Joanne Grizwald,a 24-Year-Old Woman with Type 1 Diabetes Who Is

Joanne Grizwald,a 24-year-old woman with type 1 diabetes who is in end-stage kidney failure,is scheduled for a combined kidney-pancreas transplant.She is relatively healthy and at normal weight for her height in spite of her disease process.Her bleeding time and coagulation parameters are within normal limits.The circulating nurse has set up the autotransfusion system,verified Joanne's blood type,and crossmatched blood availability.The scrub person,while organizing the sterile back table,identified several instruments that she will not need.She organizes those instruments on the most distant part of the back table.What instruments is the scrub person unlikely to need during this procedure?

A) Based on Joanne's coagulation status,excess bleeding is not expected to be an issue.
B) Hemostasis will be achieved by the use of microfibrillar collagen agents that do not leave electrosurgical eschar (burned tissue) on the bleeding surfaces,thereby reducing the chance of infection.
C) Any excess bleeding will be removed and returned to the patient through the autotransfusion system.
D) The transplant procedure is an open approach and laparoscopic instruments (the insulated electrosurgical-adapted scissors,graspers,and the endoscopic suction tips) are not needed.