Common Instruments in Gynaecology

Question 1

What is this?

Answer 1

Cusco speculum

Question 2

What is this?

Answer 2

Sims speculum: useful for women with prolapse (hold in C-shape manner)

Can be inserted anteriorly or posteriorly

Question 3

What is this?

Answer 3

Polypectomy / ring / sponge forceps

Commonly used to avulse/remove endometrial polyps

Question 4

What is this tool?

Answer 4

Single-tooth vulsellum (two sharp teeth)

Useful for straightening out the cervix for procedures such as endometrial aspiration = apply to anterior lip of cervix, lock it and pull towards you to straighten axis of uterus

Question 5

What is this tool?

Answer 5

Double-tooth vulsellum: same use as single-tooth

Question 6

What is this?

Answer 6

Hegar dilators: used to dilate the cervix

Question 7

What is this?

Answer 7

Cervex-Brush for cervical smear

After the cells have been obtained, suspend them in a liquid-based cervical cytology

Question 8

What is this?

Answer 8

Endometrial sampler: Once instrument is inserted into uterine cavity, pull it backwards to generate a vaccuum in which the endometrial tissue will be collected into the tube

Insert the tube back and push the tissue into a formalin bottle for histology

Question 9

What is this>

Answer 9

Uterine sound: Markings on the side in cm to measure length of uterine cavity

Question 10

What are these?

Answer 10

Uterine curette

Uterine curettage to obtain endometrial sampling in the uterus (remove material by scraping)