Reviw of Surgical Instruments II

8/14/2019 Reviw of Surgical Instruments II

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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

-

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.

-

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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Are you know this instruments?

Reviw of Surgical Instruments II

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