Surgical instruments صور آلات جراحية

[د/عمـــرو درة]

SURGICAL INSTRUMENTS
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The basic instruments that every beginner surgeon
should know are placed in four categories.

1-Cutting and Dissecting
2-Clamping and Occluding
3-Grasping and Holding
4-Retracting and Exposing




Cutting and Dissecting instruments
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7 handle with 15 blade (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




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Straight Mayo scissors -
Used to cut suture and supplies. Also known as: Suture scissors.
EX: Straight Mayo scissors
being used to cut suture.
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Curved Mayo scissors -
Used to cut heavy tissue (fascia,
muscle, uterus, breast).
Available in regular and long sizes.
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[B]
Metzenbaum scissors -
Used to cut delicatetissue.
Available in regular and long sizes

[/B
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Clamping and Occluding Instruments



Clamping and occluding instruments are
used to compress blood vessels or hollow organs for
hemostasis or to prevent spillage of *******s.
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A mosquito
is used to clamp small blood vessels.
Its jaws may be straight or curved.




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A Kelly
is used to clamp larger vessels and tissue.
Available in short and long sizes.
Other names: Rochester Pean



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A burlisher
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



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A right angle
is used to clamp hard-to-reach vessels
and to place sutures behind or around a vessel.
A right angle with a suture attached is called a "tie on a Passer”.
Other names: Mixter


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A hemoclip applier with hemoclips
applies ****l clips onto blood vessels and ducts which will remain occluded




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Grasping and Holding instruments




Grasping and holding instruments are used to hold tissue,
drapes or sponges







منقول

[د/عمـــرو درة]

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An Allis
is used to grasp tissue. Available in short and long sizes.
"Judd-Allis" holds intestinal tissue;
"heavy allis“ holds breast tissue.
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A Babcock
is used to grasp delicate tissue (intestine,
fallopian tube, ovary).
Available in short and long sizes
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A Kocher
is used to grasp heavy tissue. May also be used as a clamp.
The jaws may be straight or curved.
Other names: Ochsner
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[د/عمـــرو درة]

A Foerster sponge stick
is used to grasp sponges.
Other names: sponge forcep




http://i141.photobucket.com/albums/r75/monaa2007/untitled-115.jpg EX: Sponge sticks holding a 4 X 4 and probang

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Mayo-Hegar needle holders
are used to hold needles
They may also be placed in the sewing category.
EX: Needle holder with suture
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[د/عمـــرو درة]

Thumb forceps are used to grasp tough tissue (fascia, breast).
Forceps may either have many teeth or a single tooth.
Single tooth forceps are also called "rat tooth forceps."
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A dissector
is used to hold a peanut.
http://i141.photobucket.com/albums/r75/monaa2007/untitled-117.jpg




EX: Dissector holding a peanut.

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A Backhaus towel clip
is used to hold towels and drapes in place.
Other name: towel clip.


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Pick ups, thumb forceps and tissue forceps are available
in various lengths, with or without teeth, and smooth or
serrated jaws



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http://www.dvd4arab.com/images/D3velopeR%28DoT%29NeT/misc/progress.gif Russian tissue forceps are used to grasp tissue


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Adson pick ups are either smooth: used to grasp delicate tissue
or with teeth: used to grasp the skin. Other names: Dura forceps.
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DeBakey forceps are used to grasp delicate tissue,
particularly in cardiovascular surgery
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http://www.dvd4arab.com/images/D3velopeR%28DoT%29NeT/misc/progress.gif

Thumb forceps are used to grasp tough tissue (fascia, breast).
Forceps may either have many teeth or a single tooth.
Single tooth forceps are also called "rat tooth forceps."
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Mayo-Hegar needle holders
are used to hold needles
They may also be placed in the sewing category.
EX: Needle holder with suture



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[د/عمـــرو درة]

Retracting and Exposing instruments



Retracting and exposing instruments are 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.
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A Deaver retractor (manual)
is used to retract deep abdominal or chest incisions.
Available in various widths.
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A Richardson retractor (manual)
is used to retract deep abdominal or chest incisions.

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An Army-Navy retractor (manual)
is used to retract shallow or superficial incisions.
Other names: USA, US Army
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A goulet (manual)
is used to retract shallow or superficial incisions.



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A malleable or ribbon retractor (manual)
is used to retract deep wounds.
May be bent to various shapes
.


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A Weitlaner retractor (self-retaining)
is used to retract shallow incisions.

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

http://www.egymedicine.com/forums/images/statusicon/wol_error.gifانقر على هذا الشريط لمشاهدة الصوره بحجمها الطبيعي.http://i141.photobucket.com/albums/r75/monaa2007/untitled-134.jpg



A Balfour with bladder blade (self-retaining)

is used to retract wound edges during deep abdominal procedures.


http://i141.photobucket.com/albums/r75/monaa2007/untitled-135.jpg




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