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Material cirúrgico e técnicas
de instrumentação
João Welberthon Matos Queiroz
Definição
• “ É todo conjunto de objetos, instrumentos e
equipamentos que entram em contato direto
ou indireto com a regiã...
• Classificação
Classificação do material cirúrgico
TIPOS FUNÇÃO EXEMPLOS
Diérese Corte, divulsão Bisturi, tesoura
Preensã...
Instrumentos de Diérese
Figura 2: Lâminas de bisturiFigura 1: Cabo de bisturi
nº 3 e 4
Fonte:
www.instrumentador.com.br
Fo...
Empunhadura dos materiais
Figura 3: Empunhadura em caneta Figura 4: Empunhadura em arco de violino
Fonte:LACE-UFCG Fonte: ...
Figura 5: Tesouras de Metzenbaum (A), Mayo (B) e Oftálmica
Fonte: LACE-UFCG
A
B
Figura 7: Empunhadura de tesoura
Fonte: LACE-UFCG
Instrumentos de preensão
Figura 8: Pinça anatômica e de Adson com dente de rato
Fonte: LACE-UFCG
Figura 12: Empunhadura de pinça anatômica
Fonte: LACE-UFCG
Empunhadura de pinça
Instrumentos de Hemostasia
Figura 17: Pinças Hemostáticas Figura 18: Pinças Hemostáticas reta e
curva
Fonte: LACE-UFCG Fon...
Figura 19: Pinças de Kelly (a) e Crile (b)
Fonte: LACE-UFCG
a
b
Figura 21: Pinças de halsted e kelly
Fonte: UME
Figura 22: Pinça Mixter Figura 23: Pinça de Köcher
Fonte: LACE-UFCG
Empunhadura de pinça hemostática
Figura 24: Empunhadura de pinça hemostática
Fonte: LACE-UFCG
Pinça de campo
Figura 26: Pinça de Backhaus
Instrumentos de afastamento
Afastadores dinâmicos
Figura 13: Afastador de farabeuf
Fonte: LACE-UFCG
Figura 14: Afastador
L...
Figura 14: Afastador de doyen
Fonte: LACE-UFCG
Figura 15: Espátula
Afastadores estáticos
Figura 15: Afastador de Finochietto Figura 16: Afastador de Gosset
Fonte: LACE-UFCG Fonte: www.edlo....
Figura 17: Afastador Balfour
Instrumentos especiais
Gastrintestinais
Figura 20: Pinça de Babcock
Figura 21: Pinça de Collin coração
Instrumentos especiais
Gastrintestinais
Figura 23: Pinça de Allis Figura 22: Pinça de Duval
FONTE: LACE-UFCG
Instrumentos especiais
Torácica e cardiovascular
Figura 33: Pinça de Mixter
Instrumentos especiais
Torácica e cardiovascular
Figura 38: Rugina de Farabeuf Figura 39: Rugina de Doyen Figura 40: Costó...
Instrumentos especiais
Torácica e cardiovascular
Figura 41: Serra de Gigli Figura 42: Serra elétrica
Instrumentos especiais
Torácica e cardiovascular
Figura 44: Aspirador de
Campo
Figura 45: Bisturi
elétrico
Instrumentos especiais
Ortopédica
Figura 46: Cisalha de Liston Figura 51: Osteótomo Figura 52: martelo cirúrgico
Instrumentos especiais
Ginecológica e obstétrica
Figura 57: espéculo vaginal
de graves
Figura 58: Cureta de Sims
Figura 59...
Instrumentos especiais
Ginecológica e obstétrica
Figura 60: histerômetro de Sims
Figura 61: pinça de Pozzi
Instrumentos especiais
Ginecológica e obstétrica
Figura 63: Pinça de Foerster
Figura 65: Pinça de Cheron
FONTE: LACE-UFCG
...
Instrumentos especiais
Oftálmica
Figura 69: Pinça e tesoura para íris Figura 70: Porta-agulha de Castroviejo
Instrumentos especiais
Otorrinolaringológica
Figura 72: Amigdalótomo
de Sluter
Figura 73: Espéculo
Nasal
Figura 74: Estile...
