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Surgical Instrument
Yodying Wasutit, MD.Department of Surgery
Faculty of Medicine, Ramathibodi HospitalMahidol University
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Surgical Instrument• Clamp• Scissors• Forceps• Retractor : hand-held
: self-retaining• Suction
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Clamp
• Crile hemostat
−ใชจับ tissue ขนาดไมใหญ
−ใชจับ bleeding vessel
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Clamp
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Mosquito
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Right angle
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Clamp
• Oschner or Kocher clamp
−
Clampตรง มีเขีย้วตรงปลาย
−
จับ tissue ไดมัน่คง
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Kocher
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Clamp
• Kelly clamp
−
clampยาว จับ tissue ไดมาก
−
Tissue trauma นอยกวา kocher
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Kelly clamp
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Clamp
• Towel clip
−
ใชหนีบผาคลุมผาตดั
−
ใชจับชิ้น specimen ชิ้นไมใหญ เชน breast mass
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Towel clamp
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Scissors
• Mayo scissors
−
แบบโคงใชตัดเนื้อชิ้นใหญๆ หรือมีความเหนียว
−
แบบตรง ใชตัดไหม
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Scissors
• Metzenbaum scissors
−
ใชตัดเนื้อชิ้นเล็กๆ
−
ใช dissect tissue
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Metzenbaum scissors
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Forceps
• Sponge forceps (ring)
−
มีทัง้แบบตรง และแบบโคง
−
ใชจับ gauze เพื่อซบัเลือด
−
ใชจับ tissue เชน gallbladder
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Sponge forceps (ring)
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Sponge forceps
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Forceps
• Allis forceps
−ปลายมีฟนเล็กๆชวยจับ tissue ไดดี
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Allis forceps
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Forceps
• Babcock forceps
−ปลายโคงงอใชสาํหรับจับ tubular structure
เชน fallopian tube หรือ appendix
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Babcock forceps
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Forceps
• Thumb forceps
−Tooth ใชจับ tissue
−Non-tooth ใชจับ gauze หรือสําลี
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Thumb forceps
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Forceps
• Adson forceps
−Forceps เล็ก มีฟนละเอียด
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Adson forceps
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Forceps
• Lahey forceps
−มีฟนที่ปลายทั้ง 2 ขาง ใชจับ tissue เชน
thyroid
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Lahey forceps
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Retractor (Hand-held)• Army navy
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Retractor (Hand-held)• Senn
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Retractor (Hand-held)• Richardson
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Retractor (Hand-held)• Deaver
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Retractor (Hand-held)• Sweetheart
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Malleable
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Retractor (Self retaining)• weitlaner
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Retractor (Self retaining)• Gelpi−มักใชกับ anus
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Suction• Yankauer
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Suction• Shield
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Suction• Poppen
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Poppen