Operating instruments

Surgical Instruments For B.Sc Nursing Students

1. OPERATING INSTRUMENTS A TOOL TO THE SURGEON

2. USED FOR PREPARING AND DRAPING Cheatle’s Forceps Used for picking and Transferring

3. USED FOR PREPARING AND DRAPING Rampley’s Sponge Holding Forceps Holding Sponge or gauze to clean the operative field

4. USED FOR PREPARING AND DRAPING Mayo’s towel clip Fix drapes in a manner to expose operative field only Also used to fix tubing’s and cautery wire to drapes in a way that they don’t fall

5. USED FOR PREPARING AND DRAPING Doyen’s Cross action towel clip This clip can be substituted for mayo’s towel cli p

6. USED FOR PREPARING AND DRAPING Moynihans Tetra towel clip Holding drapes and cover cut margins of incisions with sterile sponges

7. For skin incision Bard-parkers Knife handle with detachable blade For making the surgical blade handy and easy to use providing grip The hole unit along with the blade is called scalpel.

8. For skin incision Surgical blades For stab incisions

9. For Securing homeostasis Artery forceps Small size-Mosquito Medium Large. Uses As a hemostat, holding cut edges, to open up abscess, hold free ends of the suture, hold cut end of the sutures, breaking loculi etc.

10. For Securing homeostasis Kocher’s Forceps Uses To hold securely superior thyroid pedicle vessels Hold retracting cut ends of vessels in tough fibrous tissue Hold ribs during rib resection To cause artificial rupture of gestational membrane

11. For Securing homeostasis Right Angled artery forceps Uses Ti isolate, encircle and ligate vessels or ducts those especially present in depths

12. For Securing homeostasis Bull dog arterial clamp Uses Used to clamp small, medium and large sized vessels

13. For Securing homeostasis Satinski’s bicurved arterial clamp Uses Partial occlusion of major vessels like inferior vena cava, aorta for their repair

14. For Securing homeostasis Liga clips Uses Mainly used in laparoscopic surgery to clamp vessels and ducts

15. Retractors Single/double hook retractor Uses To retract skin edges To retract tough fascia

16. Retractors Cats paw/volkman’s retractor Uses Retraction of skin and tough fascia

17. Retractors Langenbeck’s retractor Uses In operation involving a lot of dissection in superficial muscle pane which requires retraction E.g. hernioplasty.thyroidectomy

18. Retractors Czerny’s retractor Uses Superficial retraction of skin incisions during laparotomy

19. Retractors Morris retractor Uses To retract strong structures like abdominal wall muscles and it gives wider space to work

20. Retractor s Harrington’s retractor Uses To retract soft intra-abdominal visceral organs E.g. cholecystectomy, hysterectomy

21. Retractors Deaver’s retractor Uses Same as Harrington's

22. Retractors Doyen’s retractor Uses Used in pelvic surgery for retraction at the caudal end of abdominal incision.

23. Retractors Self retaining abdominal retractor Uses used in the prolonged abdominal operations. With its application there is no need for an assistant continuously retract

24. Retractors Allison’s lung retractor Uses Thoracic surgery to retract lung special blades protect the lungs from damage

25. Retractors Finochietto’s self retaining chest wall retractor Uses Retracting two ribs apart during thoracotomy operations To separate two halves of sternum

26. Dissecting forceps Dissecting forceps/thumb forceps Plain To hold delicate tissue like peritoneum, vessels, bowel wall, etc Toothed to hold tough sutures like skin,fascia,rectus sheath while suturing.

27. Tissue holding forceps Allis tissue forceps Uses To hold thin but tough tissues for purpose of giving traction Can be used to hold tissues like fibrous capsule of sac being dissected E.g. holding subcutaneous tissue, deep fascia

28. Tissue holding forceps Lane’s tissue forceps Uses Holding bulky tissues To hold appendix along with mesoappendix during appendicectomy May be used conveniently as a towel clip

29. Tissue holding forceps Babcock’s tissue forceps Uses To hold soft and delicate tissues such as stomach, small/large bowel, appendix, and fallopian tube

30. Tissue holding forceps Valsellum and Tenaculum Uses Mainly used in gynecological operations to hold the tip of cervix This structure is similar to alli’s forceps except they are very long

31. Scissors Scissors are used for sharp as well as blunt dissection and also for cutting various tubing's, surgical dressings, gauze, sutures etc Two types Tissue cutting and dissection scissors Scissors for other purpose

32. Scissors MetZenbaum curved on flat dissections Uses For Dissecting out soft tissues or connective tissue planes For cutting soft tissues, adhesions, bowel, etc.

33. Scissors Gauze or Suture cutting Scissors Straight or curved Uses For cutting bandages, lint gauze, rubber tubing's,etc. To cut away excess sutures materials after tying the knot

34. Special instruments in General Surgery Joll’s self retaining thyroid retractor Uses For retraction of skin flaps in thyroidectomy

35. Special instruments in General Surgery Doyen’s Mouth Gag Uses For intraoral operations E.g. Tongue excision, Prolonged dental procedures To open mouth in an unconscious patient for toileting

36. Special instruments in General Surgery Bowel Clamps Moynihan’s non-crushing gastric clamp Uses To hold and occlude stomach during gastrectomy,gastrojejunostomy,etc

37. Special instruments in General Surgery Bowel Clamps B, Payr’s crushing gastric clamp Uses For partial and total gastrectomy

38. Special instruments in General Surgery Lane’s twin gastroenterostomy clamp Uses In gastrojejunostomy The stomach and jejunum are held close to each other by this instruments

39. Special instruments in General Surgery Doyen’s intestinal clamp(non crushing) Uses It is used for resection-anastomosis of the intestine in case of Strangulated hernia Accidental injuries to the gut Intestinal growths Gastric/intestinal bypass operations

40. Special instruments in General Surgery Cholecystectomy forceps Uses