SURGERY - Basic Surgical Instruments

8/9/2019 SURGERY - Basic Surgical Instruments

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Feb./07

By: Cecil ReyesKing Faisal University

College of Nursing

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The Basic Surgical Instruments:A.CuttingB.GraspingC.Retracting

D.SuturingE.Miscellaneous



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Knife (Scalpel) Scissors

A. Cutting Instruments:

A. Knife:1.Bard Parker Handle

# 3 Narrow nose,length 5 inches.

To hold # 10, 11, 12& 15.

# 7 Narrow nose,length 6 inches.

To hold # 10, 11, 12& 15.

# 9 Narrow nose,

length 4 inches

To hold # 10, 11, 12

& 15.# 4 Narrow nose,

length 5 inchesTo hold # 20 & 21.



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2.Blades# 10 Small General

dissecting.

# 11 Small Stab incision.

# 12 SmallT

onsildissection.

# 15 Small Plasticdissection(reconstruction)

# 20 Large Skin incision



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b. Scissors

1. Metzenbaum Thin, 7 in. curved. To cut delicatetissue, peritoneum

2. Mayo curved

3. Mayo Straight



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4. One point sharp

5. Wire

6.Liston, bandage

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B. GRASPING: Any instrument used to grasp tissue for thepurpose of clamping or holding.

a. Hemostats A hinge, crushinginstrument with a lockingdevice on the handles,which holds the jaws,when closed.

To arrest the flowof blood.

1.Mosquito 5 in

., curved 5 in

.straight.

2. Crile 5 , curved.

3. Straightforceps

6 , straight.

4. Kelly 6 , curved.



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b. Babcockforceps

Smooth jaws,fenestrated oval

tips withlongitudinalserrations.6 , 7 in. long.

To grasp delicatetissues; appendix.

c. Allisforceps

Smooth jaws with4 x 5 fine teeth

at tips, 6 in long.

To grasp heavytissue, abdominal

muscles.

d. Kockerforceps

Cross serrations;1 x 2 heavy teethat tip of jaws; 5 in, 6 in, 7 instraight andcurved.

To grasp heavytissue, abdominalmuscles.



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e. Dressingforceps

Serrations5 and 10inches.

To grasp delicatetissues while theyare being sutures,dissected orexcised.

f. Tissueforceps

1 x 2 teethat tip of

jaws, 5 and 10inches.

To grasp heavytissues while they

are being sutured,dissected orexcised.

g. Adsonsforceps

4 , 1 x 2fine teeth

at the tipof jaws.

To grasp verydelicate tissues,

nerve, or bloodvessel for suturing,dissecting orexcising.



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h. Sponge

forceps

9 in, straight and

curved.

To hold sponges or grasp

tissue, transfer forceps.i. Towel clip 3 in and 5 and 10

inches.To hold drapes in placeto retract tissues.



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C. RETRACTING: any instrument used tohold open the edges of awound.

a. Cushingvein

Single-bladed8 in. long.

For shallowretractions.

b. Volkman 4 prongssharp or dull,

8 in.

long.

c. Army-navy

Double-ended,8 in. long.


d. Richardson Double-ended,small & large

9 in.long

.

To retractabdominal

wall andorgans.



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e. Ribbon Flexible, twowidths; narrow1 in wide 2in., 12incheslong.

To retractabdominal wall

and organs.

f. Deaver Three widths,narrow,

medium 1 ,wide 2 in., 12in long.

To retractabdominal wall

and organs.

g. Weithlaner Self-retaining;2 blades and

bladderblades.




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h. Balfour Self-retaining;2 blades and bladder

blades.

For abdominalwall retractions.

i. Hupp tracheal Three sharp prongs, blunthook, overall length 5 in.

To retracttrachea or othershallow wounds.



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IV. SUTURING: any instrument used to carry suturethrough tissue.

a. Needleholder

6 and 7 in. long. To hold suture needlefor suturing wounds.

b. Clip applierand remover

5 , 6, and 7 in.long.

To introduce andremove skin clips.



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E. PROBING: any instrument with a blunt end used toprobe a cavity.

a. Probe Flexible, 5 in., and8 in.

b. Grooveddirector

Grooved on longaxis, 5 in.

To probe a cavity, toguide a probe; tocontrol the pathway

of an incision.



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F. MISCELLANEOUS

a. Poole suction

tip

Fenestrated

removable tip 9 inlong and indiameter.

To remove fluid

from abdominalcavity.

b. Yankauersuction tip

Angular, removabletip 9 in long and

in diameter.

To withdraw fluidfrom throat cavity.

c. Laparotomyring

Circular, 1 indiameter.

For taggingsponges.



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SURGERY - Basic Surgical Instruments

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