Surgical instruments

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A detailed description of instruments used in surgery, including photographs taken in CG Hospital, Davangere, India.

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Surgical instruments

  1. 1. INSTRUMENTS<br />MOHAMMAD AMIR<br />JJM MEDICAL COLLEGE<br />INDIA<br />
  2. 2. RAMPLEY’S SWAB HOLDING FORCEPS<br />Used for cleansing the skin with swab<br />It is used for removing laminated membrane and daughter cysts from Hydatid cyst.<br />Used to hold fundus and Hartman’s pouch during cholecystectomy.<br />
  3. 3. Doyen’s cross action Towel Clips<br />Used to fix draping towels.<br />Used for fixing diathermy cables, suction tubes etc.<br />May be used to hold ribs while elevating flail segment of chest.<br />
  4. 4. Bard Parker’s Handles<br />Blades 10,11,12 and 15 fit in B.P handle 3.<br />Blades18,19,20,21,22, 23 and 24 fit in B.P handle 4.<br />
  5. 5. Spencer Well’s Haemostatic Forceps<br />Used to hold bleeding vessels.<br />Used to split internal oblique and transverse abdominis during appendectomy.<br />Used to do blunt dissection.<br />
  6. 6. Kocher’s Haemostatic Forceps<br />Used to crush the base of the appendix during appendectomy.<br />Used to hold meniscus during menisectomy.<br />Used to do sub total thyroidectomy.<br />
  7. 7. Mosquito Haemostatic Forceps<br />Used to hold fine bleeding vessels.<br />Used to puncture the mesoappendix at an avascular site.<br />Used in operations of infants.<br />
  8. 8. Lister’s Sinus Forceps<br />Used to do I&D of abscess by Hilton’s method.<br />Used to hold gauge swab to clean abscess cavity.<br />
  9. 9. Allis’ Tissue Forceps<br />Used to hold skin while raising skin flaps.<br />Used to pick up a fold of peritoneum during laparotomy.<br />Used to hold linea alba while closing midline incisions.<br />
  10. 10. Babcock’s Tissue Forceps<br />Used to pick up appendix during appendectomy.<br />Used to hold delicate visceral organs.<br />Used to hold cut margins of bladder during open prostatectomy.<br />
  11. 11. Plain Dissecting Forceps<br />Used to hold delicate visceral organs<br />Used to hold blood vessels and nerves while dissecting.<br />Used to hold the hernial sac in hernia repair.<br />
  12. 12. Toothed Dissecting Forceps<br />Used to hold tough structures like skin while suturing.<br />Used to hold scalp while scalp suturing.<br />Used to hold rectus sheath while closure of abdomen.<br />
  13. 13. Needle Holders<br />Used to hold needles while suturing.<br />
  14. 14. Mayo’s Scissors<br />Used to tough structures like linea alba,rectus sheath during entry in to the abdomen.<br />Used to cut delicate structures like hollow viscus, investing layer of deep fascia of the neck in thyroid surgery.<br />Used to raise skin flaps by sharp dissection.<br />
  15. 15. Heath’s Suture Cutting scissors<br />Used to cut sutures on skin and mucous membrane.<br />
  16. 16. Langenbach’s Retractor<br />They are used to help better visualization of the operative field, tissue handling is minimized and bleeding better seen and controlled.<br />
  17. 17. Morris Retractor<br />Used while making and closing abdominal incisions for ease of working in the deeper layers.<br />Used to retract Pectoralis major in MRM for better visualization during axillary dissection.<br />
  18. 18. Deaver’s Retractor<br />Used in Cholecystectomy for retraction of right lobe of liver. <br />Used in Truncal vagotomy for retraction of left lobe of liver.<br />Used in kidney operations to retract the anterior abdominal wall.<br />
  19. 19. Joll’s Thyroid Retractor<br />It is a self retaining retractor used in thyroid surgeries to retract the skin.<br />
  20. 20. Metallic Probe<br />Used in fistulectomies.<br />Used to assess the depth of penetrating injuries.<br />Used to assess the length of sinus.<br />
