BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and...
Transcript of BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and...
![Page 1: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/1.jpg)
BASIC SURGICAL TOOLS
and
SURGICAL MATERIALS
Andrea Ferencz
Semmelweis University, Faculty of Medicine
Department of Surgical Research and Techniques
www.semmelweis.hu/mutettan
![Page 2: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/2.jpg)
BASIC SURGICAL TOOLS
![Page 3: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/3.jpg)
Surgical instruments are
- precisely designed and manufactured tools.
- for single (disposable) or multiple use (non-disposable),
- must be resisted physical and chemical effects, body
fluids, secretions, cleaning agents and sterilization
For this reason, most of them are made of high-quality stainless
steel; chromium and vanadium alloys ensure the durability of
edges, springiness and resistance to corrosion.
BASIC SURGICAL TOOLS
![Page 4: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/4.jpg)
Classification:
1. Cutting and dissecting instruments
2. Grasping, clamping, occluding instruments
3. Hemostatic instruments
4. Retracting and exposing instruments
5. Wound-closing instruments and materials
6. Special instruments
BASIC SURGICAL TOOLS
![Page 5: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/5.jpg)
1. Cutting and dissecting instruments
The function of these instruments is
to divide tissues, sutures, bandages,
etc.
BASIC SURGICAL TOOLS
![Page 6: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/6.jpg)
Use of scalpels
Fiddle-bow-holding Pencil-holding
Handle and
detachable blade
BASIC SURGICAL TOOLS
1.1. Scalpels
Conventional scalpel
![Page 7: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/7.jpg)
1.2. Scissors
BASIC SURGICAL TOOLS
![Page 8: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/8.jpg)
Use of ring-ended instruments with right and left hands
1-4 instrument-holding
BASIC SURGICAL TOOLS
![Page 9: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/9.jpg)
1.3. Dissecting hemostatic forceps
Three mail functions: - dissecting tool,
- grasping tool,
- hemostatic tool.
Pean
Mosquito abdominal Pean
BASIC SURGICAL TOOLS
![Page 10: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/10.jpg)
1.4. Electrocoagulating system
Monopolar Bipolar
BASIC SURGICAL TOOLS
![Page 11: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/11.jpg)
1.5. Ultrasonic
cutting system
1.6. CUSA (Cavitron Ultrasonic
Surgical Aspirator)
1.7. CO2-LASER,
neodymium-YAG-LASER
BASIC SURGICAL TOOLS
![Page 12: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/12.jpg)
1.8. Dissector 1.10. Saws 1.9. Amputating knives 1.11. Raspatories
BASIC SURGICAL TOOLS
![Page 13: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/13.jpg)
2. Grasping, clamping and occluding instruments
These istruments are used to grasp, pick up,
hold and manipulate tissues, tools and
materials.
BASIC SURGICAL TOOLS
![Page 14: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/14.jpg)
2.1. Forceps
Anatomical
forceps
Surgical
forceps
Ophtalmological
forceps
Ring tip forceps Dental
forceps
BASIC SURGICAL TOOLS
![Page 15: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/15.jpg)
Use of forceps
Forceps must never be held in the palm!!!!!!
BASIC SURGICAL TOOLS
Forceps should be held
like a pencil!
![Page 16: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/16.jpg)
Bachaus towel clamp Schaedel towel clips
2.2. Towel-holding clamps
BASIC SURGICAL TOOLS
![Page 17: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/17.jpg)
2.3. Hemostatic forceps
Traumatic Ι Atraumatic hemostatic forceps
Kocher Lumnitzer Bulldog Blalock Satinsky
BASIC SURGICAL TOOLS
![Page 18: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/18.jpg)
2.4. Needle holders
Mathieu needle holder Hegar needle holder
BASIC SURGICAL TOOLS
![Page 19: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/19.jpg)
2.5. Organ clamps
Allis
(lungs)
Babcock
(gallblader)
Ringed gallblader clamp
Klammer (intestinal clamp)
BASIC SURGICAL TOOLS
![Page 20: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/20.jpg)
2.6. Sponge-holding clamp
Sponge-holding
clamp
BASIC SURGICAL TOOLS
Handled sponge
![Page 21: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/21.jpg)
3. Hemostatic instruments
These instruments are establishing
hemostasis during the operation.
