercostal space, remove 10th rib (T11-L2)