Explanation and Identification of General Surgery Instruments

1. SURGICAL INSTRUMENTS

2. PLANE AND TOOTH DISSECTING FORCEPS

3. KOCHER FORCEPS

4.  Hold cut ends of vessels
 Hold superficial vessels of thyroid
 Hold rib during resection
 To cause artificial rupture of membrane
 Hold uterine pedicle

5. MORRIS,S RETRACTOR

6.  Retract abdominal wall and musculature
 Laparotomy
 Lift abdominal wall and musculature
 Right and left hemicolectomy

7. RIGHT ANGLE,RICHARDSON,MORRIS

8. NON CRUSHING INTESTINAL FORCEPS

9. NON CRUSHING INTESTINAL FORCEPS

10.  CRUSHING
 Resection and anastomosis of gut
 NON CRUSHING
 Resection and anastomosis of gut
 Occlusion helps in preventing any peritoneal soiling
 Also used as hemostat

11. BABCOCK”S TISSUE FORCEPS

12.  Hold delicate structure like fallopian tube, ureter ,
appendix
 Used to hold gut wall as in colostomy or gastrostomy
 Used as hemostat

13. RICHARDSON

14.  Wide retraction
 umblical hernia

15. NEEDLE HOLDER

16. TOOTH FORCEPS

17. RIGHT ANGLE

18.  As retractor in appendicectomy , skin suturing
 Hernioplasty
 Cyst removal
 Lipoma removal

19. SPONGE HOLDING FORCEPS

20.  Cleaning operative field
 For swabbing cavity
 For packing cavities
 To hold hollow organs like gallbladder
 Hold cervix in pregnant patients

21. SINUS FORCEPS

22.  To break all loculi in abcess
 breast
 parotid
 cold
 ischio rectal

23. PLANE AND TOOTHED DISSECTING
FORCEPS

24.  Plane
 used for holding delicate structure like vessels ,
bowel wall ,peritoneum
 used to hold skin over face
 Toothted
 hold skin for suturing

25. DISSECTING FORCEPS

26. TOUCH FORCEPS

27. DISSECTING AND TOUCH FORCEPS

28. ARTERY FORCEPS
 As hemostat
 To crush base of appendix
 To hold cut edges of peritioneum,fascia and
aponuresis
 Hold tape of abdominal packs to the drapes
 CURVED
 To hold artey in depth
 To hold gallbladder

29. SCISSORS
 CURVED
 Dissecting at a depth ,cutting adhesions of growth ,
organ inside abdominal cavity
 Trim suture during closure

30. ALLIS’ TISSUE FORCEPS

31. ALLIS’ TISSUE FORCEPS
 HOLD
 Skin
 Deep fasia
 Rectus sheath
 Sac of hydrocoele
 Bladder neck
 In dissection to hold tissue

32. LANE’ S TISSUE FORCEPS
 HOLD
 Skin
 Lymph nodes
 Appendix
 TOWEL CLIP
 MASTECTOMY

33. LONDON HOSPITAL RETRACTOR

35. LONDON HOSPITAL RETRACTOR
 During appendicectomy to retract peritonium to see
caecum

36. Ousha nasheen
 Deeper structure ressected
 Cystic atery
 Rsection ureter , common bile duct , renal

37. SUTURE
 ABSORBABLE
 Catgut:7-10 days-sc tissue , rapidly healing tissue
 chromic catgut:3weeks , infected and slow healing tissues
 vicryl:3 weeks , stronger than catgut
 poly diaxosone(PDS) :2-6 weeks thoracic abdominal closure ,
infected area , subcuticular structure
 NON ABSORBABLE
 silk , suturing and ligation
 cotton:6 months -2 years , suturing and ligation
 surgical steel : indefinite , abdominal and sternal closure,
tension suturing
 nylon:1 year , skin closure , retension suture , tendon rpair ,
hrniorraphy
 polypropylene : indefinite , general closure , vascular
anastomosis

38. IV drips
 16-20 drops /ml
 Paedriac 60 drops /ml

39. CANULA
 Yellow 24 , flow13ml/min
 Blue 22 , flow33ml/min
 Green 18 , flow 80 ml /min
 Pink 20 , flow

40. NEEDLE
 CUTTING
 stiching skin
 ROND BODIED NEDLE
 peritoneum
 muscles
 fat