The document discusses the role of pharmacists in supplying surgical items. Pharmacists are responsible for providing surgical instruments, sutures, dressings and other equipment for use before, during and after surgery. This includes primary dressings that directly contact wounds, secondary dressings to protect primary dressings, and combined primary-secondary dressings. Pharmacists must also supply operating room items like hemostatic products, masks and disposable packs. A variety of suture materials are discussed including absorbable materials like surgical gut and synthetic options, as well as non-absorbable materials like silk and nylon.

1. Surgical supplies
Mohsin Hassam
4th eve
Department of
pharmacy,U.o.p

2. • The special service that is assigned to
pharmacist on the basis of his interest and
persona in which he supplies surgical
instruments , sutures , surgical dressings
and other equipment's used by the surgeon
prior to , during and after a surgical
operation.
• The pharmacist must have the ability to
chose the specific type of instrument in
order to ensure the safety and welfare of
the patient undergoing surgery .
• The following items are being frequently
supplied by the pharmacists.

3.  Surgical dressings.
 Operation room supplies.
 Suture’s and ligatures

4. • Surgical dressings :
material used for dressing of wounds or
injured or diseased tissue to provide safety
and healing environment.
It may have the following properties:
 Moist environment
 Prevention of maceration of exudative
wound
 Protection of wound from dehydration
,maceration, mechanical or chemical
damage, microbial invasion, and ph.
alteration
 Healing facilitation by autolysis and other
processes
 Support
 Overall cost reduction

5. • Types:
dependent on the basis of degree of
exudation, presence or likelihood of infection
and presence of necrotic tissue and
anatomical sites. Functionally they are
classified as
I).Primary wound dressings:
that type of dressings which are directly in
contact with the wound and may provide
absorptive capacity, prevent desiccation
infection and adhesion of the secondary
dressing to the wound.
These includes:
• Plain gauze
• Impregnated gauze
• Film dressings

6. a) Plain gauze:
it is used as primary dressing to reduce the
exudative , infected, and necrotic wounds.
Problem:
It sticks to the wound so its removal gets
painful.

7. b).Impregnated gauze:
• It is impregnated , so reduction of
adherence to the wounds is there.

8. c).Film dressings:
• Transparent , occlusive , or semi occlusive
and are made up of polyurethane with
acrylic or polyether adhesives
• Used for exuding wounds
• Dis advantage:
it may wrinkle , forming channels for
microbial entrance.

9. II)Secondary wound dressing:
• Dressings that are intended to be placed
over primary dressing, providing further
protection, absorptive capacity and
compression or occlusion.
• It has following types:
1. Absorbents: its subtypes are
o Non absorbent unbleached cotton.
o Nonabsorbent bleached cotton.
o Absorbent cotton
o Rayon
o Surgical gauze
o Filmated gauze
o Non woven surgical sponges
o Medicated sugical gauze

10. o Selvage-edge gauze strips
o Gauze pads or sponges
o X ray detectable gauze pads
o Dressing combines laparotomy sponges
o Sanitary napkins
o Disposable under pads
o Disposable cleaners
o Eye pads
o Nursing pads
o Cotton tipped applicators
2. Bandages: sub types are
 Gauze roller bandage
 Muslin bandage rolls
 Elastic bandages
 Woven elastic bandage

11.  Crepe bandage:
 Conforming bandage
 High bulk bandage
 Triangular bandages
 Orthopedic bandages
 Stockinette bandages
 Cast paddings
3.Adhesive tapes:
֟ Acrylate adhesives
֟ Rubber based adhesives

12. III).combined primary-secondary
wound dressings
a. Hydrogels
b. Hydrocolloid dressings
c. Calcium alginate dressings
Protective:
Products for adhesion prevention

13. Operating room supplies:
∆ Haemostatic products
∆ Thrombin solutions
∆ Disposable sterile packs
∆ Face masks

14. Sutures ligature and their
materials:
 Absorbable sutures: types are
◙ surgical gut:
◙ Plain surgical gut:
◙ Treated surgical gut:
 Synthetic absorbable sutures.
o Fascia lata
 Non absorbable sutures:
o Silk
o Dermal silk sutures
 Synthetic non absorbable suture
o Nylon
o Polyester fiber

15. o Polyolefin fibers
 Metallic sutures
o Silver
o Stainless steel
 Surgical needles
o Eyed needles
o Eyeless needles
 Other suturing techniques
o Surgical stapling devices
o Ligating clamps and clips