This document provides descriptions of various surgical instruments used in gynecological procedures. It describes forceps such as Babcock forceps and tenaculum forceps used to grasp tissues like the fallopian tubes. It also describes retractors like the Deaver retractor used to retract organs during surgery. Additionally, it mentions other tools like the myoma screw used to give traction during hysterectomy and Foley's catheter used for drainage of urine during and after certain procedures.

1. LECTURER:UMAR TARIQ
MSC ANAESTHESIA/OTT

2.  General set
 Right angle (mixters)-2
 Babcock forcep -2
 Tenaculam forcep
 Uterine holding forcep
 Hystrectomy clamp(straight-2,curver- 2).
 Anterior vaginal wall retractor.
 Deaver retractor-2
 Needle holder-2.
 Myoma screw.
 Foly`s catheter
 Abdominal drainage

3.  This forceps is 15-25 cm long, fenestrated
triangular blades and grooved jaws.
 It has firm grip on the tube without crushing
or damaging its blood supply and mucosa.
 Used to hold or fix the fallopian tube, in
operations like tubectomy,tuboplasty.
 Also used for handling the appendix,
intestine,ureters, thyroid gland etc.
 It is non-traumatic instrument

5.  Long handle with one sharp point on
each blade of the forceps.
 It causes least injury to cervix
 It is applied by catching the anterior
lip of the cervix transversely.
 Used to hold cervix in nulliparous
women.

7.  Retracts posterior vaginal wall.
 Used in major vaginal operations e.g.
amputation of cervix in cancer.
 Large instrument, having catch clamp and
curved blades
 Used to hold the uterus during various uterine
surgeries e.g. salpingectomy.
 Also used in tuboplasty.

10.  Atraumatic jaws that holds tissue
firmly with minimal tissue demage.
 Tip serrations and longitudinal
grooves to prevent slippage
 Both straight and curved
 Mainly used for deeper pelvic
procedures and obese patients.

12.  Popularly called Deaver liver retractor.
 It has along blade and operation end is
curved.
 Can be used to retract liver during
cholecystectomy,gastrectomy,vagotomy etc
 Can be used to retract the urinary bladder
during surgery on the rectum.

14.  This instrument is a coarse threaded screw
with a pointed tip and the other end is handle.
 It is screwed into the myoma which helps to
steady it and also heps to lift up the fibroid
which is then enucleated.
 Used to give traction to the uterus during
hystrectomy.

16.  Made up of latex rubber.
 The catheter has two channels, one
for drainage of urine and the another
for inflating the subterminal bulb.

17.  Retroverted gravid uterus with retension of
urine
 Monitoring of urine output in cases like
LSCS, eclampsia etc
 Prolonged obstructed labour
 Surgery on uterovaginal prolapse—3 days
 Abdominal hystrectomy—24 hrs
 Vesicovaginal fistula repair –7 days
 Repair of bladder injury 7 days
 LSCS—2-3 days

19.  Contents can be measured.
 Soakage around wound is minimal.
 Secondary infection is less because it is
closed system.
 Vacuum can be applied, hence it can also be
called suction drains(romovac ,redivac)