Instrumentos especiais
Urogenital
Figura 76: Pinça para pedículo
renal de Guyon
Figura 77: Pinça para pedículo
renal de We...
Instrumentos de síntese
Figura 27: Porta-agulha de Mayo-hegar Figura 28: Porta-agulha de Mathieu
Fonte: LACE-UFCG Fonte: w...
Figura 29: Empunhadura de porta-agulha de mayo-hegar
Fonte: LACE-UFCG
• Técnica de preparo da mesa de instrumentação
A mesa deve ser revestida por lâmina de borracha esterilizada
coberta com c...
Disposição do material na mesa
Mesa
Cirúrgica
(parte distal)
Área de instrumentação
Compressa e gaze
Kocher Kelly Crile
Pr...
Mesa auxiliar de instrumentação
Compressas gazes
Tesoura
Diérese
Pinça de dissecação
Preensão
Afastadores
Exposição
Técnica de instrumentação
Solicitação pode ser verbal ou manual (por sinais)
Caso a solicitação verbal seja a de escolha o...
‘mk
Instrumentação manual
Bisturi
Pinça de dissecção
Tesoura
Pinça hemostática
Afastador farabeuf
Afastador gosset
Porta-a...
Materiais Cirurgicos e Tecnicas de Instrumentação
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Materiais Cirurgicos e Tecnicas de Instrumentação

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Materiais Cirurgicos e Tecnicas de Instrumentação

  1. 1. Material cirúrgico e técnicas de instrumentação João Welberthon Matos Queiroz
  2. 2. Definição • “ É todo conjunto de objetos, instrumentos e equipamentos que entram em contato direto ou indireto com a região operatória, utilizados para a execução de determinado procedimento cirúrgico.” Magalhães,1996
  3. 3. • Classificação Classificação do material cirúrgico TIPOS FUNÇÃO EXEMPLOS Diérese Corte, divulsão Bisturi, tesoura Preensão Apanhar estruturas Pinça anatômica e dente de rato Hemostasia Pinçamento de vasos Pinças hemostáticas (halsted, kelly, etc.) Exposição Afastamento de tecidos Afastadores (Farabeuf, Gosset, etc.) Especial Própria Pinça de Abadir-cirurgia gástrica e pinça de Potts-cirurgia vascular Síntese União de tecidos Porta-agulhas e agulhas
  4. 4. Instrumentos de Diérese Figura 2: Lâminas de bisturiFigura 1: Cabo de bisturi nº 3 e 4 Fonte: www.instrumentador.com.br Fonte: UME
  5. 5. Empunhadura dos materiais Figura 3: Empunhadura em caneta Figura 4: Empunhadura em arco de violino Fonte:LACE-UFCG Fonte: LACE-UFCG
  6. 6. Figura 5: Tesouras de Metzenbaum (A), Mayo (B) e Oftálmica Fonte: LACE-UFCG A B
  7. 7. Figura 7: Empunhadura de tesoura Fonte: LACE-UFCG
  8. 8. Instrumentos de preensão Figura 8: Pinça anatômica e de Adson com dente de rato Fonte: LACE-UFCG
  9. 9. Figura 12: Empunhadura de pinça anatômica Fonte: LACE-UFCG Empunhadura de pinça
  10. 10. Instrumentos de Hemostasia Figura 17: Pinças Hemostáticas Figura 18: Pinças Hemostáticas reta e curva Fonte: LACE-UFCG Fonte: UME
  11. 11. Figura 19: Pinças de Kelly (a) e Crile (b) Fonte: LACE-UFCG a b
  12. 12. Figura 21: Pinças de halsted e kelly Fonte: UME
  13. 13. Figura 22: Pinça Mixter Figura 23: Pinça de Köcher Fonte: LACE-UFCG
  14. 14. Empunhadura de pinça hemostática Figura 24: Empunhadura de pinça hemostática Fonte: LACE-UFCG
  15. 15. Pinça de campo Figura 26: Pinça de Backhaus
  16. 16. Instrumentos de afastamento Afastadores dinâmicos Figura 13: Afastador de farabeuf Fonte: LACE-UFCG Figura 14: Afastador Langenbeck http://www.richter.com.br/produtos/afastado res
