Abdominal retractor

It is helpful to each and every operation theater technician.
All types of retracters are used in surgery, completely defines in this slide.

1. King Georg’s Medical University DRx Prashant Kumar O.T.Tech . KGMU D.Pharma UPBTE Lucknow U.P KGMU Institute Of Paramedical Sciences Topic :- Abdominal Retractors

2. Diffinition 🠶 A retractor is a surgical instrument used to separate the edges of a surgical incision or wound, or to hold back underlying organs and tissues so that body parts under the incision may be accessed.

3. Types of surgical retractors 🠶 There are two broad categories of retractors 🠶 1- Hand retractors (Manual) : must be held by an assistant, a robot or the surgeon during a procedure. 🠶 2 - Self retaining retractors : 🠶 Have a screw , ratchet or some type of clamp to hold the tissue by itself. These allow the surgeon with two free hands 🠶 Various types of retractors are usually named after the organ which they are used in conjunction with.

4. 1. Senn - is a handheld, double-ended retractor used to retract primarily surface tissue. "Often used in plastic surgery, small bone and joint procedures, or thyroidectomy and dissection of neck tissue." Common Hand- held retractors (manual):

5. 2. Army- Navy - Used to retract shallow or superficial incisions. From small wounds to abdominal operations.

6. 3. Ribbon (Malleable) Used to retract deep wounds. May be bent to various shapes to assist in holding back tissue.

7. 4. Hohmann - used in orthopedics to expose bone for procedures.

8. 5. Farabeuf - general use . It is a versatile handheld retractor that is used in multiple procedures. It may be used in dentistry, wrist and hand procedures, or in hernia repair to name a few.

9. 6. Meyerding - frequently used to hold back tissue and muscle in spinal and neurosurgical procedures such as laminectomy.

10. 7. Deaver - used to retract deep abdominal or chest incisions. Used in Cholecystectomy, for retraction of right lobe of liver. Used in Truncal vagotomy (division of the main trunk of the vagus nerve) for retraction of left lobe of liver.

11. 8. Richardson - retract abdominal or chest incisions. Used for holding back multiple layers of deep tissue. This is one of the most common general retractors.

12. 9. Morris Retractor is used to retract abdominal wall incisions, loin incisions and subcostal wounds. ..

13. 10. The Young P u s r e o d s t t a o t i r c e R t r e a t c r t a t c h t e o r is prostrate during partial prostatectomy, radical prostatectomy and nodular resection.

14. Self-Retaining Retractors 🠶 1. Weitlaner - It is a popular instrument, most commonly used in basic plastic surgery, large bone and joint procedures.

15. 2. Balfour Abdominal R w e o t u r n a d ct e o d r g - es Re d t u r r a i c n t g deep abdominal procedures.

16. 3. Finochietto R (r i i b b s R p e r t e r a a d c e t o r ) r specifically designed to separate ribs in thoracic surgery.

17. 4. Hip R s e e l f t r r a e c t a t o i n r i n s g y s h t e i p m - retractor helps to free assisting personnel while providing excellent exposure during hip arthroplasty and hip fracture surgery.

18. 5. Gelpi - retract shallow incisions. Often used in smaller surgical sites. Common in spine surgery

19. 6. The Joll ( R F e r t i a e i d n m ing an R ) e S tr e a lf ctor: is used to retract soft tissues in small surgical sites, like in thyroid and vaginal surgeries.

20. 7. Omni-Tract Wishbone retractor systems Excellent for upper abdominal surgery or anywhere soft-tissue encroachment is a challenge

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