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The Basic Surgical Instruments: A- Cutting B- Grasping C- Retracting D-Suturing E-Miscellaneous.

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Presentation on theme: "The Basic Surgical Instruments: A- Cutting B- Grasping C- Retracting D-Suturing E-Miscellaneous."— Presentation transcript:

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2 The Basic Surgical Instruments: A- Cutting B- Grasping C- Retracting D-Suturing E-Miscellaneous

3 Knife (Scalpel) Scissors A. Cutting Instruments: A. Knife: 1. Bard Parker Handle 1. Bard Parker Handle # 3 Narrow nose, length 5 inches. To hold # 10, 11, 12 & 15. # 7 Narrow nose, length 6 ½ inches. To hold # 10, 11, 12 & 15. # 9 Narrow nose, length 4 ½ inches To hold # 10, 11, 12 & 15. # 4 Narrow nose, length 5½ inches To hold # 20 & 21.

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5 2. Blades # 10 Small General dissecting. # 11 Small Stab incision. # 12 Small Tonsil dissection. # 15 Small Plastic dissection (reconstruction) # 20 Large Skin incision

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7 b. Scissors 1. Metzenbaum Thin, 7 in. curved. To cut delicate tissue, peritoneum 2. Mayo curved 3. Mayo Straight

8 4. One point sharp 5. Wire 6. Liston, bandage

9 B. GRASPING: Any instrument used to grasp tissue for the purpose of clamping or holding. purpose of clamping or holding. a. Hemostats A hinge, crushing instrument with a locking device on the handles, which holds the jaws, when closed. To arrest the flow of blood. 1. Mosquito 1. Mosquito 5 in., curved 5 in. straight. 2. Crile 2. Crile 5 ½, curved. 3. Straight 3. Straight forceps forceps 6 ¼, straight. 4. Kelly 4. Kelly 6 ¼, curved.

10 b. Babcock forceps forceps Smooth jaws, fenestrated oval tips with longitudinal serrations. 6 ¼, 7 ¾ in. long. To grasp delicate tissues; appendix. c. Allis forceps forceps Smooth jaws with 4 x 5 fine teeth at tips, 6 in long. To grasp heavy tissue, abdominal muscles. d. Kocker forceps forceps Cross serrations; 1 x 2 heavy teeth at tip of jaws; 5 ½ in, 6 ½ in, 7 ¼ in straight and curved. To grasp heavy tissue, abdominal muscles.

11 e. Dressing forceps forceps Serrations 5 ½ and 10 inches. To grasp delicate tissues while they are being sutures, dissected or excised. f. Tissue forceps forceps 1 x 2 teeth at tip of jaws, 5 ½ and 10 inches. To grasp heavy tissues while they are being sutured, dissected or excised. g. Adsons forceps forceps 4 ½, 1 x 2 fine teeth at the tip of jaws. To grasp very delicate tissues, nerve, or blood vessel for suturing, dissecting or excising.

12 h. Sponge forceps forceps 9 ½ in, straight and curved. To hold sponges or grasp tissue, transfer forceps. i. Towel clip 3 ½ in and 5 ½ and 10 inches. To hold drapes in place to retract tissues.

13 C. RETRACTING: any instrument used to hold open the edges of a hold open the edges of a wound. wound. a.Cushing vein vein Single-bladed 8 ½ in. long. For shallow retractions. b. Volkman 4 prongs sharp or dull, 8 ½ in. long. c. Army- navy navy Double-ended, 8 ½ in. long. For shallow retractions. d. Richardson Double-ended, small & large 9 ½ in. long. 9 ½ in. long. To retract abdominal wall and organs.

14 e. Ribbon Flexible, two widths; narrow 1 ½ in wide – 2 in., 1 2inches long. To retract abdominal wall and organs. f. Deaver Three widths, narrow, medium 1 ½, wide – 2 in., 12 in long. To retract abdominal wall and organs. g. Weithlaner Self-retaining; 2 blades and bladder blades. For shallow retractions.

15 h. Balfour Self-retaining; 2 blades and bladder blades. For abdominal wall retractions. i. Hupp tracheal Three sharp prongs, blunt hook, overall length 5 ¼ in. To retract trachea or other shallow wounds.

16 IV. SUTURING: any instrument used to carry suture through tissue. through tissue. a. Needle holder holder 6 and 7 in. long. To hold suture needle for suturing wounds. b. Clip applier and remover and remover 5 ½, 6, and 7 in. long. To introduce and remove skin clips.

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18 E. PROBING: any instrument with a blunt end used to probe a cavity. probe a cavity. a. Probe Flexible, 5 in., and 8 in. b. Grooved director director Grooved on long axis, 5 ½ in. To probe a cavity, to guide a probe; to control the pathway of an incision.

19 F. MISCELLANEOUS a. Poole suction tip tip Fenestrated removable tip 9 in long and ¼ in diameter. To remove fluid from abdominal cavity. b. Yankauer suction tip suction tip Angular, removable tip 9 in long and ¼ in diameter. To withdraw fluid from throat cavity. c. Laparotomy ring ring Circular, 1 ½ in diameter. For tagging sponges.

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