INSTRUMENTS
RAMPLEY’S SWAB HOLDING FORCEPS
• Used for cleansing the skin
with swab
• I t is u s e d for r e m o v i n g
laminated membrane.
• Used to hold fundus and
Hartmann’s pouch during
cholecystectomy.
Doyen’s cross action Towel Clips
• Used to fix draping
towels.
• Used for fixing
diathermy cables,
suction tubes,
etc.
• May be used to hold
ribs while elevating
flail segment of chest.
Bard Parker’s Handles
• Blades 10,11,12 and 15
fit in B.P handle 3.
• Blades18,19,20,21,22, 23
and 24 fit in B.P
handle 4.
Spencer Well’s Haemostatic Forceps
• Used to hold bleeding
vessels.
• Used to split internal
oblique and transverse
abdominis during
appendectomy.
• Used to do blunt
dissection.
Kocher’s Haemostatic Forceps
• Used to crush the base
of the appendix during
appendectomy.
• Used to hold meniscus
during meniscectomy.
• Used to do sub total
thyroidectomy.
Mosquito Haemostatic Forceps
• Used to hold fine
bleeding vessels.
• Used to puncture the
mesoappendix at an
avascular site.
• Used in operations of
infants.
Lister’s Sinus Forceps
• Used to do I&D of
abscess by Hilton’s
method.
• Used to hold Gauze
swabs to clean abscess
cavity.
Allis’ Tissue Forceps
• Used to hold skin
while raising skin
flaps.
• Used to pick up a fold
of peritoneum during
laparotomy.
• Used to hold linea alba
while closing midline
incisions.
Babcock’s Tissue Forceps
• Used to pick up
appendix during
appendectomy.
• Used to hold delicate
visceral organs.
• Used to hold cut
margins of bladder
during open
prostatectomy.
Plain Dissecting Forceps
• Used to hold delicate
visceral organs
• Used to hold blood
vessels a n d n e r v e s
while dissecting.
• Used to hold the
hernial sac in hernia
repair.
Toothed Dissecting Forceps
• Used to hold tough
structures like skin
while suturing.
• Used to hold scalp
while scalp suturing.
• Used to hold rectus
sheath while closure of
abdomen.
Needle Holders
Used to hold needles
while suturing.
Mayo’s Scissors
• Used t o c u t t o u g h
structures like linea-alba,
rectus sheath during entry
in to the abdomen.
• Used t o c u t delicate
structures like hollow
viscus, investing layer of
deep fascia of the neck in
thyroid surgery.
• Used to raise skin flaps by
sharp dissection.
Heath’s Suture Cutting scissors
Used to cut sutures on
skin and mucous
membrane.
Langenbach’s Retractor
•They are used to help
better visualisation
of the operative field,
tissue handling is
minimised and
bleeding better seen
and controlled.
Morris Retractor
• Used while making
and closing abdominal
incisions for ease of
working in the deeper
layers.
• Used to retract
Pectoralis major in
MRM f o r b e t t e r
visualization during
axillary dissection.
Deaver’s Retractor
• Used in
Cholecystectomy for
retraction of right lobe
of liver.
• Used in Truncal
vagotomy for
retraction of left lobe
of liver.
• Used in kidney
operations to retract
the anterior
abdominal wall.
Joll’s Thyroid Retractor
It is a self retaining
retractor used in
thyroid surgeries to
retract the skin.
Metallic Probe
• Used to assess the
depth of penetrating
injuries.
• Used to assess the
length of sinus.
Lahey’s Right Angled Forceps
• Used to dissect the cystic
duct and artery in
cholecystectomy.
• Used in Vagotomies t o
dissect the vagus nerve and
pass ligatures around them
before division.
• Used in thyroid surgeries to
dissect and ligate middle
thyroid vein, etc.
Desjardin’s Choledocholithotomy
Forceps
• Used to remove stones
from common bile
duct.
• Used to remove stone
from kidney, bladder
stone.
Metallic Bougie
• Used to dilate urethra
in urethral strictures.
• Used to dilate urethra
before cystoscopy.
• Used to repair
ruptured urethra.
Bakes’ Dilator
• Used in Choledocho-
lithotomy, after removing
the stones from the bile
duct, it is used to sound
t h e bile d u c t for any
retained stones.
• The patency of the ampulla
can checked, In impacted
stones or ampullary
stenosis.
Doyen’s Intestinal Clamps
Used in gut resection
and anastomosis.
Suprapubic Cystolithotomy Forceps
Used in suprapubic
cystolithotomy to
extract the stone from
the bladder.
Red Rubber Catheter
• It comes in sizes of
6,8,10etc.
• Used to drain urine.
• Used to measure amount of
residual volume of urine.
• Used to administer
chemotherapy drugs for Ca
bladder.
Foley’s Self Retaining Catheter
• Diameter of the catheter in
mm.
• Used to drain urine.
• Used in suprapubic
cystostomy.
• Used for urethral
catheterisation following
prostatectomy.
Malaecot’s Catheter
• Used in suprapubic
cystostomy.
• Used to drain abscess
cavities.
• Used as intercostal
tube drain.
Kelly’s rectal Speculum
• Used to diagnose
haemorrhoids,
anal polyps,
internal opening
of the perianal
fistula.
• Used to take biopsy
from anal, rectal
growth.
• Used in polypectomy.
Flatus tube
• Used to relieve
gaseous distension of
large g u t d u e t o
paralytic ileus.
• Used to decompress
sigmoid volvulus non
operatively.
Fuller’s Metallic Tracheostomy tube
• Indications:
• FB impacted in larynx.
• B/L recurrent nerve palsy.
• Acute laryngeal edema.
• In respiratory paralysis
requiring mechanical
ventilation for longer
periods.
Disposable Corrugated Drain
Used as a drain to
drain pus, blood,
etc
Mayo’s Vein stripper
Used to do stripping of
varicose veins.
Giglie’s Saw
• Used to cut bones in
amputations.
• Used to do
craniotomies.
Bladder wash Syringe
• Used to give bladder
wash with antiseptic
solution.
• Used to clear blocked
foley’s catheter.
Suprapubic Cystotomy Trocar and
Cannula
• Used to perform suprapubic cystotomy
secondary to urethral rupture to relieve
urinary retention.
• Used t o p e r f o r m s u p r a p u b i c cystotomy
secondary to distal urethral obstruction.
Disposable Core Biopsy Trocar and
Needle
Used to take core
biopsy from
breast, liver for tissue
diagnosis.
Vim Silverman’s Liver biopsy Trocar and
Needle
Used to take liver
biopsy.
Bone cutter and Bone Nibbler
Used to reshape the
bone during
osteotomies and
amputations.
Bone Chisel and Osteotome
Used to chip out bone.
Used to perform
osteotomies.
Rib Cutter
• Used to cut ribs in case
of draining empyema
thoraces.
• Use to resect a part of
the rib.
Bone Saw
• Used to cut bone in
case amputation.
• To cut casts.
Periosteum Elevator
Used to elevate the
periosteum during
amputations.
Kidney Tray
Used to collect
specimens.
Used to safely transfer
sharp instruments.
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