  21. 21. Lahey’s Right Angled Forceps<br />Used to dissect the cystic duct and artery in cholecystectomy.<br />Used in Vagotomies to dissect the vagus nerve and pass ligatures around them before division.<br />Used in thyroid surgeries to dissect and ligate middle thyroid vein,superior thyroid pedicle,etc.<br />
  22. 22. Desjardin’s Choledocholithotomy Forceps<br />Used to remove stones from common bile duct.<br />Used to remove stone from kidney, bladder stone.<br />
  23. 23. Metallic Bougie<br />Used to dilate urethra in urethral strictures.<br />Used to dilate urethra before cystoscopy.<br />Used to repair ruptured urethra by railroad technique.<br />
  24. 24. Bakes’ Dilator<br />Used in Choledocholithotomy, after removing the stones from the bile duct, it is used to sound the bile duct for any retained stones.<br />The patency of the ampulla can checked, In impacted stones or ampullary stenosis,it is not possible to pass the dilator in to the duodenum<br />
  25. 25. Doyen’s Intestinal Clamps<br />Used in gut resection and anastomosis.<br />
  26. 26. Suprapubic Cystolithotomy Forceps<br />Used in suprapubic cystolithotomy to extract the stone from the bladder.<br />
  27. 27. Red Rubber Catheter<br />It comes in sizes of 6,8,10etc.the size of the catheter is expressed in mm as number of size/2 +1.<br />Used to drain urine.<br />Used to measure amount of residual volume of urine.<br />Used to administer chemotherapy drugs for Ca bladder.<br />
  28. 28. Foley’s Self Retaining Catheter<br />Diameter of the catheter in mm is calculated by no. of catheter in french scale/3.<br />Used to drain urine.<br />Used in suprapubic cystostomy.<br />Used for urethral catheterization following prostatectomy.<br />
  29. 29. Malaecot’s Catheter<br />Used in suprapubic cystostomy.<br />Used to drain abscess cavities.<br />Used as intercostal tube drain.<br />
  30. 30. Kelly’s rectal Speculum<br />Used to diagnose haemorroids,anal polyps, internal opening of the perianal fistula.<br />Used to take biopsy from anal, rectal growth.<br />Used in polypectomy.<br />
  31. 31. Flatus tube<br />Used to relieve gaseous distension of large gut due to paralytic ileus.<br />Used to decompress sigmoid volvulus non operatively.<br />
  32. 32. Fuller’s Metallic Tracheaostomy tube<br />Indications:<br />FB impacted in larynx.<br />B/L recurrent nerve palsy.<br />Acute laryngeal edema.<br />In respiratory paralysis requiring mechanical ventilation for longer periods.<br />
  33. 33. Disposable Corrugated Drain<br />Used as a drain to drain pus ,blood,etc<br />
  34. 34. Mayo’s Vein stripper<br />Used to do stripping of varicose veins.<br />
  35. 35. Giglie’s Saw<br />Used to cut bones in amputations.<br />Used to do craniotomies.<br />
  36. 36. Bladder wash Syringe<br />Used to give bladder wash with antiseptic solution.<br />Used to clear blocked foley’s catheter.<br />
  37. 37. Suprapubic Cystostomy Trocar and Cannula<br />Used to perform suprapubic cystostomy secondary urethral rupture to relieve urinary retention.<br />Used to perform suprapubic cystostomy secondary to distal urethral obstruction.<br />
  38. 38. Disposable Core Biopsy Trocar and Needle<br />Used to take core biopsy from breast, liver for tissue diagnosis.<br />
  39. 39. Vim Silverman’s Liver biopsy Trocar and Needle<br />Used to take liver biopsy.<br />
  40. 40. Bone cutter and Bone Nibbler<br />Used to reshape the bone during osteotomies, amputations.<br />
  41. 41. Bone Chisel and Osteotome<br />Used to chip out bone.<br />Used to perform osteotomies.<br />
  42. 42. Rib Cutter<br />Used to cut ribs in case of draining empyema thoracis.<br />Use to resect a part of the rib.<br />
  43. 43. Bone Saw<br />Used to cut bone in case amputation.<br />To cut casts.<br />
  44. 44. Periosteum Elevator<br />Used to elevate the periosteum during amputations.<br />
  45. 45. Kidney Tray<br />Used to collect specimens.<br />Used to safely transfer sharp instruments.<br />
  46. 46. THANK YOU<br />

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