Surgical Instruments PDF

Surgical Instruments By Dr. Mostafa Shalaby, MBBCh, MSc, MD, PhD, FACS Adjunct Associate Professor of Surgery, Horus University in Egypt Associate Professor of Colorectal Surgery, Mansou...

Surgical Instruments By Dr. Mostafa Shalaby, MBBCh, MSc, MD, PhD, FACS Adjunct Associate Professor of Surgery, Horus University in Egypt Associate Professor of Colorectal Surgery, Mansoura University Director of CME/CPD Unit, Mansoura Faculty of Medicine EKB Consultant, Mansoura University Egypt National Representative at the ESCP Assistant secretory ESCRS X “Twitter”: @mostafashalaby Email: [email protected]  Parts of instruments Ringed instruments Tissue forceps Retractors Parts of instruments Parts of instruments Parts of instruments Instruments categorization  Categorization (function) Electrosurgical Retracting and exposing Clamping and occluding Suctioning and aspirating Cutting and dissecting Suturing and stapling Grasping and holding Viewing Probing and dilating  Monopolar diathermy Use(s): Monopolar cautery uses electrical current to coagulate and cut blood vessels and tissues to provide homeostasis; also used for dissection.  Hemostat Another name(s): Artery forceps Use(s): Used for occluding bleeders before cauterization or ligation.  Mosquito Use(s): Used for occluding bleeders in small or superficial wounds before cauterization or ligation.  Right angel Use(s): Is used to clamp, dissect, and occlude tissue. Is often used to place a tie or vessel loop under and around a vessel or a duct, enabling the surgeon. Handling ringed instruments  Suture scissors Another name(s): Straight Mayo scissors Use(s): Used for cutting suture.  Tissue scissors Another name(s): Curved Metzenbaum Scissors Use(s): Dissect and undermine delicate tissues. Handling ringed instruments  Allis forceps Use(s): Used for lifting, holding, and retracting slippery dense tissue that is being removed. Commonly used for tonsils; for breast, and thyroid tissues; or for grasping bowel during a resection.  Babcock forceps Use(s): Used for grasping and encircling delicate structures such as ureters, fallopian tubes, bowel, ovaries, and appendix.  Kocher forceps Use(s): Used for grasping tough, fibrous, slippery tissues such as muscle and fascia.  Needle holder Use(s): Used for holding needles when suturing. Needle holder  Non-toothed forceps Use(s): Used for grasping soft tissue (atraumatic).  Toothed forceps Use(s): Used for grasping moderate to heavy tissue and used during wound closure. Handling tissue forceps  Scalpel handle Use(s): Hold various blades to create a scalpel. Scalpels are used to make skin incisions or fine precision cut is necessary.  Blades Use(s): Used for making skin incisions. Blades Scalpel  Wound retractor Use(s): Used for retraction and exposure of a small wound.  Deaver retractor Use(s): Used for deep retraction of organs and viscera. Surgical staplers Checklist  Checklist Instruments name How to identify How to Handle What are the uses  THANK YOU ANY QUESTIONS