Mar 27, 2024
Criss-Cross Serrations
Doyen's Rib Raspatory / Coastal Elevator
Kelly's Rectal Speculum (Protoscope)
Mayo's Vein Stripper
Alli's Tissue Forceps
Seen at Jaw/Blade · Transverse serrations -seen in Artery Forceps Longitudinal serrations -seen in Intestinal clamp Cross hatched serrations -seen in Needle holding forceps.
Can be identified by: curved blade, Pointed tip · Used to fix towels/drapes · Used to fix suction tubes, catheters, diathermy cables, Laparoscopy cables.
Oval tip · Serrations for firm sponge grasp. – · There is presence of fenestration. · There is long blade and long shaft: During cleaning, other areas are not touched by the scrub surgeon.
Uses - To hold the forceps · Cleansing · In Open cholecystectomy to hold Fundus & Hartmann's pouch of GB · To swab an abscess cavity · Remove laminated membrane & daughter cyst in hydatid surgery.
For better grip of needle. · Central groove– minimal crushing effect, and no straightening of the curved needle · Handle to Blade ratio = 4:1 · Point of holding the needle- At junction anterior 2/3rd & posterior 1/3rd of needle holder Uses · Suturing of tissues · Ligation.
It is also known as coastal elevator. · Polygonal handle – for better grip · End in curved fashion with sharp edges – to separate periosteum from under surface of rib. To determine the side: Handle should face laterally, Convexity of the hook should be upwards . Tip should face downward.
Length of proctoscope is – 10 cm · Length of Rigid sigmoidoscope - 25 cm · Length of Flexible sigmoidoscope - 60 cm · Length of Colonoscope- 160 cm.
Uses- Diagnostic · Hemorrhoids (IOC) (as it is non-palpable) · Rectal polyp · Rectal Ulcer · Carcinoma anal canal & Lower part of rectum · Localizing internal opening of fistula in- Ano Therapeutic · Sclerotherapy or banding of hemorrhoid · Polypectomy · Anal dilations.
Also Read: Most Commonly Used Surgical Instruments
Used to strip varicose veins. · In long saphenous vein stripping should be done just below the knee joint to avoid injury of Saphenous nerve · In stripping of short saphenous system, careful dissection should be performed to avoid injury of Sural nerve · Gold standard treatment for Varicose veins – Endothermal ablation · In endothermal ablation 2 techniques are followed: Endothermal laser ablation , Radiofrequency ablation.
Long straight forceps blade - prevents crushing of the tissue · The gap in between the blades helps to accommodate the tissues / organ and thus there is no crushing effect. · Tip-Curved / angulated · Alternate teeth / groove at the end of tip - provides firm grip and prevents slippage of the tissue. · Should be applied over the inner aspect of skin & subcutaneous tissue.
Uses · Hold skin & S/C tissue flap for retraction-(excision of LN, Sebaceous cyst, lipoma) · Hold tough tissues - Fascia & aponeurosis approximation during suturing · During Thyroidectomy & Neck dissection. To hold the cut margins of skin · In Laparotomy-retract skin margins · In Bladder neck operations – hold the neck of bladder.
Terminal part -curved · Fenestration to accommodate delicate structures · Non-traumatic instrument. · The space between the blades helps to accommodate the delicate structures such as bladder, bowel, ureter, appendix etc.
Uses · In Appendectomy-to hold the appendix · In Gastrectomy - to hold the cut margins · To hold Fallopian tube · To hold Ureter - during Pyelolithotomy & Ureter lithotomy · To hold Spermatic cord during hernia surgery · In Resection & Anastomoses-Hold the cut edges of Small intestine & Large intestine · In Suprapubic cystolithotomy-Used to hold cut edges of bladder.
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