Surgical Instrument (OT Instruments)
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The document provides a comprehensive list of various surgical instruments along with their uses in medical procedures. Instruments covered include forceps, scissors, retractors, catheters, and specialized tools for specific surgeries like appendectomies and cholecystectomies. Each instrument is briefly described with its intended application in surgical contexts.
Surgical Instrument (OT Instruments)
- 1. Surgical Instrument Prepared by Mr.Abhay Rajpoot HOD (Dep. of Medical Surgical) abhayrajpoot5591@gmail.com
- 2. RAMPLEY’S SWAB HOLDING FORCEPS ⚫ Used forcleansing the skin with swab ⚫ It is used for removing laminated membraneand daughtercysts from Hydatid cyst. ⚫ Used to hold fundus and Hartman’s pouch during cholecystectomy.
- 3. Doyen’s cross action Towel Clips ⚫Used to fix draping towels. ⚫Used for fixing diathermy cables, suction tubes etc. ⚫May be used to hold ribs whileelevating flail segmentof chest.
- 4. Bard Parker’s Handles ⚫Blades 10,11,12 and 15 fit in B.P handle 3. ⚫Blades18,19,20,21,22, 23 and 24 fit in B.P handle 4.
- 5. Spencer Well’s Haemostatic Forceps ⚫Used to hold bleeding vessels. ⚫Used to split internal obliqueand transverse abdominis during appendectomy. ⚫Used todo blunt dissection.
- 6. Kocher’s Haemostatic Forceps ⚫Used to crush the base of the appendix during appendectomy. ⚫Used to hold meniscus during menisectomy. ⚫Used to do sub total thyroidectomy.
- 7. Mosquito Haemostatic Forceps ⚫Used to hold fine bleeding vessels. ⚫Used to puncture the mesoappendix at an avascularsite. ⚫Used in operations of infants.
- 8. Lister’s Sinus Forceps ⚫Used todo I&D of abscess by Hilton’s method. ⚫Used to hold gauge swab toclean abscess cavity.
- 9. Allis’ Tissue Forceps ⚫Used to hold skin while raising skin flaps. ⚫Used to pick up a fold of peritoneum during laparotomy. ⚫Used to hold lineaalba while closing midline incisions.
- 10. Babcock’s Tissue Forceps ⚫Used to pick up appendixduring appendectomy. ⚫Used to hold delicate visceral organs. ⚫Used to hold cut margins of bladder during open prostatectomy.
- 11. Plain Dissecting Forceps ⚫Used to hold delicate visceral organs ⚫Used to hold blood vessels and nerves whiledissecting. ⚫Used to hold the hernial sac in hernia repair.
- 12. Toothed Dissecting Forceps ⚫Used to hold tough structures like skin while suturing. ⚫Used to hold scalp whilescalp suturing. ⚫Used to hold rectus sheath whileclosureof abdomen.
- 13. Needle Holders ⚫Used to hold needles while suturing.
- 14. Mayo’s Scissors ⚫ Used to tough structures like lineaalba,rectus sheath during entry in to the abdomen. ⚫ Used tocut delicate structures like hollow viscus, investing layerof deep fasciaof the neck in thyroid surgery. ⚫ Used to raiseskin flaps by sharpdissection.
- 15. Heath’s Suture Cutting scissors ⚫Used tocut sutures on skin and mucous membrane.
- 16. Langenbach’s Retractor ⚫They are used to help better visualization of theoperative field, tissue handling is minimized and bleeding betterseen and controlled.
- 17. Morris Retractor ⚫Used while making and closing abdominal incisions foreaseof working in the deeper layers. ⚫Used to retract Pectoralis major in MRM for better visualizationduring axillary dissection.
- 18. Deaver’s Retractor ⚫Used in Cholecystectomy for retractionof right lobe of liver. ⚫Used in Truncal vagotomy for retractionof left lobe of liver. ⚫Used in kidney operations to retract the anterior abdominal wall.
- 19. Joll’s Thyroid Retractor ⚫It is a self retaining retractor used in thyroid surgeries to retract the skin.
- 20. Metallic Probe ⚫Used in fistulectomies. ⚫Used to assess the depth of penetrating injuries. ⚫Used toassess the length of sinus.
