IMAGE BASED QUESTIONS
CU-T
380A
LevonorgestrelIU system
(MIRENA)
IMAGE BASED QUESTIONS
VAGINAL SPONGE
IMAGE BASED QUESTIONS
IMAGE BASED QUESTIONS
IMAGE BASED QUESTIONS
METHOD OF DELIVERY IN BREECH
METHOD OF DELIVERY IN BREECH
METHOD OF DELIVERY IN BREECH
METHOD OF DELIVERY IN BREECH
IMAGE BASED QUESTIONS
Vaginal Sims Speculum
Vaginal Sims Speculum
?Dobulebladed tNon self retaining
?To retract the posterior vaginal wall
?It has a groove for drainage of discharge
?USED :-
1.To visualize Vagina and Cervix
2.In OPD procedure like = IUCD insertion, PAP smear, Ex Biopsy
3.In MTP Procedure And Abortion :-Suction Evacuation
4.TO confirm PROM
5.In major and Minor Gynaesurgery
Anterior Vaginal Wall Retractor
Anterior Vaginal Wall Retractor
?Used Same as simsspeculum
?Rarely used as blunt curette in obestetrics
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?Self retaining Speculum
?Anterior and Posterior wall of vagina can not be seen . So, Not used
for the diagnosis of prolapse
?Less space available to carry out procedures = So, can not be used in
major and minor surgery
?USES =
1.In OPD procedure like = IUCD insertion, PAP smear, Ex Biopsy
2.Routine per speculum examination
VULSELLUM
VULSELLUM
?It is used to catch hold the anterior lip of the cervix.
?D+E operation
?Suction evacuation
?As it produce trauma to the soft and vascular cervix, Allis tissue
forceps is used instead
SINGLE TOOTH TENACULUM
SINGAL TOOTH TENACULUM
SPONGE HOLDING FORCEPS
SPONGE HOLDING FORCEPS
?Toileting the vulva, vagina and perineum prior to and the folloeing
delivery.
?Antiseptic painting of the abdominal wall prior to cesarean section.
?To catch hold the membranes if it threatens to tear during delivery of
the placenta.
?To catch hold the cervix(2pairs are needed) for inspection in suspected
cervical tear.
?To catch hold the cervix during encirclageoperation
CHEATLE FORCEPS
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?Prior to endometrial curettage
?Prior to suction aspiration for first trimester MTP.
?Prior to suction evacuation of mole.
?Removal of endometrial polyp, placental polyp, leiomyomatouspolyp
?Hysteroscopy
?Amputation of cervix, )RWKHUJLOO?Voperation, following cervical
conization
?Cervical stenosis
UTERINE SOUND
UTERINE SOUND
?To know the position of the uterus and the length of the uterine
cavity prior to dilatation of the cervix in D+E operation.
?To sound the uterine cavity to detect any foreign body (IUCD)
?It acts as a first dilator of the cervical canal
UTERINE SOUND
BLADDER SOUND
UTERINE CURETTTE
UTERINE CURETTE
?Its common use in obstetrics in the operation of D+C for incomplete
abortion.
?In D+E operation, the curettage is done by blunt curette as the
uterine wall is very soft.
?It can also be used in D+C operation one week following evacuation of
hydatidiformmole.
ENDOMETRIAL BIOPSY CURETTE
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?The plastic cannula has got advantages over the metallic one-as it
cause less damage to the uterine wall and the product sucked out is
visible.
?It is used for S+E and MVA.
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AYERS SPATULA AND ENDOCERVICALBRUSH
BP HANDLE
SURGICAL BLADES
NEEDLE HOLDER
ALLIS FORCEPS
ALLIS FORCEPS
ALLIS FORCEPS
?To catch hold the anterior lip of the cervix in D+E operation
?To hold the apex of the episiotomy wound during repair.
?To catch hold of the margins of the peritoneum, rectus sheath, vaginal
mucosa during repair.
?To catch hold of the torn ends of the sphincter aniexternusprior to
suture in repair of complete perinealtear.
?To catch hold the margins and angles of the uterine flaps in LSCS after
the delivery of the baby as an alternative to Green-Armytage
hemostatic clamp.