Date post: | 24-Jan-2015 |
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Health & Medicine |
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OPERATING INSTRUMENTSA TOOL TO THE SURGEON
USED FOR PREPARING AND DRAPING
Cheatle’s Forceps
Used for picking and Transferring
USED FOR PREPARING AND DRAPING
Rampley’s Sponge Holding Forceps
Holding Sponge or gauze to clean the operative field
USED FOR PREPARING AND DRAPING
Mayo’s towel clip
Fix drapes in a manner to expose operative field only
Also used to fix tubing’s and cautery wire to drapes in a way that they don’t fall
USED FOR PREPARING AND DRAPING
Doyen’s Cross action towel clip
This clip can be substituted for mayo’s towel clip
USED FOR PREPARING AND DRAPING
Moynihans Tetra towel clip
Holding drapes and cover cut margins of incisions with sterile sponges
For skin incision Bard-parkers Knife handle with detachable
blade
For making the surgical blade handy and easy to use providing grip
The hole unit along with the blade is called scalpel.
For skin incision
Surgical blades For stab incisions
For Securing homeostasis
Artery forceps Small size-Mosquito Medium Large.
Uses As a hemostat, holding cut edges, to open up
abscess, hold free ends of the suture, hold cut end of the sutures, breaking loculi etc.
For Securing homeostasis
Kocher’s Forceps Uses
To hold securely superior thyroid pedicle vessels
Hold retracting cut ends of vessels in tough fibrous tissue
Hold ribs during rib resection To cause artificial rupture of gestational
membrane
For Securing homeostasis
Right Angled artery forceps
Uses Ti isolate, encircle and ligate vessels or ducts
those especially present in depths
For Securing homeostasis
Bull dog arterial clamp Uses
Used to clamp small, medium and large sized vessels
For Securing homeostasis
Satinski’s bicurved arterial clamp
Uses Partial occlusion of major vessels like
inferior vena cava, aorta for their repair
For Securing homeostasis
Liga clips
Uses Mainly used in laparoscopic surgery to clamp
vessels and ducts
Retractors Single/double hook retractor
Uses To retract skin edges To retract tough fascia
Retractors Cats paw/volkman’s retractor
Uses Retraction of skin and tough fascia
Retractors Langenbeck’s retractor
Uses In operation involving a lot of dissection in
superficial muscle pane which requires retraction
E.g. hernioplasty.thyroidectomy
Retractors Czerny’s retractor
Uses Superficial retraction of skin incisions during
laparotomy
Retractors Morris retractor
Uses To retract strong structures like
abdominal wall muscles and it gives wider space to work
Retractors
Harrington’s retractor
Uses To retract soft intra-abdominal visceral organs E.g. cholecystectomy, hysterectomy
Retractors Deaver’s retractor
Uses Same as Harrington's
Retractors Doyen’s retractor
Uses Used in pelvic surgery for retraction at the caudal end of abdominal incision.
Retractors Self retaining abdominal retractor
Usesused in the prolonged abdominal operations.
With its application there is no need for an assistant continuously retract
Retractors Allison’s lung retractor
Uses Thoracic surgery to retract lung special blades
protect the lungs from damage
Retractors Finochietto’s self retaining chest wall
retractor Uses
Retracting two ribs apart during thoracotomy operations
To separate two halves of sternum
Dissecting forceps Dissecting forceps/thumb forceps
Plain To hold delicate tissue
like peritoneum, vessels, bowel wall, etc
Toothedto hold tough sutures like skin,fascia,rectus sheath while suturing.
Tissue holding forceps
Allis tissue forceps
Uses To hold thin but tough tissues for purpose of
giving traction Can be used to hold tissues like fibrous
capsule of sac being dissected E.g. holding subcutaneous tissue, deep fascia
Tissue holding forceps
Lane’s tissue forceps
Uses Holding bulky tissues To hold appendix along with mesoappendix
during appendicectomy May be used conveniently as a towel clip
Tissue holding forceps
Babcock’s tissue forceps Uses
To hold soft and delicate tissues such as stomach, small/large bowel, appendix, and fallopian tube
Tissue holding forceps
Valsellum and Tenaculum Uses
Mainly used in gynecological operations to hold the tip of cervix
This structure is similar to alli’s forceps except they are very long
Scissors Scissors are used for sharp as well as blunt dissection
and also for cutting various tubing's, surgical dressings, gauze, sutures etc
Two types Tissue cutting and dissection scissors Scissors for other purpose
Scissors MetZenbaum curved on flat dissections
Uses For Dissecting out soft tissues or connective tissue planes For cutting soft tissues, adhesions, bowel, etc.
Scissors Gauze or Suture cutting Scissors Straight or curved
Uses For cutting bandages, lint gauze, rubber tubing's,etc. To cut away excess sutures materials after tying the knot
Special instruments in General Surgery
Joll’s self retaining thyroid retractor Uses
For retraction of skin flaps in thyroidectomy
Special instruments in General Surgery
Doyen’s Mouth Gag Uses
For intraoral operations E.g. Tongue excision,
Prolonged dental procedures To open mouth in an
unconscious patient for toileting
Special instruments in General Surgery
Bowel Clampsa) Moynihan’s non-crushing gastric clamp
Uses To hold and occlude stomach during
gastrectomy,gastrojejunostomy,etc
Special instruments in General Surgery
Bowel Clamps B, Payr’s crushing gastric clamp Uses For partial and total gastrectomy
Special instruments in General Surgery
Lane’s twin gastroenterostomy clamp Uses
In gastrojejunostomy The stomach and jejunum are held close to each other by
this instruments
Special instruments in General Surgery
Doyen’s intestinal clamp(non crushing) Uses
It is used for resection-anastomosis of the intestine in case of
Strangulated hernia Accidental injuries to the gut Intestinal growths Gastric/intestinal bypass operations
Special instruments in General Surgery
Cholecystectomy forceps Uses