1. Name: lane’s tissue forceps
USES
To retract the rectus sheath
can be used as a crushing instrument
Used to grab fibroid nodules in myomectomy

2. Curved Mayo's Scissors Curved mayo’s scissors/Surgeon’s scissors USES
used in cutting tough tissue
Can also be used in blunt dissection

3. Simpson’s perforator
USES
To perforate the skull bone and break down septae in destructive operation

4. DESTRUCTIVE OPERATIONS
Indications:
Malpresentation
Hand prolapse with dead fetus
Cord prolapse with dead fetus

5. it is used for embryotomy
Embryotomy hook
USES
it is used for embryotomy
The crotchet is used to remove the decapitated head, introduced through the mouth or head.
The hooked end is used to give traction onto the groins in cases of extended breech presentation
Crotchet and hook
used

6. Cleidotomy scissors
USES
used in dividing the clavicle either in a destructive operation or in case of obstructed labor i.e. in a live infant
In cases of shoulder dystocia

7. Decapitating hook
USES
as the name implies- to decapitate the fetal head in cases of transverse lie
also indicated in cases of locked twins

8. USES
as the name implies- to decapitate the fetal head in cases of transverse lie
also indicated in cases of locked twins

9. USES
For crushing the fetal skull ( no longer in use
The most commonly performed destructive operation in UCH is CRANIOTOMY

10. USES
To hold either sides of the fetal scalp
To apply fetal head on placenta previa - tamponade

11. NAME-Episiotomy scissors
USES
Used in performing episiotomy
Layers that are cut through in episiotomy: skin, bulbospongiosus, superficial and deep transverse Perineal muscles and the vaginal wall.
TYPES: J shaped, mediolateral and midline

12. There is less pain the postpartum period
EPISIOTOMY: surgical incision of the perineum made to increase the diameter of the vulval outlet during delivery
TYPES: Midline
Medio-lateral
J-shaped
Advantages of midline
Less blood loss
It is easier to repair
The wound heals faster
There is less pain the postpartum period
The incidence of dyspareunia is reduced
Disadvantage
High risk of third/fourth degree Perineal tear

13. Wriggley’s forceps
USES
can be used in to release an impacted fetal head during cesarean section.
can be used to deliver a fetus with face presentation.
it is an outlet forceps also a low cavity forceps.

14. Conditions for forceps delivery
Fully dilated cervix
Outlet should be adequate, no CPD.
Ruptured membranes
Contractions should be present ( uterine)
Engaged head
Presentation should be cephalic
Surrounding viscera should be emptied – bladder/rectum
Complications
Fetal: intracranial hemorrhage, facioparesis, cephalhematoma.
Maternal: Perineal laceration, cervical incompetence, fistula formation

15. NAME-neville barnes’ forceps
USES
It is an axis traction forceps.

16. NAME- Kjelland’s forceps USES AND PROPERTIES
It has a sliding lock
NAME- Kjelland’s forceps
USES AND PROPERTIES
it has a sliding lock, pelvic curve is not prominent
Can be used to correct asynclitism.
It is used also in Deep Transverse Arrest

17. NAME-neville barnes’s/simpson’s forceps USES AND PROPERTIES
it has an English lock, no pelvic curve
used for forceps delivery

18. CEASAREAN SECTION Indications:
FETAL: Abnormal lie & presentation, Cord prolapse, Hand prolapse, fetal distress, macrosomia, breech presentation, multiple gestation >3
MATERNAL: Contracted pelvis, medical illness, Eclampsia, Failure of induction of labor, Failure to progress in labor, Major placenta previa, Premature separation of the placenta
SOCIAL
know very well

19. INDICATIONS FOR CLASSICAL Uterine fibroids in lower segment
Pelvic adhesions from previous surgeries
Co existing Ca Cervix
Transverse lying fetus
Peri-mortem C/s
History of previous Classical
Indications for classical cesarean section

20. NAME-Sponge-holding forceps USES
for holding sponges in Cleaning
Remove products of conception during manual vacuum aspiration
Clamp umbilical cord
Grasp the lips of the cervix during repair of cervical laceration

21. Ovum forceps
USES
For removing products of conception in inevitable or incomplete abortion.
For removing retained membranes from uterus after delivery
For twisting pedunculated polypi
For removing any foreign body from the uterus

22. Surgeon’s scissors
USES
can be used for cutting tough tissues e.g. rectus abdominis fascia during cesarean section
can also be used for blunt dissection.

23. Vulsellum
USES
used in holding the anterior & posterior lip of the cervix in operations like D & C.
For grasping small fibroids in myomectomy.
Can be used for the introduction of laminaria tent
To test mobility of cervix and laxity of ligaments in prolapse
To bring down the uterine fundus in vaginal hysterectomy

24. Surgeon’s scissors
USES

25. NAME- ?Babcock forceps
USES
To hold the fallopian tubes during tubal surgery
Other instrument used specifically for tubal surgery are: the above, duval forceps and tubal probe

26. NAME-Amniotomy hook
USES
used in artificially rupturing the fetal membranes just before labour

27. NAME-Towel clips
USES
to hold the edges of the drapes together during surgery
also used in securing other materials needed in the operating field e.g. suction nozzle & diathermy

28. NAME-Towel clips
USES: Same as above

29. NAME-Lagenberg’s right angle retractor
USES
to retract the abdominal wall or other structures during surgical operations.

