Instruments in VOBGYN

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1. Instruments in OBGYN

2. Uterine sound

3. Uses of uterine sound It measures the uterine cavity and the cervical length. It is used to diagnose cervical stenosis. It is used to sound a polyp, IUCD or uterine septum. It helps to break adhesions in Asherman syndrome. It differentiates between chronic inversion and fibroid polyp. In a misplaced IUCD, the uterine sound can be inserted and X-ray of the pelvis taken, and the position of IUCD in relation to the sound shows if IUCD is perforated. 3

4. Presentation title 4 Amnio Hook

5. Presentation title 5

6. Presentation title 6 Flexible plastic curette used for minimally invasive tissue collection pipelle indicated for evaluation of abnormal uterine bleeding Endometrial Biopsy.

7. uses The blunt end, which has a perforation near the tip, is passed through the cervix into the womb and the piston drawn sharply back. In this way a small core sample of tissue is obtained. The end of the sheath is then cut off and sent to a laboratory for histological examination. The procedure can often be performed without anaesthesia . Presentation title 7

8. Hegar’s dilator

9. Hegar’s Dilator Hegar,s dilator is a slightly curved solid metallic instrument. There is a number on the instrument that indicates the maximum external diameter of the tip in mm. The hegar dilator is available in a set of 12 from 1mm to 24 mm. it’s used in gynecological operations to dilatation of the cervix and internal os . Presentation title 9

10. Hawkin ambler dilator

11. Hawkin ambler dilator it’s mainly used in obstetric operations for cervical dilatation. it is a single-ended 17.5 cm long curved instrument and gradually tapering near the tip. there is a circular handle at the non dilating end with a number marking on it. each dilator has a difference of 3mm from the tip to the maximum dilating portion. they are available in a set of 16pc Sizes 3-6mm – 18-21mm. Presentation title 11

12. 12 Doyen myoma screw

13. Presentation title 13 USES To fix the myoma after the capsule is cut open an to give traction while the myoma is enucleated out of its bed (myomectomy). To give traction in a big uterus (multiple fibroid) Requiring hysterectomy while the clamps are placed. To lift out a big uterus for ease of operation through the abdominal incision It has one spirally designed side that ends at a sharp point. Others end is the handle. The sharp spirally designed end goes inside the myoma during the operation.

14. Presentation title 14 Leech wilkonson’s cannula It is a long metallic instrument having two ends and a channel inside The uterine end is shaped like a cone and is spirally designed. The other end has a valve device through which a radio-opaque dye can be pushed in. During HSG, a syringe is required to push the dye, iodine containing radiopaque dye ( urgoffin ) It is done in radiology department without anesthesia

15. uses Hysterosalpingography For hydrotubation Laparoscopic chromopertubation Presentation title 15

16. Presentation title 16 FOLEY’S CATHETER USE- continuous drainage of bladder INDICATIONS : Ecclampsia Retroverted gravid uterus To give rest to bladder following any destructive operation in case with suspected bladder injury Management of atonic PPH Operations

17. ventouse

18. Vacuum cup A ventouse (vacuum cup) is attached to the baby’s head by suction. Soft or hard plastic or metal cup is attached by a tube to a suction device. The cup fits firmly onto fetal head. During a contraction and maternal pushing, the obstetrician pulls to deliver baby. Presentation title 18 USE - in the operation of vacuum extraction of the head INDICATIONS – Alternative to forceps assisted delivery Can be used when rotation is not complete

19. Rubin’s cannula 19

20. USes Presentation title 20

21. Obstetric forceps 21

22. OUTLET FORCEPS USES - extraction of the head

23. Pinard fetoscope 24 Used to auscultate fetal heart sounds. Tapering end is applied to examiner’s ears Not frequently used

24. 1. Cu T 2. 3. Mirena

25. pessary Used in UV prolase 27

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