- 21. Lahey’s Right Angled Forceps ⚫ Used todissect thecystic duct and artery in cholecystectomy. ⚫ Used in Vagotomies to dissect thevagus nerveand pass ligaturesaround them beforedivision. ⚫ Used in thyroid surgeries to dissect and ligate middle thyroid vein,superiorthyroid pedicle,etc.
- 22. Desjardin’s Choledocholithotomy Forceps ⚫Used to removestones from common bile duct. ⚫Used to remove stone from kidney, bladder stone.
- 23. Metallic Bougie ⚫Used todilate urethra in urethral strictures. ⚫Used todilate urethra beforecystoscopy . ⚫Used to repair ruptured urethra by railroad technique.
- 24. Bakes’ Dilator ⚫ Used in Choledocholithotomy, after removing the stones from the bile duct, it is used to sound the bileduct forany retained stones. ⚫ The patencyof theampulla can checked, In impacted stones or ampullary stenosis,it is not possible to pass the dilator in to the duodenum
- 25. Doyen’s Intestinal Clamps ⚫Used in gut resection and anastomosis.
- 26. Suprapubic Cystolithotomy Forceps ⚫Used in suprapubic cystolithotomy to extract the stone from the bladder.
- 27. Red Rubber Catheter ⚫ Itcomes in sizesof 6,8,10etc.the size of the catheter isexpressed in mm as numberof size/2 +1. ⚫ Used todrain urine. ⚫ Used to measureamountof residual volumeof urine. ⚫ Used toadminister chemotherapydrugs for Ca bladder.
- 28. Foley’s Self Retaining Catheter ⚫ Diameterof thecatheter in mm is calculated by no. of catheter in frenchscale/3. ⚫ Used todrain urine. ⚫ Used in suprapubic cystostomy. ⚫ Used for urethral catheterization following prostatectomy.
- 29. Malaecot’s Catheter ⚫Used in suprapubic cystostomy. ⚫Used todrain abscess cavities. ⚫Used as intercostal tubedrain.
- 30. Kelly’s rectal Speculum ⚫Used todiagnose haemorroids,anal polyps, internal opening of the perianal fistula. ⚫Used to take biopsy from anal, rectal growth. ⚫Used in polypectomy.
- 31. Flatus tube ⚫Used to relieve gaseous distension of large gut due to paralytic ileus. ⚫Used todecompress sigmoid volvulus non operatively.
- 32. Fuller’s Metallic Tracheaostomy tube ⚫ Indications: ⚫ FB impacted in larynx. ⚫ B/L recurrent nervepalsy. ⚫ Acute laryngeal edema. ⚫ In respiratory paralysis requiring mechanical ventilation for longer periods.
- 33. Disposable Corrugated Drain ⚫Used as a drain to drain pus ,blood,etc
- 34. Mayo’s Vein stripper ⚫Used todo stripping of varicoseveins.
- 35. Giglie’s Saw ⚫Used tocut bones in amputations. ⚫Used to do craniotomies.
- 36. Bladder wash Syringe ⚫Used to give bladder wash with antiseptic solution. ⚫Used to clear blocked foley’scatheter.
- 37. Suprapubic Cystostomy Trocar and Cannula ⚫Used to perform suprapubic cystostomy secondary urethral rupture to relieve urinary retention. ⚫Used to perform suprapubic cystostomy secondary to distal urethral obstruction.
- 38. Disposable Core Biopsy Trocar and Needle ⚫Used to takecore biopsy from breast, liver fortissue diagnosis.
- 39. Vim Silverman’s Liver biopsy Trocar and Needle ⚫Used to take liver biopsy.
- 40. Bone cutter and Bone Nibbler ⚫Used to reshape the bone during osteotomies, amputati ons.
- 41. Bone Chisel and Osteotome ⚫Used tochipout bone. ⚫Used toperform osteotomies.
- 42. Rib Cutter ⚫Used tocut ribs in case of draining empyema thoracis. ⚫Use to resecta partof the rib.
- 43. Bone Saw ⚫Used tocut bone in caseamputation. ⚫Tocutcasts.
- 44. Periosteum Elevator ⚫Used to elevate the periosteum during amputations.
- 45. Kidney Tray ⚫Used tocollect specimens. ⚫Used tosafely transfer sharp instruments.