Operating instruments

OPERATING INSTRUMENTSA TOOL TO THE SURGEON

USED FOR PREPARING AND DRAPING

Cheatle’s Forceps

Used for picking and Transferring

USED FOR PREPARING AND DRAPING

Rampley’s Sponge Holding Forceps

Holding Sponge or gauze to clean the operative field

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

USED FOR PREPARING AND DRAPING

Doyen’s Cross action towel clip

This clip can be substituted for mayo’s towel clip

USED FOR PREPARING AND DRAPING

Moynihans Tetra towel clip

Holding drapes and cover cut margins of incisions with sterile sponges

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.

For skin incision

Surgical blades For stab incisions

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.

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

For Securing homeostasis

Right Angled artery forceps

Uses Ti isolate, encircle and ligate vessels or ducts

those especially present in depths

For Securing homeostasis

Bull dog arterial clamp Uses

Used to clamp small, medium and large sized vessels

For Securing homeostasis

Satinski’s bicurved arterial clamp

Uses Partial occlusion of major vessels like

inferior vena cava, aorta for their repair

For Securing homeostasis

Liga clips

Uses Mainly used in laparoscopic surgery to clamp

vessels and ducts

Retractors Single/double hook retractor

Uses To retract skin edges To retract tough fascia

Retractors Cats paw/volkman’s retractor

Uses Retraction of skin and tough fascia

Retractors Langenbeck’s retractor

Uses In operation involving a lot of dissection in

superficial muscle pane which requires retraction

E.g. hernioplasty.thyroidectomy

Retractors Czerny’s retractor

Uses Superficial retraction of skin incisions during

laparotomy

Retractors Morris retractor

Uses To retract strong structures like

abdominal wall muscles and it gives wider space to work

Retractors

Harrington’s retractor

Uses To retract soft intra-abdominal visceral organs E.g. cholecystectomy, hysterectomy

Retractors Deaver’s retractor

Uses Same as Harrington's

Retractors Doyen’s retractor

Uses Used in pelvic surgery for retraction at the caudal end of abdominal incision.

Retractors Self retaining abdominal retractor

Usesused in the prolonged abdominal operations.

With its application there is no need for an assistant continuously retract

Retractors Allison’s lung retractor

Uses Thoracic surgery to retract lung special blades

protect the lungs from damage

Retractors Finochietto’s self retaining chest wall

retractor Uses

Retracting two ribs apart during thoracotomy operations

To separate two halves of sternum

Dissecting forceps Dissecting forceps/thumb forceps

Plain To hold delicate tissue

like peritoneum, vessels, bowel wall, etc

Toothedto hold tough sutures like skin,fascia,rectus sheath while suturing.

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

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

Tissue holding forceps

Babcock’s tissue forceps Uses

To hold soft and delicate tissues such as stomach, small/large bowel, appendix, and fallopian tube

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

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

Scissors MetZenbaum curved on flat dissections

Uses For Dissecting out soft tissues or connective tissue planes For cutting soft tissues, adhesions, bowel, etc.

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

Special instruments in General Surgery

Joll’s self retaining thyroid retractor Uses

For retraction of skin flaps in thyroidectomy

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

Special instruments in General Surgery

Bowel Clampsa) Moynihan’s non-crushing gastric clamp

Uses To hold and occlude stomach during

gastrectomy,gastrojejunostomy,etc

Special instruments in General Surgery

Bowel Clamps B, Payr’s crushing gastric clamp Uses For partial and total gastrectomy

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

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

Special instruments in General Surgery

Cholecystectomy forceps Uses