What a herniotomy instrument set is
A hernia is repaired through a small incision, and most of a tray built for a laparotomy would sit unused on the rack. The herniotomy set is made the other way round. Its instruments are short, its clamps are light and its retractors are small: enough to open the groin, find the hernia sac, tie it off and close.
Google AI Mode, read on 27 October 2026, describes a herniotomy instrument set as the tools for open repairs of the abdominal wall, for treating fluid collections such as a hydrocele, and for herniotomy in children. It puts the usual count between 38 and 48 instruments; ours holds 45. The answer sorts the contents into cutting, grasping, stopping bleeding, retraction to expose the hernia sac, suturing and suction, and this tray carries something for each of the six.
Buyers search for a hernia instrument set or an inguinal hernia instrument set, and some ask simply for hernia surgery instruments. Herniotomy is the narrower word: it removes the sac and does not repair the wall. The same instruments open, expose and close for both operations, which is why one set serves them.
Key design features
Small clamps for a small field
The eight Backhaus towel clamps are 8 cm long, against 13 cm in our laparotomy set, because the drapes around a groin incision sit close together. The artery forceps are light too: eight Halsted mosquitoes at 12.5 cm, four straight and four curved, and two curved Crile Rankin forceps at 16 cm. Two Allis forceps, 15 cm, hold the tissue that needs a firm grip.
Retractors for the groin
The Roux set, Fig. 1 to 3, gives three sizes of hand held retractor for the edges of a short wound. Two Volkmann rakes, 21.5 cm with three blunt prongs, hold the fat and the layers beneath without catching on what they hold. Two Cushing hooks, 20 cm with a 10 mm hook, lift a single edge or hold one structure aside while the sac is freed.
Fine needle holders for fine sutures
Two Crile Wood needle holders, 15 cm and straight, have the narrow jaws that small needles need, and two people can close at once. A Mayo Hegar needle holder, 18 cm, takes the heavier needle for the deeper layer. For a child’s herniotomy the fine pair does nearly all of the suturing.
Tying off the sac
A probe with an eye, 13 cm, a Koenig ligature conductor with a 3 mm tip and a small sharp Deschamps needle pass the tie around the neck of the sac before it is cut away. A Frazier suction tube, 17 cm and 10 Fr, is narrow enough to clear a small field without crowding it.
The hernia instrument set list
All 23 lines of the set, read off our own contents list on 27 October 2026. The quantities add up to 45 instruments. The box is listed last and is not counted as a piece.
| Instrument | Size and pattern | Qty |
|---|---|---|
| Foerster-Ballenger Sponge Holding Forceps | 25 cm, Straight, serrated | 4 |
| Backhaus Towel Forceps | 8 cm | 8 |
| Scalpel Handle | No. 3 | 1 |
| Scalpel Handle | No. 4 | 1 |
| Mayo Operating Scissors, blunt-blunt | 17 cm, Straight | 1 |
| Metzenbaum-Nelson Scissors, blunt-blunt | 18 cm, Curved | 1 |
| Standard Operating Scissors, sharp-blunt | 14.5 cm, Straight | 2 |
| Standard Dressing Forceps | 14.5 cm, Straight | 2 |
| Standard Tissue Forceps | 14.5 cm, Straight, 1 x 2 teeth | 1 |
| Allis Tissue Seizing Forceps | 15 cm, 5 x 6 teeth | 2 |
| Halsted-Mosquito Artery Forceps | 12.5 cm, Straight | 4 |
| Halsted-Mosquito Artery Forceps | 12.5 cm, Curved | 4 |
| Crile-Rankin Artery Forceps | 16 cm, Curved | 2 |
| Volkmann Retractor, 3 prongs | 21.5 cm, Blunt | 2 |
| Cushing Delicate Hook | 20 cm, 10 mm | 2 |
| Probe with Eye | 13 cm, 2 mm | 1 |
| Koenig Ligature Conductor | 19.5 cm, 3 mm | 1 |
| Frazier Suction Tube | 17 cm, 10 Fr | 1 |
| Crile-Wood Needle Holder | 15 cm, Straight | 2 |
| Mayo-Hegar Needle Holder | 18 cm | 1 |
| Roux Retractor Set | 16.5 cm, Fig. 1 to 3 | 1 |
| Deschamps Needle, sharp, small | 20 cm, Left | 1 |
| Stainless Steel Instrument Box | holds the set | 1 |
Where it is used
The first two columns come from the Google AI Mode answer read on 27 October 2026, the last from our list. Gemini, read on 3 November 2026, places a set like this in general and pediatric surgery, on the inguinal canal, the hernia sac and the external oblique aponeurosis.
