Basic Surgical-Instruments

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An Army-Navy retractor (manual) is used to retract

shallow or superficial incisions. Other names: USA, US


BASIC SURGICAL INSTRUMENTS Army.

• 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:

– Retracting and Exposing Instruments

– Cutting and Dissecting Instruments

– Clamping and Occluding Instruments

– Grasping and Holding Instruments


A malleable or ribbon retractor (manual) is used to
RETRACTING AND EXPOSING INSTRUMENTS retract deep wounds. May be bent to various shapes.
 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. EX. Xplor lap
A Weitlaner retractor (self-retaining) is used to retract
shallow incisions.

A Gelpi retractor (self-retaining) is used to retract


shallow incisions.
A Richardson retractor (manual) is used to retract deep
abdominal or chest incisions.
CUTTING AND DISSECTING INSTRUMENTS

 Are sharp and are used to cut body tissue or


surgical supplies.

• Blade handle #7 (deep knife) - Used to cut


deep, delicate tissue.

• 3 handle with 10 blade - (inside knife) – Used


to cut superficial tissue
• 4 handle with 20 blade (skin knife) - Used to
cut skin

Blade Holder # 4

A Balfour with bladder blade (self-retaining) is used to


retract wound edges during deep abdominal procedures
Blade Holder # 3

Straight Mayo scissors - Used to cut suture and


supplies. Also known as: Suture scissors.

Bladder retractor (manual)

Curved Mayo scissors - Used to cut heavy tissue


(fascia, muscle, uterus, and breast). Available in regular
and long sizes.

Senn retractor (manual)


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

CLAMPING AND OCCLUDING INSTRUMENTS


• Are used to compress blood vessels or hollow A right angle is used to clamp hard-to-reach vessels and
organs for hemostasis or to prevent spillage of to place sutures behind or around a vessel. A right angle
contents. with a suture attached is called a "tie on a passer." Other
names: Mixter.
A hemostat is used to clamp small superficial blood
vessels or tag sutures. Its jaws may be straight or
curved. Other names: crile, snap or stat. In many
institutions, this is commonly referred to as mosquito.

A Kelly is used to clamp larger vessels and tissue.


Available in short and long sizes.
Other names: Rochester Pean.
GRASPING AND HOLDING INSTRUMENTS A Foerster sponge stick is used to grasp sponges.
• Are used to hold tissue, drapes or sponges. Other names: sponge forcep, ovum forcep.

An Allis is used to grasp tissue. Available in short and


long sizes. A "heavy allis" holds breast tissue.

A Backhaus towel clip is used to hold towels and


drapes in place. Other name: towel clip.

A Babcock is used to grasp delicate tissue (intestine,


fallopian tube, ovary). Available in short and long sizes.

An Ochsner is used to grasp heavy tissue. May also


be used as a clamp. The jaws may be straight or
curved. Other names: Kocher.
Tissue forceps is used to hold skin/dense tissue.

Adson pick-ups are either smooth: used to grasp


Thumb forceps delicate tissue; or with teeth: used to grasp the skin.
Other names: Dura forceps.

Russian tissue forceps are used to grasp tissue.

De Bakey forceps are used to grasp delicate tissue,


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

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