Abdominal hystrectomy set

umar tariq aga

1. ABDOMINAL HYSTRECTOMY SET LECTURER:UMAR TARIQ MSC ANAESTHESIA/OTT

2. Abdominal hystrectomy set contains General set Right angle ( mixters )-2 Babcock forcep -2 Tenaculam forcep Uterine holding forcep Hystrectomy clamp(straight-2,curver- 2). Anterior vaginal wall retractor. Deaver retractor-2 Needle holder-2. Myoma screw. Foly`s catheter Abdominal drainage

3. Babcock`s forceps This forceps is 15-25 cm long, fenestrated triangular blades and grooved jaws. It has firm grip on the tube without crushing or damaging its blood supply and mucosa. Used to hold or fix the fallopian tube, in operations like tubectomy,tuboplasty. Also used for handling the appendix, intestine,ureters, thyroid gland etc. It is non-traumatic instrument

4. Tenaculam forcep Long handle with one sharp point on each blade of the forceps. It causes least injury to cervix It is applied by catching the anterior lip of the cervix transversely. Used to hold cervix in nulliparous women.

5. Uterine(uterus) holding forcep ( shirodkar`s ) Retracts posterior vaginal wall. Used in major vaginal operations e.g. amputation of cervix in cancer. Large instrument, having catch clamp and curved blades Used to hold the uterus during various uterine surgeries e.g. salpingectomy. Also used in tuboplasty.

6. Zeppelin hysterectomy clamps Atraumatic jaws that holds tissue firmly with minimal tissue demage . Tip serrations and longitudinal grooves to prevent slippage Both straight and curved Mainly used for deeper pelvic procedures and obese patients.

7. Deaver retractor Popularly called Deaver liver retractor. It has along blade and operation end is curved. Can be used to retract liver during cholecystectomy,gastrectomy,vagotomy etc Can be used to retract the urinary bladder during surgery on the rectum.

8. Myoma screw This instrument is a coarse threaded screw with a pointed tip and the other end is handle. It is screwed into the myoma which helps to steady it and also heps to lift up the fibroid which is then enucleated. Used to give traction to the uterus during hystrectomy .

9. FOLEY`S CATHETER Made up of latex rubber. The catheter has two channels, one for drainage of urine and the another for inflating the subterminal bulb.

10. INDICATIONS Retroverted gravid uterus with retension of urine Monitoring of urine output in cases like LSCS, eclampsia etc Prolonged obstructed labour Surgery on uterovaginal prolapse—3 days Abdominal hystrectomy—24 hrs Vesicovaginal fistula repair –7 days Repair of bladder injury 7 days LSCS—2-3 days

11. Abdominal drainage Contents can be measured. Soakage around wound is minimal. Secondary infection is less because it is closed system. Vacuum can be applied, hence it can also be called suction drains( romovac , redivac )