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INSTRUMENT
Dr. Diptiranjan Bai
JR, SCB MEDICAL COLLEGE
BARD PARKER HANDLE
BP Handle is a flat stainless steel to hold
scalpel blade.
Numbers of BP Handle -3, 5, 7, 4
SPONGE HOLDING
FORCEPS
USES:
1.For cleansing the skin with swab dipped in
antiseptic solution.
2. For removing the laminated membrane
and the daughter cysts during operation of
Hydatid Cyst.
HEMOSTATIC FORCEPS
USES:
1. To hold bleeding vessels while cutting
through different layers of tissue.
2. Used to hold cut margins of the rectus
sheath ,linea alba, external oblique
aponeurosis.
3. During appendicectomy through `Mc
Burneys Grid iron incision hemostatic
forcep used to split the internal oblique
and Transverse abdominis muscle
MAYO’S TOWEL CLIP
KOCHER’S
HEMOSTATIC FORCEPS
USES:
1.During Appendicectomy operation to crush
the base of appendix
2. Used to hold perforating vessels during
mastectomy.
3. For holding vessels in the scalp while
raising skin flap for craniotomy
CHEATLE’S FORCEPS
USES:
Used to pick sterilised articles
like instruments and Drapes.
ALLIS’S TISSUE
HOLDING FORCEPS
USES:
1.During Laprotomy skin margins are
retracted.
2. During closing midline incision the linea
Alba held in Allis forceps for suturing
3. To hold bladder neck during bladder neck
resection
BABCOCK’S FORCEPS
USES:
1.During small and large gut resection
anastomosis to hold the margins of gut.
2.during gastrojejunostomy or jejunostomy
to hold the gut while applying purse string
suture.
LANE’S TISSUE HOLDING
FORCEPS
It is used to hold tough and
bulky structures, to hold
Lymph Node.
MORRIS RETRACTOR
USES:
Used for tissue retraction during different
operations
DEAVER’S RETRACTOR
USES:
1. During cholecystectomy for
retraction of right lobe of liver
2. During Gastrectomy for
retraction of liver
3. During
pancreaticojejunostomy for
retraction of stomach
SELF RETAINING ABDOMINAL
RETRACTOR
USES:
1. Used in Gastric operations
like Gastrectomy,
Gastrojejunostomy,
Vagotomy
2. Used in operation on
pancreas like Whipples
Pancreaticodudenoctomy
DISSECTING FORCEPS
TOOTHED FORCEPS-
Used during almost all operations to hold
tough structures like skin, fascia,
aponeurosis.
NON-TOOTHED FORCEPS-
TO hold soft structures like Bowel.
DESJARDINS
CHOLEDCHOLITHOTOMY
FORCEPS
1.Desjardin’s forceps is
introduced into the bile duct
and stones are removed by
holding the stones in the
fenestrated blade.
2.Used during lap
cholecystectomy for removing
Gall Bladder through the
Epigastric and Umbilical port
DRAINS
SUCTION DRAIN
FOLEY’S CATHETER
USES:
1. For relief of retention of urine.
2. Used for suprapubic cystostomy
3. Used for urethral catheterization
following urethroplasty.
4. Used for tube `Nephrostomy.
RYLES TUBE
1. At 40cm distance at the level of
GE junction
2. At 50 cm distance at the level of
body of Stomach
3. At 60cm distance at the level of
pylorus
USES-
1. For feeding
2. In acute abdominal conditions
like peritonitis, obstruction
3. In pyloric stenosis
4. In upper GIT bleeding
FLATUS TUBE
USES:
1.It is used in Sigmoid
volvulus to decompress and
de-rotate
2. Used to decompress in
Paralytic ileus and Sub acute
intestinal obstruction
KELLY’S RECTAL SPECULUM
USES:
1. DIAGNOSTIC:
I. Diagnosis of hemmorhoid
II. Rectal or anal polyp
III. Diagnosis of ulcerative colitis
IV. Internal opening of perianal fistula may be
seen
2. Therapeutic uses:
I. USED during injection of sclerotherapy in
piles
II. Used during polypectomy
III. Used for taking biopsy from rectal or anal
growth
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Surgical Instrument