BASIC SURGICAL TOOLS
![Page 22: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/22.jpg)
3.1. Deschamp needle and Payr probe
Important member of this group are the hemostatic claps
(Pean, mosquito, abdominal Pean, Kocher, Lumnitzer,
Satinsky, bulldog) and electocoagulatins system.
BASIC SURGICAL TOOLS
![Page 23: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/23.jpg)
3.2. Argon beam coagulator (ABC)
BASIC SURGICAL TOOLS
![Page 24: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/24.jpg)
4. Retracting and exposing instruments
These instruments are used to hold
tissues and organs in order
to improve the exposure and hence the
visibility and accessibility of the surgical field.
BASIC SURGICAL TOOLS
![Page 25: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/25.jpg)
4.1. Hook 4.2. Rake retractor 4.3. Roux-retractor
BASIC SURGICAL TOOLS
![Page 26: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/26.jpg)
4.4. French retractor 4.5. Visceral retractor 4.6. Abdominal
wall retractor
BASIC SURGICAL TOOLS
![Page 27: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/27.jpg)
4.7. Weilander self-retractor 4.8. Gosset self-retractor
BASIC SURGICAL TOOLS
![Page 28: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/28.jpg)
5. Wound-closing instruments and materials
These instrument and surgical materials are
used during tissue closure procedures.
BASIC SURGICAL TOOLS
![Page 29: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/29.jpg)
5.1. Staplers
BASIC SURGICAL TOOLS
Linear Stapler
Circular Stapler
![Page 30: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/30.jpg)
5.2. Clips
Michel-clips
5.3. Self-adhesive strips
5.4. Surgical adhesives
BASIC SURGICAL TOOLS
![Page 31: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/31.jpg)
5.5. Surgical materials
BASIC SURGICAL TOOLS
![Page 32: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/32.jpg)
6. Special instruments
BASIC SURGICAL TOOLS
These instruments are not used routinely
during all surgical interventions.
![Page 33: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/33.jpg)
6.1. Volkmann’s curette 6.2. Instruments of bone surgery
6.3. Probe 6.4. Sucker system
BASIC SURGICAL TOOLS
![Page 34: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/34.jpg)
SURGICAL MATERIALS
![Page 35: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/35.jpg)
SURGICAL MATERIALS
Surgical needles
Medicina is used numerous materials (bone, fishbone, thorn)
as surgical needles, and metal needles are widespread from
the XIX. Century.
![Page 36: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/36.jpg)
- Made in best quality and minimal tissue reaction causing
stainless steel
- Slim and narrow, but strong
- Stabil fixation and control in the needle holder
- Lead the thread by safely and minimal traumatisation
- Sharp to get through the tissues
- Rigid, but flexible
- Easy sterilisation
The criteria of the ideal surgical needles
SURGICAL MATERIALS
![Page 37: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/37.jpg)
- Double thread (traumatisation)
- Lace time
- Re-sterilisation
- Care of needle-tip
- Corrosion
Conventional needles Closed eyed
French-eyed
SURGICAL MATERIALS
![Page 38: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/38.jpg)
Atraumatic needles
- Simple thread (atraumatic)
- Manufactured connection of needle
and threads
- No Lace time
- No re-sterilisation
- No Care of needle-tip
- No Corrosion
SURGICAL MATERIALS
![Page 39: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/39.jpg)
3/8 Circle 5/8 Circle ¼ Circle ½ Circle
Multiple curved
J-shaped Straight
Progressive curved
Shape of needle
SURGICAL MATERIALS
![Page 40: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/40.jpg)
Shape of its body
Round needle Triangular (Cutting)
needle
SURGICAL MATERIALS
![Page 41: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/41.jpg)
Taperpoint
Tapercutting
Blunt taper
Round needle
SURGICAL MATERIALS
![Page 42: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/42.jpg)
Cutting needle
Conventional
Reverz cutting
Spatula
SURGICAL MATERIALS
![Page 43: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/43.jpg)
Criteria of ideal surgical materials
Moynihan, 1912:
• Nonelectrolytic, noncapillary, nonallergenic, noncarcinogenic.
• Nonferromagnetic, as is the case with stainless steel sutures.
• Easy to handle.
• Minimally reactive in tissue and not predisposed to bacterial growth.
• Capable of holding tissue layers throughout the wound healing
• Resistant to shrinking in tissues.