| Job in the case | What the answer says it needs | What this set gives you |
|---|---|---|
| Cutting | Handles No. 3 and 4, sharp scissors, curved Metzenbaum | Handles No. 3 and 4, two sharp blunt scissors, a Mayo and a Metzenbaum Nelson |
| Grasping | Toothed and dressing forceps, Adson, Allis, Babcock | Two dressing, one toothed tissue forceps, two Allis; no Adson or Babcock |
| Stopping bleeding | Halsted, Rankin Crile and towel clamps | Eight Halsted, two Crile Rankin, eight Backhaus |
| Exposing the hernia sac | Army Navy, Langenbeck, Richardson or a self retaining retractor | Roux set, two Volkmann rakes, two Cushing hooks; no self retaining retractor |
| Suturing and suction | Mayo Hegar needle holders, Poole or Yankauer suction | Two Crile Wood, one Mayo Hegar, a Frazier tube |
What it is for, and what it is not for
A compact tray does a short list of jobs well. The table sends the others to a set of ours that is built for them.
| Job | Use this set? | What to use instead |
|---|---|---|
| Herniotomy in a child | Yes | This is the job it is made for |
| Open inguinal hernia repair in an adult | Yes | The same set, with the repair suture of your choice |
| Open hydrocele surgery | Yes | The AI answer names fluid collections among its uses |
| Large hernia through an old abdominal scar | Not on its own | Our laparotomy instrument set, with deep retractors |
| Laparoscopic hernia repair | No | This set is for open surgery only |
How it compares with the rest of the family
Five open abdominal trays make up this family on our site. The counts are read off each set’s own contents list, and the prices off each product’s order form.
| Set | Pieces | Built around | Price |
|---|---|---|---|
| Laparotomy instrument set | 98, plus the box | Balfour self retaining retractor, Deaver and Richardson retractors, 32 artery forceps | 643.65 dollars |
| Stomach operation instrument set | 60, plus the box | Lane stomach clamp, Kocher intestinal clamps, 16 Ochsner artery forceps | 619.50 dollars |
| Major basic instrument set | 98, plus the box | the same 98 pieces as the laparotomy set, under the general surgery name | 643.65 dollars |
| Gall bladder and bile duct set | 38, plus the box | Bakes dilators Fig. 1 to 11, gall stone forceps, scoops and probes | 373.80 dollars |
| Herniotomy instrument set (this page) | 45, plus the box | small Backhaus clamps, Roux and Volkmann retractors, Crile Wood needle holders | 285.60 dollars |
Materials and finish
Every instrument in the set is made from high quality medical grade stainless steel, and the box that holds them is stainless steel too. The steel itself is made to a German specification. We do not publish a grade number.
At 285.60 dollars for 45 pieces and the box, this is the least costly tray in the family, and a hospital with a busy hernia schedule can keep two of them for less than the price of one 98 piece tray.
Caring for it
Rinse the set as soon as the case ends, before blood dries in the joints. Open the mosquitoes, the towel clamps and the needle holders so the brush reaches the box joints, and run water through the Frazier tube with a fine brush, because its bore is narrow. Check the points of the two Crile Wood needle holders and the fine mosquitoes before each case. Dry, oil the joints lightly, steam sterilize the set with the jointed instruments open on a stringer, and count it against the contents list before the box is closed.
Ordering and wholesale
The herniotomy instrument set is made by Adas Instruments in our own workshop and sold direct, which is why the price sits where it does against the catalog houses. Order one for a single tray, or in quantity for a hospital list or a distributor line. We do OEM work under your own brand and your own item numbers. Send us a sample and we will hold a run to your pattern rather than ours. Stock items ship from our own workshop. Backorder items take 10 to 12 working days to make. Every instrument carries a three year replacement warranty against manufacturing defects. Production is controlled under an ISO 13485 quality management system.
Frequently asked questions
What is a herniotomy instrument set used for?
It is used for open hernia surgery through a small incision: herniotomy in children, where the hernia sac is tied and removed, open groin hernia repair in adults, and open hydrocele surgery. It holds short scissors, light artery forceps, small retractors and fine needle holders sized for that work.
What are the instruments used in hernia surgery?
Scalpel handles and scissors, small artery forceps and towel clamps, tissue and Allis forceps, small hand held retractors and rakes, a narrow suction tube, a ligature needle to tie the sac, and needle holders. This set carries every one of those, counted in the contents table on this page.
What is the difference between herniotomy and hernia repair?
A herniotomy removes the hernia sac and ties it off at its neck, and in a child that is often the whole operation. A repair also strengthens the wall, with stitches or a mesh. The instruments to open, expose and close are the same for both, so one set serves the two.
Is the herniotomy instrument set suitable for children?
It is sized for a small incision, with 8 cm towel clamps, mosquito forceps and two fine Crile Wood needle holders, which is the scale a child’s groin needs. The AI Mode answer names herniotomy in children among the jobs for a set like this. The same set also serves an adult repair.
How many instruments are in a herniotomy instrument set?
Ours holds 45, in 23 lines, plus the stainless steel box. The AI Mode answer puts the usual count between 38 and 48 instruments. Every line of ours is in the contents table on this page, with its size and quantity, so the count can be checked before you order.
Related products and categories
Three more trays from the same family: the laparotomy instrument set, the stomach operation instrument set and the major basic instrument set. Every set we make for open abdominal and general work is in general surgery and abdominal instrument sets, and the trays for other specialties are under surgical instrument sets.


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