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Ruxandra Radu

Education

Clasificare:
* Pentru tăiat;
* Pentru hemostază;
* Pentru prehensiune;
* Depărtătoare;
* Pentru sutură;
* Alte instrumente;

1.Bisturiul
• Destinat SECŢIONĂRII ţesuturilor
• Alcătuit din: MÂNER
LAMĂ

Tipuri de mâner:
• Nr 7 – ptr. ţesut profund
• Nr 4 – ptr. tegument
• Nr 3 – ptr. ţesut
superficial

Tipuri de lamă:
• Nr 10 - cea mai utilizată;
• Nr 15 - varianta mai mică a #10,
folosită în incizii mai delicate;
• Nr 12 - ptr indepărtarea suturilor;
• Nr 11 - în proceduri artroscopice;
• Nr 23 şi 24 - mari,rar folosite.

Montarea/demontarea lamei
• Cu pensa Pean
• NU SE FOLOSEŞTE MÂNA !!!

2. FOARFECA
• Destinaţie multiplă: disecţie, secţionarea
unor structuri, a firelor de sutură, a
pansamentului etc.
• Didactic: -ptr. ţesuturi moi (disecţie)
-ptr. ţesuturi dure
!!! SE TAIE CU VÂRFUL LAMELOR !!!

3.Pensa PEAN
• Prezintă trei elemente:
-partea activă
-articulaţia
-braţele
• Manipulare

4.Pensa KOCHER
• Diferită faţa de PEAN
• Manipulare

5.Pensa ANATOMICĂ-de disecţie
• Destinata prinderii si prezentarii
structurilor fine (seroase, vase, tesuturi
usor lezabile)
• Manipulare :- cu degetele I si II
-pivoteaza in jurul degetului III

6.Pensa CHIRURGICALĂ
• Destinata prinderii si prezentarii
structurilor mai rezistente (piele,
aponevroze)
• Difetita de pensa ANATOMICA
• Manipulare

7.Depărtătoarele
• Destinate indepărtarii marginilor plăgii,
ţesuturilor, organelor etc. pentru a facilita
actul operator
• Clasificare:-mobile
-autostatice

• Mobile – le manevrază ajutorul
-modele: Farabeuf, Wolkmann
• Autostatice
-modele: Abdominal,Finochietto

8.Portacul
• Destinat trecerii acului curb prin diferite
ţesuturi, in timpul suturării
• Se alege in funcţie de tipul suturii si
marimea acului
• Manipulare

9. Acul
• Folosit pentru suturarea ţesuturilor
• Poate fi: - traumatic - triunghiular
- rotund
- atraumatic = “sertizat”

Alte instrumente:
Fierăstrău Gigli (mâner şi sârmă)
Overholt-Barraya
pensă de pedicul renal (Guyon)
pensă Mickulicz (de histerectomie)
pensa de coprostază Peyer
(clampa intestinală)
pensă Satinski
(clampă vasculară)
ac Reverdin

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instrumentar medical

1. INSTRUMENTARUL CHIRURGICAL

2. Clasificare: * Pentru tăiat; * Pentru hemostază; * Pentru prehensiune; * Depărtătoare; * Pentru sutură; * Alte instrumente;

3. 1.Bisturiul • Destinat SECŢIONĂRII ţesuturilor • Alcătuit din: MÂNER LAMĂ

4. Tipuri de mâner: • Nr 7 – ptr. ţesut profund • Nr 4 – ptr. tegument • Nr 3 – ptr. ţesut superficial

5. Tipuri de lamă: • Nr 10 - cea mai utilizată; • Nr 15 - varianta mai mică a #10, folosită în incizii mai delicate; • Nr 12 - ptr indepărtarea suturilor; • Nr 11 - în proceduri artroscopice; • Nr 23 şi 24 - mari,rar folosite.

6. Montarea/demontarea lamei • Cu pensa Pean • NU SE FOLOSEŞTE MÂNA !!!

7. Manipularea corectă

8. Incizia

9. 2. FOARFECA • Destinaţie multiplă: disecţie, secţionarea unor structuri, a firelor de sutură, a pansamentului etc. • Didactic: -ptr. ţesuturi moi (disecţie) -ptr. ţesuturi dure !!! SE TAIE CU VÂRFUL LAMELOR !!!

10. Manipularea corectă

11. Pentru fire De disecţie

12. 3.Pensa PEAN • Prezintă trei elemente: -partea activă -articulaţia -braţele • Manipulare

13. 4.Pensa KOCHER • Diferită faţa de PEAN • Manipulare

14. ( )

15. 5.Pensa ANATOMICĂ-de disecţie • Destinata prinderii si prezentarii structurilor fine (seroase, vase, tesuturi usor lezabile) • Manipulare :- cu degetele I si II -pivoteaza in jurul degetului III

16. 6.Pensa CHIRURGICALĂ • Destinata prinderii si prezentarii structurilor mai rezistente (piele, aponevroze) • Difetita de pensa ANATOMICA • Manipulare

17. Manipulare corectă

18. 7.Depărtătoarele • Destinate indepărtarii marginilor plăgii, ţesuturilor, organelor etc. pentru a facilita actul operator • Clasificare:-mobile -autostatice

19. • Mobile – le manevrază ajutorul -modele: Farabeuf, Wolkmann • Autostatice -modele: Abdominal,Finochietto

20. 8.Portacul • Destinat trecerii acului curb prin diferite ţesuturi, in timpul suturării • Se alege in funcţie de tipul suturii si marimea acului • Manipulare

21.

22. 9. Acul • Folosit pentru suturarea ţesuturilor • Poate fi: - traumatic - triunghiular - rotund - atraumatic = “sertizat”

23. Manipulare corectă

24. Alte instrumente: Fierăstrău Gigli (mâner şi sârmă) Overholt-Barraya pensă de pedicul renal (Guyon) pensă Mickulicz (de histerectomie) pensa de coprostază Peyer (clampa intestinală) pensă Satinski (clampă vasculară) ac Reverdin

instrumentar medical

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