  17. 17. Figura 14: Afastador de doyen Fonte: LACE-UFCG Figura 15: Espátula
  18. 18. Afastadores estáticos Figura 15: Afastador de Finochietto Figura 16: Afastador de Gosset Fonte: LACE-UFCG Fonte: www.edlo.com.br/img/ produtos
  19. 19. Figura 17: Afastador Balfour
  20. 20. Instrumentos especiais Gastrintestinais Figura 20: Pinça de Babcock Figura 21: Pinça de Collin coração
  21. 21. Instrumentos especiais Gastrintestinais Figura 23: Pinça de Allis Figura 22: Pinça de Duval FONTE: LACE-UFCG
  22. 22. Instrumentos especiais Torácica e cardiovascular Figura 33: Pinça de Mixter
  23. 23. Instrumentos especiais Torácica e cardiovascular Figura 38: Rugina de Farabeuf Figura 39: Rugina de Doyen Figura 40: Costótomo
  24. 24. Instrumentos especiais Torácica e cardiovascular Figura 41: Serra de Gigli Figura 42: Serra elétrica
  25. 25. Instrumentos especiais Torácica e cardiovascular Figura 44: Aspirador de Campo Figura 45: Bisturi elétrico
  26. 26. Instrumentos especiais Ortopédica Figura 46: Cisalha de Liston Figura 51: Osteótomo Figura 52: martelo cirúrgico
  27. 27. Instrumentos especiais Ginecológica e obstétrica Figura 57: espéculo vaginal de graves Figura 58: Cureta de Sims Figura 59: dilatador uterino vela de Hegar
  28. 28. Instrumentos especiais Ginecológica e obstétrica Figura 60: histerômetro de Sims Figura 61: pinça de Pozzi
  29. 29. Instrumentos especiais Ginecológica e obstétrica Figura 63: Pinça de Foerster Figura 65: Pinça de Cheron FONTE: LACE-UFCG Figura 67: Fórceps de Sims
  30. 30. Instrumentos especiais Oftálmica Figura 69: Pinça e tesoura para íris Figura 70: Porta-agulha de Castroviejo
  31. 31. Instrumentos especiais Otorrinolaringológica Figura 72: Amigdalótomo de Sluter Figura 73: Espéculo Nasal Figura 74: Estilete de paracentese de Lucae
  32. 32. Instrumentos especiais Urogenital Figura 76: Pinça para pedículo renal de Guyon Figura 77: Pinça para pedículo renal de Wertheim-Cullen Figura 78: Pinça para cálculos de Desjardins
  33. 33. Instrumentos de síntese Figura 27: Porta-agulha de Mayo-hegar Figura 28: Porta-agulha de Mathieu Fonte: LACE-UFCG Fonte: www.edlo.com.br/img/ produtos
  34. 34. Figura 29: Empunhadura de porta-agulha de mayo-hegar Fonte: LACE-UFCG
  35. 35. • Técnica de preparo da mesa de instrumentação A mesa deve ser revestida por lâmina de borracha esterilizada coberta com campo duplo, evitando com que materiais pontiagudos perfurem o material e entrem em contato com a mesa.
  36. 36. Disposição do material na mesa Mesa Cirúrgica (parte distal) Área de instrumentação Compressa e gaze Kocher Kelly Crile Preensão Com dente Sem dente Diérese Tesoura Bisturi Síntese Agulha fio Porta-agulha Especial Afastador Exposição
  37. 37. Mesa auxiliar de instrumentação Compressas gazes Tesoura Diérese Pinça de dissecação Preensão Afastadores Exposição
  38. 38. Técnica de instrumentação Solicitação pode ser verbal ou manual (por sinais) Caso a solicitação verbal seja a de escolha o cirurgião deve especificar corretamente todas as características do instrumento solicitado, para evitar erros.
  39. 39. ‘mk Instrumentação manual Bisturi Pinça de dissecção Tesoura Pinça hemostática Afastador farabeuf Afastador gosset Porta-agulha Fio para ligadura Gaze Compressa

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