• Absorbed completely with minimal tissue reaction after serving
its purpose.
• Sterile.
SURGICAL MATERIALS
![Page 44: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/44.jpg)
Raw material Natural
Synthetic
Structure Monofil
Multifil
Absorbability Absorbable
Non-absorbable
Classification of surgical materials
SURGICAL MATERIALS
![Page 45: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/45.jpg)
Advantage: Present in the nature - cheap??
Good handling
Knotting properties, knot security
Disadvantage: Strong tissue reaction by animal and vegetable tissues
Enzimatic absorbtion – tissue reactions
Uncalculable absorbtion
Procurement, screening, monitoring (economies ?)
Raw material: Natural
SURGICAL MATERIALS
![Page 46: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/46.jpg)
Advantage: Minimal tissue reaction
Absorbtion by hydrolysis – calculable
Strong
Disadvantage: Bad handling of Monofil threads
Raw material: Synthetic
SURGICAL MATERIALS
![Page 47: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/47.jpg)
Advantage: Smooth surface
Smaller tissue trauma
No bakterial culture
No capillarity
No tumor cell invasion
Disadvantage: Bad handling and knotting
„Thread memory”
Structure: Monofil
SURGICAL MATERIALS
![Page 48: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/48.jpg)
Advantage: Strong
Soft and flexible
Good handling
Good knotting
Disadvantage: Bacterial and tumor cell invasion
Capillarity
Elongation
Rough surface – tissue trauma
(sawing and cutting)
Structure: Multifil
SURGICAL MATERIALS
![Page 49: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/49.jpg)
Advantage:
The human body break down them
Not remain foreign materials (granuloma)
Disadvantage: Time of tissue cohesion
(important the choose)
Absorbability: Absorbable
SURGICAL MATERIALS
![Page 50: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/50.jpg)
Absorbable
1.Polyglycolic acid (Safil®, Safil Quick®, Dexon®)
2. Polyglactin (Vicril®, Vicryl Rapide®)
3. Glycomer (Biosyn®)
4. Polyglytone (Caprosyn®)
5. Glyconate (Monosyn®)
6. Polyglyconate (Maxon®)
7. Polydioxanone (PDS II®, MonoPlus®)
8. Lactomer (Polysorb®)
9. Gut (Cromic Gut®, Plain Gut®)
SURGICAL MATERIALS
![Page 51: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/51.jpg)
Advantage: Permanent tissue cohesion
Disadvantage: Resist foreign materials in the tissues
(foreign-body reactions, granuloma,
microabscess, fibrosis)
Suture rejection
Absorbability: Non-absorbable
SURGICAL MATERIALS
![Page 52: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/52.jpg)
1. Polyamide (Dafilon® , Ethilon®, Supramid®, Nurolon®, Surgilon®)
2. Polyester (Ethibond®, Ti-Cron®, Synthofil®, Dagrofil®, Mersilene®)
3. Polybutester (Novafil®, Vascufil®)
4. Polypropylene (Premilene®, Prolene®, Surgipro®)
5. Silk (Silkam®, Virgin silk®, Mersilk®, Softsilk®)
6. Steel (Steelex®, Steel wire®, Steel®)
Non-absorbable
SURGICAL MATERIALS
![Page 53: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/53.jpg)
- Synthetic
- Absorbable
- Coated multifil or
flexible monofil
No ideal surgical materials!
SURGICAL MATERIALS
Choice:
![Page 54: BASIC SURGICAL TOOLS and SURGICAL MATERIALSSurgical instruments are - precisely designed and manufactured tools. - for single (disposable) or multiple use (non-disposable), - must](https://reader030.fdocuments.net/reader030/viewer/2022040611/5ed53fdd95e0f35e8512fced/html5/thumbnails/54.jpg)
Metric units / European Pharmacopeia/
from 0,1 metric (0,010-0,019 mm)
to 10 metric(1,00-1,09 mm)
USP /United States Pharmacopeia/
from 11/0 (0,010-0,019 mm) to 7 (1,00-1,09 mm)
11/0, 10/0, 9/0, 8/0, 7/0, 6/0, 5/0, 4/0, 3/0, 2/0, 0, 1, 2, 3, 4, 5, 6, 7
The size-systems of threads
SURGICAL MATERIALS