Surgical Instruments

5/26/2018 Surgical Instruments

1/6

BASIC SURGICAL INSTRUMENTS

Basic laparotomy instruments are essential toaccomplish most types of general surgery. Eachinstrument can be placed into one of the fourfollowing basic categories:

Retracting and Occluding Instruments

Cutting and Dissecting Instruments Clamping and Occluding Instruments

Grasping and olding Instruments

Retracting and Exposing Instruments !sed to hold bac" or retract organs or tissue to

gain e#posure to the operati$e site. %hey areeither &self'retaining& (stay open on their own)or &manual& (held by hand). *hen identifyingretractors+ loo" at the blade+ not the handle.

, Deaverretractor (manual) is used to retract deepabdominal or chest incisions. ,$ailable in $ariouswidths.

, Richardsonretractor (manual) is used to retract deepabdominal or chest incisions

,n Army-Navyretractor(manual) is used to retractshallow or superficial incisions. Other names: USA, Army.

, o!"et(manual) is used to retract shallow orsuperficial incisions.

, ma""ea#"e or ri##onretractor (manual) is used toretract deep wounds. -ay be bent to $arious shapes

, $eit"aner retractor (self'retaining) is used to retrashallow incisions.

, Ge"%iretractor (self'retaining) is used to retract

SURGICAL INSTRUMENTS, EGBautista Universidad de Sta. Isabel, BSN10


2/6

shallow incisions.

, Ba"&o!r 'ith #"adder #"ade(self'retaining) is used toretract wound edges during deep abdominal procedures

Cutting and Dissecting Instruments ,re sharp and are used to cut body tissue or

surgical supplies.

( hand"e 'ith )* #"ade +dee% ni&e' !sed tocut deep+ delicate tissue.

. hand"e 'ith )/ #"ade +inside ni&e) !sedto cut superficial tissue.

0 hand"e 'ith 1/ #"ade +sin ni&e - !sed tocut s"in.

2(, 2., 20 +"e&t to riht

Straiht Mayo scissors' !sed to cut suture andsupplies. ,lso "nown as: S!t!re scissors.

C!rved Mayo scissors - !sed to cut hea$y tissue(fascia+ muscle+ uterus+ and breast). ,$ailable inregular and long si/es.



3/6

Met3en#a!m scissors +A - !sed to cut delicate tissue.,$ailable in regular and long si/es.

Clamping and Occluding Instruments ,re used to compress blood $essels or hollow

organs for hemostasis or to pre$ent spillage ofcontents.

,hemostatis used to clamp blood $essels or tagsutures. Its 0aws may be straight or cur$ed.Other names: cri"e, sna% or stat.

, mos4!itois used to clamp small blood $essels. Its0aws may be straight or cur$ed.

, 5e""yis used to clamp larger $essels and tissue.,$ailable in short and long si/es.Other names: Rochester 6ean.

, #!r"isheris used to clamp deep blood $essels.Burlishers ha$e two closed finger rings. Burlishers wian open finger ring are called tonsil hemostats.

Other names: Schnidt tonsi" &orce%, Adson &orce%.

1elly+ hemostat+ mos2uito (left to right)



4/6

, riht an"eis used to clamp hard'to'reach $essels andto place sutures behind or around a $essel. , right anglewith a suture attached is called a &tie on a passer.&Other names: Mi7ter.

, hemoc"i% a%%"ier 'ith hemoc"i%sapplies metal clipsonto blood $essels and ducts which will remainoccluded.

Grasping and Holding Instruments ,re used to hold tissue+ drapes or sponges.

,n A""isis used to grasp tissue. ,$ailable in short andlong si/es. , &3udd',llis& holds intestinal tissue4 a&hea$y allis& holds breast tissue.

, Ba#cocis used to grasp delicate tissue (intestine+fallopian tube+ o$ary). ,$ailable in short and longsi/es.

, 5ocheris used to grasp hea$y tissue. -ay also beused as a clamp. %he 0aws may be straight or cur$edOther names: Ochsner.

, 8oerster s%one sticis used to grasp sponges.Other names: sponge forcep.



5/6

, dissectoris used to hold a peanut.

, Bacha!s to'e" c"i% is used to hold towels anddrapes in place. Other name: to'e" c"i%.

6ic !%s, th!m# &orce%s and tiss!e &orce%sarea$ailable in $arious lengths+ with or without teeth+ asmooth or serrated 0aws.

R!ssian tiss!e &orce%s are used to grasp tissue.



6/6

DeBaey &orce%sare used to grasp delicate tissue+particularly in cardio$ascular surgery.

Adson pic" ups are either smooth: used to graspdelicate tissue4 or with teeth: used to grasp the s"in.Other names: Dura forceps.

5ong smooth pic"'ups are called dressin &orce%s.6hort smooth pic"'ups are used to grasp delicate tissue.

Th!m# &orce%s are used to grasp tough tissue (fascia+

breast). 7orceps may either ha$e many teeth or asingle tooth. 6ingle tooth forceps are also called 9rtooth &orce%s:9

Mayo-;ear need"e ho"ders are used to hold needlewhen suturing. %hey may also be placed in the sewicategory.


Surgical Instruments

Documents

Transcript of Surgical Instruments