The document discusses various surgical supplies used in hospital pharmacies including surgical dressings, operating room supplies, sutures, ligatures, and needles. Surgical dressings include primary dressings like gauze and film dressings to directly contact wounds, as well as secondary dressings like absorbents, non-absorbents, and bandages to further protect wounds. Operating room supplies consist of hemostatic products, thrombin solutions, disposable sterile packs, and face masks. Sutures can be absorbable or non-absorbable, natural or synthetic, and metallic. Needles are either eyed or eyeless. The document also reviews latest surgical techniques such as stapling devices, ligating clamps,

1. SURGICAL
SUPPLIES
HOSPITALPHARMACY
8TH SEMESTER
2017-22 SESSION

2. TOPICS OF
DISCUSSION
Introduction to Surgical Supplies
Surgical Dressings
Types of Surgical Dressings
Protectives
Operating Room Supplies
Sutures & Ligatures
Types of Sutures & Ligatures
Surgical Needles
Latest Surgical Techniques

3. Introduction to
Surgical Supplies
Services of Hospital Pharmacy
1. General Service e.g. dispensing
2. Special Service e.g. supply surgical
supply
Surgical supplies
• Instruments or tools involved in
surgical procedures

4. Surgical Dressings
Definition
• Materials used for dressing of wounds or injured or diseased tissues to
provide a healing environment.
Functions
1. Provides Moist environment for
desiccated wound
2. Prevents maceration of
exudative wounds
3. Protects wound
4. Facilitates healing
5. Provide support to wound or
injured tissues
6. Reduce pain, odor & patient
discomfort
7. Improve wound or injury
8. Reduce overall treatment costs

5. Types of Surgical
Dressings
1. Primary Dressing
• Gauzes • Film Dressings
2. Secondary Dressing
• Absorbents • Non-Absorbents
• Bandages • Adhesive Tapes
3. Combined Dressing

6. Secondary Dressings
Primary Dressings
• It directly contacts the wound & may
provide absorptive capacity.
• It prevents desiccation (wound dryness),
infection and adhesion of the secondary
dressing to the wound.
• It is a dressing intended to be placed over
a primary dressing.
• It provides further protection, absorptive
capacity and compression or occlusion.
Difference
b/w p° & s°
Dressings

7. Plain Gauze
• It helps to reduce the size of wounds by remaining stick to it but is painful
to remove e.g. plain cotton, rayon or cellulose acetate gauze
Impregnated Gauze
• It reduces adherence & pathogen entry e.g. petroleum, paraffin, vaseline
impregnated gauze
Film dressings
• A transparent, adhesive occlusive or semi-occlusive film made of polymer
• It is used for exuding wounds, permits bathing and observation of the
wound and protect vulnerable areas but has limited use.
Primary Dressings

8. Secondary Dressings
Non-Absorbent Dressings
• It reduces adherence to wounds, prevents desiccation, provides
absorbency and prevents pathogen entry.
• Types:
1. Bleached Non-Absorbent Dressings
2. Unbleached Non-Absorbent Dressings
Absorbent Dressings
• It is pure and white cellulose fiber prepared from raw cotton fiber by
purification and rendering the fibers absorbent.
• E.g. surgical cotton, viscous rayon (regenerated cotton), etc.

9. Surgical Gauzes
• It is a absorbent gauze with sufficient tensile strength for surgical
dressings prepared from raw cotton by cleaning and processing.
Types
1. Woven (Filmated) Gauze
2. Non-woven Surgical Sponge
3. Medicated Surgical Gauze
4. Selvage-Edge Gauze Strips
5. Gauze Pads/Sponges
6. X-ray Detectable Gauze Pads
Surgical Absorbent Dressings

10. 1. Dressing Combines
2. Laparotory Sponges
3. Napkins
4. Disposables
• Disposable Underpads
• Disposable Cleaners
5. Pads
• Eye Pads
• Nursing Pads
6. Cotton Tipped Applicator
Other Absorbent Dressings

11. Bandages
• It holds dressings in its place by either provides support.
• It is either elastic, inelastic or rigid.
Types
1. Gauze Roller Bandage
2. Muslin Bandage Rolls
3. Elastic Bandages
4. Woven Elastic Bandages
5. Crepe Bandages
6. Conforming Bandages
Bandages
7. High Bulk Bandage
8. Triangular Bandage
9. Orthopedic Bandages
10.Stockinette Bandages
11.Cast Padding

12. Adhesive Tapes

13. Combined Primary-Secondary
Wound Dressings (Composite
Dressings)
• It is a dressing with primary and secondary components.
• It prevents adherence but has some degree of absorbance.
Types
1. Hydrogel
2. Hydrocolloid Dressings
3. Calcium Alginate Dressings

14. Protectives
Types
1. Plastic sheeting and waxed or plastic-coated paper
2. Rubber sheeting
Functions
• Protection
• Adhesion

15. Operating Room
Supplies
1. Hemostatic Products
2. Thrombin Solutions
3. Disposable Sterile Packs
4. Face Masks

16. Sutures & Ligatures
Sutures
• A strand or fiber used to hold wound edges
with the help of a needle in a position
during healing is called medical suture.
• It has much diverse applications.
Ligatures
• When such material, without a needle, is
used to stop bleeding by tying off severed
blood vessels, the strand is called a ligature.

17. Types of Sutures &
Ligatures
1. Absorable Sutures
• Natural • Synthetic
2. Non-Absorable Sutures
• Natural • Synthetic
3. Metallic Sutures
• Silver • Stainless Steal

18. Absorbable Sutures
• Natural Sutures
1. Plain Surgical Gut
2. Treated Surgical Gut
• Synthetic Sutures
1. Fascia Lata

19. Non-Absorbable Sutures
• Natural Sutures
1. Silk
2. Dermal Silk
• Synthetic Sutures
1. Nylon
2. Polyester
3. Polyolefin
• Metallic (Silver & Stainless Steel) Sutures

20. Absorable Sutures
• Are digested by enzymes and phagocytosed or
get hydrolysed and removed by phagocytosis are
used to hold the wound edges in approximation
temporarily until the wound is healed sufticiently
to withstand normal stress
Non-Absorbable Sutures
• Are used to suture at sites where tensile strength
needs to be maintainedfor at least a year made of
non biodegradable materials that are ultimately
encapsulatedor walled off by body's fibroblasts
Difference
b/w
Absorbable &
Non-
Absorbable
Suutures

21. Surgical Needles
• Surgical Sutures are attached to needle.
• It is used in stitching open wounds.
Types
1. Eyed Needles: It is a finished product
which is reureusable and economical
2. Eyeless Needles: It is a component of a
surgical suture which requires further
processing, such as suture attachment
and sterilization.

22. Latest Surgical
Techniques
1. Surgical Stapling Devices
2. Ligating Clamps & Clips

23. Summary
• Surgical Dressings
1. Absorbents 3. Badages
2. Non-Absorbents 4. Adhesive Tapes
• Bleached • Acrylic based
• Unbkeached • Rubber based
• Protectives
• Operation Room Supplies
• Sutures & Ligature
1. Absorbable 2. Non-Absorbable
• Natural • Natural
• Synthetic • Synthetic
• Metallic
• Surgical Needles (Eyed & Eyeless)
• Latest Surgical Techniques

24. Reference
• Bukhari NI. Hospital Pharmacy.1st Ed. Aziz Book
Depot; 2000

25. Thank You!

26. Any Question?