Surgical Instruments

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1. Surgical Instruments Presented by: Dr. Hasan Khalaf Senior Resident Salmaniya Medical Complex July 2017

2. 1. Scalpel Handler

3. 1.1 Bard Parker Number 3 Most commonly used

4. 1.2 Bard Parker Round Knurled Better control and comfort because the angle of the blade may be changed by rolling the handle with the fingers For delicate areas like eyelid and ears

5. 1.3 Beaver Handle For most delicate areas like eyes and ears and has special blades.

6. Quick Review!

7. 2. Scissors Are used for cutting skin, undermining, cutting sutures and removing wound dressing

8. 2.1 Iris scissors Has the sharpest edge and used for sharp dissection on the face Ideal for removing thin sections during MOHS microscopic surgery

9. 2.2 Gradle scissors Small, delicate, sharp tipped, and tapered to a very fine point with a gentle curve

10. 2.3 Wescott and castroviejo scissors Operate on a spring system around the eyes

11. 2.4 O’Brien scissors Short angled blade for cutting sutures in delicate areas

12. 2.5 Metzenbaum scissors Blunt end for blunt dissection

13. 2.6 Spencer scissor Used for cutting sutures

14. Quick review!

15. 3 . Foreceps Delicate handling of tissue and suture needles during surgery. Divided into toothed and serrated

16. 3.1 Adson forceps Used for excisional surgery on the trunk and proximal extremities

17. 3.2 Bishop Harmon Always has 3 holes For delicate areas like the face and hands

18. 3.3 Foerster forceps Lightweight for delicate areas like the face and hands Rounded ends

19. 3.4 Jewelers forceps Very fine pointed ends used for suture removal

20. 3.5 Splinter forceps Removing splinter, hair transplant, grasping bleeding vessels prior to electro cautery

21. Quick review!

22. 4. Blades

23. NO 10 use for thick skin (Back ) NO 11 used for stab incision and incision and drainage NO 12 suture cutting NO 15 most commonly used in dermatology

24. 5 . Needle Holders

25. 5.1 Webster and Halsey Webster and Halsey needle holder for small needle and fine sutures use on the trunk will lead to their demise

26. 5.2 Baumgartner Serrated jaws Will stand up with repeated use on the back

27. 5.3 Skin hooks Allow to hold skin with minimal injury to tissue Single shepherd hook

28. Final Review!

29. Thank You!