Basic surgical instruments

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Transcript of Basic surgical instruments

  • BASIC SURGICAL INSTRUMENTSDr. Faisal Ameer MS, MCh, MRCSEdInternational Scholar for 2015, Plastic Surgery Foundation of ASPS/ASMSInternational Member of American Society of Plastic SurgeonsMember of Royal College of Surgeons EdinburghAssociate Professor Plastic SurgeryLLRM Medical CollegeMeerut, U.P. India+91 9557721163www.plasticsurgicraft.com

  • Blades Jaws

    Joint

    Shank

    Finger Ring Handle Ratchet

  • Cheatles forceps

  • Sponge Forceps

    Used to hold gauze squares or sponge to mop up the surgical siteJaws are serrated

  • 1x2 Toothed Tissue ForcepsUsed for grasping and holding tissue, muscle or skin surrounding a woundSingle toothed on one side; fits between two teeth on the other sideAvailable as 1x2 or 2x3 or 3x4

  • Plain Thumb ForcepsUsed to hold tissue in place when applying suturesUsed to gently move tissues out of the way during exploratory surgery Used to insert packing into or remove objects from deep cavities

  • Brown-Adson (thumb) tissue forceps

  • Rat-tooth (thumb) tissue forceps

  • Adson (thumb) tissue forceps

  • Curved Mosquito HemostatUsed to hold delicate tissue Used to compress bleeding vesselsJaws are fully serrated

  • Crile hemostatic forceps

  • Kocher (Oschner) hemostatic forceps

  • Needle HolderUsed to hold and pass a suturing needle through tissueHas groove to hold needle within jaws

  • Mayo-Hegar needle holders

  • Towel ClampAdds weight to drapes and towels to ensure they stay in placeAllow exposure of the operative site

  • Backhaus towel clamps

  • Allis tissue forceps

  • Babcock tissue (intestinal) holding forceps

  • Lane tissue (intestinal) holding forceps

  • Scalpel HolderHolds scalpel bladeActs as a handle

  • Sharp/Sharp ScissorsUsed to cut and dissect tissueBoth blade tips are sharp

  • Curved Blunt/Blunt ScissorsBoth blade tips are bluntCan be curved or straight

  • Mayo dissecting scissor (top)Metzenbaum scissor (bottom)

  • Sharp/Blunt ScissorsUsed to cut and dissect fascia and muscleOne blunt tip and one sharp tip

  • Suture scissors (blunt blunt)

  • Lister Bandage ScissorsUsed to remove bandages and dressingsProbe tip is blunt; inserted under bandages with relative safety

  • Retracting and Exposing Instruments self-retaining or manual (held by hand).When identifying retractors, look at the blade, not the handle.

  • A Deaver retractor (manual) is used to retract deep abdominal or chest incisions. Available in various widths.

  • Czerny Retractor is used to retract shallow or superficial incisions.

  • Langenbeck retractor

  • A Mastoid retractor (self-retaining) is used to retract shallow incisions.

  • A Balfour with bladder blade (self-retaining) is used to retract wound edges during deep abdominal procedures.

  • Balfour abdominal retractor with blade

  • Bone curette

  • Periosteal elevator (Freer)

  • Farabeuf Periosteal Elevator

  • Speedlock bone reduction forceps

  • Doyen Intestinal Forceps

  • Lane Twin Clamp, Curved

  • Payr Intestinal Clamp (Crushing)

  • Debakey Satinsky Clamp

  • Bulldog vascular clamp