During a return to the operating room for a thyroidectomy, what items are needed for managing excessive bleeding?

Managing excessive bleeding during a thyroidectomy requires specific tools and materials that are effective in controlling hemorrhage. The inclusion of laps (laparotomy sponges, often used for absorbing blood), silk ties (which are often used for tying off blood vessels), and hemoclips (devices used to occlude blood vessels) provides a comprehensive approach to hemostasis.

Laparotomy sponges are designed to soak up significant amounts of blood and help keep the surgical site clear. Silk ties are particularly useful for ligating blood vessels to prevent further blood loss. Hemoclips offer a quick and effective mechanical means to clamp and control bleeding vessels.

The other options, while they include useful items, do not provide the same efficacy for managing immediate bleeding situations typically encountered during a thyroidectomy. For example, Monocryl suture and harmonic scalpels are more suited for tissue approximation and cutting rather than acute hemorrhage control. Similarly, Vicryl ties and pledgets are not commonly prioritized for managing active bleeding in this context, and nylon sutures may not be as effective for immediate hemostatic measures as the items listed in the correct choice.

In summary, the combination of laps, silk ties, and hemoclips is specifically geared toward effectively managing excessive