30. USES

31. CZERNY retractor
USES

32. PAPANICOLAOU SMEAR
Avoid sex 72 hours before
Fixative - 75% alcohol
3 separate samples – vaginal, endocervix and ectocervix
STAIN CONSTITUENTS:
PAPANICOLAOU: Heamatoxylin, Orange G, Bismuth Brown, Eosin Yellow & Light green
Giemsa
Flourescent label

33. Curette
USES
To curette out the products of conception in cases of missed or complete abortion.
To curette out the endometrium in cases of endometrial disease for therapeutic and diagnostic purposes – infertility, postmenopausal bleeding, diagnosis and treatment of endometrial carcinoma
Complications: Hemorrhage, sepsis, perforation, amenorrhea

34. Biopsy forceps
USES
used to remove part of the cervix for tissue examination - Biopsy

35. NAME-Metal catheter
USES
Used to drain the contents of the bladder during most operations especially intermittent bladder drainage – application of forceps,

36. Auvert’s weighted speculum
USES
used in major vaginal operations such as FOTHERGILL’s operation.
amputation of the cervix in carcinoma of the cervix
used in the repair of fistulas

37. NAME- Auvard’s weighted speculum
It is a self retaining type of vaginal speculum
It is used with the patient in lithotomy positionNNN

38. NAME-Bonney’s uterine clamp
USES
Used in the operations on fibroids to hold the uterine a. and the round ligament at the level of the internal os.
this prevents excessive bleeding
does not allow the uterus to fall back posteriorly.

39. NAME-uterine clamp
USES
used for holding the uterus during operations especially:
in Salpingectomy operation
also in the GILLAM’S operation

40. NAME-Uterine sound
USES
to locate the IUCD in the uterus for removal
also used for location in case of missing IUCD

41. NAME-Doyen’s bladder retractor
USES
used in reflecting the bladder during cesarean section to prevent injuries

42. NAME-Green armitage
USES
Clamping the edge of the cut uterus in CS to reduce hemorrhage

43. NAME-wilkinson’s cannula
USES
Can be used in place of Rubin’s insufflation cannula during HSG
for injection of the DYE- UROGRAFFIN

44. HysteroSalpingoGram
done 7-10days of last menses – less chances of extravasation of dye, unlikely to be pregnant, cervix is usually still dilated
INDICATIONS
Cervical incompetence – funnel shape
Infertility
Preparation for myomectomy
Uterine abnormality
CONTRAINDICATIONS
Pregnancy
PID
Undiagnosed uterine bleeding
Known allergy to contrast medium
COMPLICATIONS
Uterine perforation
Trauma/ pains
Anaphylaxis
Give analgesics before the procedure - Buscopan

45. USES
to grab/hold tough tissue during dissection
can be used for artificial rupture of the membranes

46. Vulva Carcinoma

47. Endometrial polyp

48. Endometrial carcinoma

49. Pot section of uterus; ant. portion is excised;
Lippes loop in-situ

50. INTRAUNTERINE CONT. DEVICE
Types:
Copper T
Multifix
Grafenberg’s ring
Saf T Coil
Novagard
Progestasert
Lippes Loop
Mode of action
Prevents implantation of conceptus
Stimulates inflammation of the endometrial lining( hostile to the fertilized egg or the sperm

51. As the name implies to hold needles ( all kinds) during suturing
Observe the groove
USES
As the name implies to hold needles ( all kinds) during suturing

52. Uterine elevator
USES
it is used as an uterine manipulator during laparoscopy
also used to inject the dye into the uterus during the same procedure

53. USES
To listen for fetal heart sounds

54. Veress needle
USES
Used for insufflation during HSG

55. 10mm primary trochar
USES
used during laparotomy
punctures the anterior abdominal wall, then the laparoscope is introduced thru it

56. UTERINE SOUND
Used to ascertain the size and direction of the uterus b4 passing the cervical dilator.
Used cautiously for correction of a mobile retroverted uterus.
To ascertain the position of abnormal uterine contents e.g. tumor, placenta, polyp
Contraindications
Suspected pregnancy
Ongoing Cervical infection

57. Accuhaler Dischaler
USES

58. Volumatic spacer Device
USES

59. Metered Dose Inhaler
USES

60. Turbo-Inhaler
USES
For asthmatics

61. Pediatric soluset
USES
-used to give fluids.

62. FOUR WAY TAP USES used during exchange blood transfusion
INDICATIONS FOR EBT
neonatal jaundice
Term with PCV<35% in 1st wk
Neonatal anemia
Stroke in HbSS Px
Acute Chest Syndrome
Cyanotic heart Dx
DIC
Acute Poisoning
Overwhelming sepsis with jaundice
Relative Indication-----jaundice with hypoglycemia, jaundice with asphyxia, jaundice with acidosis.

63. Vim Silverman’s needle
USES
For renal biopsy

64. Lumbar puncture needle and Manometer

65. Menghini needle
USES

66. Peak flow meter
USES
Used to measure the amount of expiratory air.

67. Universal Bottle
USES
-RETROVIRAL SCREENING
-HEPATITIS SCREENING
-URINALYSIS
-SPUTUM M/C/S
-PERITONEAL FLUID M/C/S
-CSF M/C/S
-GROUPING &CROSS MATCHING
-PLEURAL FLUID M/C/S
-VDRL
-CSF CYTOLOGY

68. ANTICOAGULANT-NA TRICITRATE
USE-PT/PTTK or COAGULATION TEST