reviw of surgical instruments ii
TRANSCRIPT
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REVIEW OF SURGICAL
IN TR MENT
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II
--
Articulating instrumentsArticulating instruments
instruments with
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AA Instruments with joint andInstruments with joint and
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Blade
Shaft
Handle
Joint
Lock
Straight Curved
1- Mosqui tofor ceps :Used for: Haemostasis, incatching of smal l vesselas,
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Straight Curved2- Ar tery for ceps: *Used for.# Ha emostasis, In catching of mediumsized vessels assubcutaneous or epiploicvessels duringspleenectomy before itsligation.
#Parie talperito neum elevationbefore its opening in
Blade
Shaft
Handle
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3- Cl ampfor ceps: Used forHaemostasis incatching oflarge sizevessels as,spleenic during
spleenectomy& renal duringnephrectomy before
Straight Curved
Blade
Shaft
Handle
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Mosquito Artery Clamp
Small Medium Large
What is the dif fer ence betw een thi s
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4-Kocherfor ceps:*Used for *Grasping toughstructuresastendon, sheath ormuscle.
*Crushing the base
of theappendix ina endectom .
Teeth
Blade
Joint
Shaft
Handle
Lock
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5- Needle hol der :*Grasp the needle
for stitchin
Blade
Shaft
Handle
Joint
Lock
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What ar e thedi ffer encesbetw eenar ter y andneedl e hol der :1- length of th eblade in relationto shaft.2- Corrugation
Artery Needle holder
Artery Needle
C d t M ih
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6- Moynihan( Ch olec ystectomyar ter y):Used in Grasping the cystic vessels& cystic duct before theirligation during
cholecystectomy operation.
What is thedif ference betweenMoynihan and arte ry
Curved artery Moynihan Obtuse Right
Blade
Shaft
Handle
Joint
Lock
Bl d Fl Thi N hi
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7- Intesti nalclamps:Grasp the intestinalloop in resection
anastomosis.
A-Non crushingintestinal type (flat thin
blade)Differ from artery inblade length in relationto shaft & Corrugation
of shaft
Blade
Shaft
Handle
Joint
Lock
Blade. Flat-Thin-Non crushing
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B- Crushingintestinal clamp
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C-Gastricclamp:
Joint
Blade
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D-DoubleGast ric clamp
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8-All isfor ceps:*Used for- Catchingthe skin
as in scalp incision,thyroid surgery
-Meso-appendix inappendectomy
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Blade
Shaft
Handle
Blade
Toothed
Closed at the tip only
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What are the d if ferences betweenartery & A llis b lade?1- Space after closure.
2- Teeth on tip of Allis
Blade ( short, shallow
Depression in between).
Artery Allis
Blade
Blade
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9- Babcockfor ceps:
Encirclingstructures asvas and ureter.Catch structuresasappendix and
Blade
Shaft
Handle
Joint
Lock
Blade
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What are thedifferencesbetween A ll is andBabcockblade?
Pin pointed end of the blade
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10- Towelclips:* F orgraspingthe edge ofthe to welover thepatient
Blade
Shaft
Handle
Pin pointed end of the blade
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* Another
type of towel
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11 - Tonguegrasper .Used for traction of
the tongue
Blade
Blade Joint Shaft Lock Handle
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B-B- Instruments without lockInstruments without lock
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1- Stonefor ceps( Ureter ic,bi liar y andBlad der ):Used forStone extractionfrom the ureter,common bile ductand urinary Ureteric & Billiary Bladder
Scopeon
blade
Shaft
Handle
Blade
Shaft
Handle
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2- Sci ssor s:Used for.*Tissue
dissection.
*Tissue cutting
*Opening
peritoneum.
Tissue Stitches
Blade
Joint
Shaft
Handle
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3- Bo ne cutti ngfor ceps.Used for.1- Cutting ribs.
2-Cutting small bones.
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Blade
Joint
Spring
Handle
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4-Cr ocdylefor ceps
Joint
Blade
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5- Pr octo-scope
(Ano- scope)Used for.*In spectio n ofthe anal canal &lower r ectum
Blade
Handle
Joint
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II-II- NON ARTICULATINGNON ARTICULATING
without joint
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1-Retr actor es :*Retraction of theabdominal wall.
*Liverretractors.
*Retraction ofviscera.
To o en sur icalA- Non-self
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B- Selfretai nin gretr act ors
Blades
Lock
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2- Dilators:A- U reth ral
- Ur eteric
Tip
Shaft
Base
Rounded blunt tip
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B-He gar,sdilator.With double
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C- Hegar(Fenton) d il ator.
Base
Tip
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3- Ti ssuefor ceps:A- Non toothed forcatching fine structureas intestine, bladder ortube.
B- Toothed for catchingtough structure as skin,tendon or muscle.
Non toothed Toothed
Non toothed
Toothed
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4- Fistul aedi rector :Insertion i nsidefistulae tracts before
fistulotomy.
Inside constrictinghernia ring.
Its handle (base) mayused in tie ton ue
Tip
Shaft
(grove)
Base
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5- Scalpelhandl e.
For scalpel insertion
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6- Rib di ssector :*For separation of the ribfrom its bed
Encircling therib
Handle
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7-Peri ost ealel evator :* For elevation of
Sharp edge
Handle
Opening for thread insertion
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8- Aneur ysmneedl e:* For encircling vessel or
Opening for thread insertion
Handle
Spoon
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9- Cur ettespoon (Bo necur ett e).*Curettage for chronic
Handle
Spoon
Spoon
9 Ci i i
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9- Circumcisiondevice
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III-III- RUBER INSTRUMENTS.RUBER INSTRUMENTS.
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2-Vacuum drain
(Negative pressure):
*Closed system,
not introduce infection fromoutside
* measure the amount ofdischarge.
*But may lead to
visceral injury if presentintra-peritoneal by negativesuction and expensive.
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*Othertypes o fdrain:--Sumpdrain-- Tubedrain-*Indications
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3- Flui dinfusio nset:For intravenous
infusion of anyfluid as glucoseand saline.
*Another type
for blood withlarge needle andfilter inside its
Needle Lock Bulb
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4-Blood infusion set
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5-Selo ce t (infusi on set forneona tes & chil dr en)
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6-Cathet er s:A- Foley (self
retaining).
With double or tripleways.
Left inside thebladder for
time.
B- Nelaton.Removed afterevacuation of thebladder.
Distal end
Tip
Tip
Nelaton
For ballooninflation
Tip
Balloon
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C- Depezer catheter.
head
7 R l
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7-Rayeltube:
For gastricaspiration.
- After laparotomy
- Intestinalobstruction
- After anastomosis
* Difference betweenit and Nelatoncatheter?
*Importance ofaspiration?
Distal end
Rayel
Catheter
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Vertical limbHorizontal limb
8- T- tub e
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8- Collecting bag.
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