Instrumentation

II. Basic Concepts and Techniques

A.InstrumentationB.Sutures and Needles

C.Hemostasis and Surgical Needles

Parts of the Instruments

Handling instruments

Mayo table set-up

Preparing scalpel

Placement of the Needle on the Holder

Serving instruments

ScalpelCurve clamp instrumentsScissorsSutures in needle holderFree ties Stick tiesPusherForcepsHandling retractors

CLASSIFICATION OF INSTRUMENTS

SCALPELS

Cutting instruments

Scissors

Cutting instruments

Suture Scissors

Curved Mayo Scissors

Metzenbaum

Hemostats

Grasping instruments

Kelly, Baby Kelly, Mosquito

Hemostats Clamps: control bleeding, especially from a torn blood vessel

Needle Holders

Graspers

Grasping instruments

Allis Clamp: holds tissue

Towel Clamp

Kocher Clamps: A heavy, straight hemostat with interlocking

teeth on the tip.

Babcock Clamp: intestinal clamp

Pick-up Forceps

Grasping instruments

Tissue ForcepsToothed and Plain

Skin Retractors

Retractor instruments

Army Navy Retractor

Abdominal Retractors

Retractor instruments

Richardson Retractor

Deaver Retractor

Abdominal Retractors

self retaining

Retractor instruments

Balfour Retractor

SKIN Retractorsself retaining

Retractor instruments

Self Retaining Retractor

Ancillary/Accesoriesinstruments

Sutures and needles

Definition of Terms•Suture•Stitch• Ligature• TIE•Stick tie•Suture ligation

SURGICAL SUTURES

Classification:1. Absorbable2. Non-absorbable

Types:1. Atraumatic / Non-traumatic

2. traumatic

Atraumatic Needle

Eyeless needle

Absorbable

Non absorbable

Non absorbable

SilkNylon- EthilonWire/StaplesPolyester FiberProlene- Polypropylene

TYPES OF

SUTURES

Through and through sutures- may be called tension sutures, retention sutures, or stay sutures

Needle: Parts

Classification/PURPOSE

1.Taper2.Straight cutting3.Curved Taper4.Curved Cutting

Uses of needles

1.Specific parts of the body and different preferences of surgeons determine the use of needle.

Uses of needles

2.Curved needles are always used on a needle holder.

Uses of needles

3.Needles must be cleaned and polished after each use.

Uses of needles

4.Bent and dull needles should be discarded.

Uses of needles

5.If a needle breaks during surgery, the surgeon must be informed and all parts of the needle must be accounted for