New Basic Surgical Instruments

New Basic Surgical Instruments
New Basic Surgical Instruments
New Basic Surgical Instruments

Basic laparotomy instruments are essential to accomplish most types of general surgery. Each instrument can be placed into one of the four following basic categories

A** Cutting and Dissecting

Cutting and dissecting instruments are sharp and are used to cut body tissue or surgical supplies

Knife Handle, Scissors

Knife Handles

handle with 15 blade deep knife - Used to cut deep, delicate tissue

handle with 10 blade inside knife - Used to cut superficial tissue

handle with 20 blade skin knife - Used to cut skin

straight Mayo, curved Mayo, Metzenbaum

Straight Mayo scissors - Used to cut suture and supplies. Also known as: Suture scissors

EX: Straight Mayo scissors being used to cut suture

Curved Mayo scissors - Used to cut heavy tissue fascia, muscle, uterus, breast. Available in regular and long sizes

Metzenbaum scissors - Used to cut delicate tissue. Available in regular and long sizes

Clamping and occluding instruments are used to compress blood vessels or hollow organs for hemostasis or to prevent spillage of contents

Hemostat , Mosquito, & Other Clamps

A hemostat is used to clamp blood vessels or tag sutures. Its jaws may be straight or curved. Other names: crile, snap or stat

hemostat

A mosquito is used to clamp small blood vessels. Its jaws may be straight or curved

hemostat, mosquito

A Kelly is used to clamp larger vessels and tissue. Available in short and long sizes. Other names: Rochester Pean

A burlisher is used to clamp deep blood vessels. Burlishers have two closed finger rings. Burlishers with an open finger ring are called tonsil hemostats. Other names: Schnidt tonsil forcep, Adson forcep

burlisher

A right angle is used to clamp hard-to-reach vessels and to place sutures behind or around a vessel. A right angle with a suture attached is called a "tie on a passer." Other names: Mixter

right angle

A hemoclip applier with hemoclips applies metal clips onto blood vessels and ducts which will remain occluded

hemoclip applier with hemoclips

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Grasping and holding instruments are used to hold tissue, drapes or sponges

Grasping & Holding Instruments

An Allis is used to grasp tissue. Available in short and long sizes. A "Judd-Allis" holds intestinal tissue; a "heavy allis" holds breast tissue

A Babcock is used to grasp delicate tissue intestine, fallopian tube, ovary. Available in short and long sizes

Allis

A Kocher is used to grasp heavy tissue. May also be used as a clamp. The jaws may be straight or curved. Other names: Ochsner

A Foerster sponge stick is used to grasp sponges. Other names: sponge forcep

Foerster sponge stick

EX: Sponge sticks holding a 4 X 4 and probang

A Backhaus towel clip is used to hold towels and drapes in place. Other name: towel clip

Backhaus towel clip

Russian tissue forceps are used to grasp tissue

Russian tissue forceps

Adson pick ups are either smooth: used to grasp delicate tissue; or with teeth: used to grasp the skin. Other names: Dura forceps

Adson pick ups

Long smooth pick-ups are called dressing forceps. Short smooth pick-ups are used to grasp delicate tissue

smooth forceps

DeBakey forceps are used to grasp delicate tissue, particularly in cardiovascular surgery

Thumb forceps are used to grasp tough tissue fascia, breast. Forceps may either have many teeth or a single tooth. Single tooth forceps are also called "rat tooth forceps

single tooth forceps, many teeth forceps

Mayo-Hegar needle holders are used to hold needles when suturing. They may also be placed in the sewing category

short, medium & long

EX: Needle holder with suture

D** Retracting and Exposing

Retracting and exposing instruments are used to hold back or retract organs or tissue to gain exposure to the operative site. They are either "self-retaining" stay open on their own or "manual" held by hand. When identifying retractors, look at the blade, not the handle

A Deaver retractor manual is used to retract deep abdominal or chest incisions. Available in various widths

Deaver retractor

A Richardson retractor manual is used to retract deep abdominal or chest incisions

Richardson retractor

An Army-Navy retractor (manual) is used to retract shallow or superficial incisions. Other names: USA, US Army

Army Navy retractor

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