Which retractor should a CST have ready for an open appendectomy?

For an open appendectomy, the Army-Navy retractor is the most commonly used instrument. This retractor, with its two angled blades, is particularly effective for providing adequate exposure of the surgical field in the right lower quadrant, where the appendix is located. Its design allows the surgeon to maintain a clear view and access while minimizing tissue trauma, which is critical in appendectomies to prevent complications and support healing.

While other retractors like the Richardson or Deaver could also be used in general surgery, they are not as optimal for the specific needs of an appendectomy. The Richardson retractor is typically used for deeper wound retraction, and the Deaver is more useful in larger abdominal cavities, which may not be as relevant in simple appendectomies. The Balfour retractor, which is designed for wide exposure in larger surgical procedures, is generally not necessary for the relatively smaller incision and area involved in an appendectomy. Thus, having the Army-Navy retractor ready aligns perfectly with the requirements for this procedure.