gen retractors

Question 1

Army-Navy Retractor

Answer 1

• Retracting/viewing

Handheld: Used in pairs for counter retraction in procedures such as an appendectomy and breast biopsy.

• Atraumatic: Used in narrow incisions with ½” to 1½” of depth to retract edges of the wound and provide optimal visibility for the surgeon.

Question 2

Gelpi Retractor

Answer 2

• Retracting/viewing
• Size: Variable
• Self-retaining: Used on tough tissues such as fascia and periosteum when all hands are busy or two handheld retractors are not enough to provide good exposure.
• Traumatic: Used to hold two edges of dense tissue apart while another pair of retractors holds edges in the perpendicular direction.

Question 3

Goulet Retractor

Answer 3

• Retracting/viewing
• Handheld: Used in pairs for counter retraction in procedures such as inguinal hernia and breast
  biopsies.
• Atraumatic: Used in mid-sized incisions to retract skin through fascia tissue by selecting the retracting end based on depth/width of incision.

Question 4

Senn Retractor

Answer 4

• Retracting/viewing
• Handheld: Used in pairs for counter retraction in procedures such as
  carpal tunnel and podiatry cases.
• Used in small superficial incisions to pull back the skin edges of the
  wound and provide visibility during the procedure.

Traumatic and Atraumatic: one end is small 3 prong that holds fatty tissue ( prevenst slipage. ( sharp or dull) can punctue a blood vessel and gloves. handel with care. other side is a right angle, used to hold small iscisions next to bld ves or nerves.

Question 5

Abdominal Fisch

Answer 5

Retracting/viewing
Size: Variable

• Atraumatic: Used when closing major abdominal incisions to protect underlying viscera.
• It lays over the abdominal contents, protecting the organs
  while the abdominal wall is sutured closed.

Question 6

Balfour with the Bladder Blade

Answer 6

Retracting/viewing

Size: Retractor comes with variable blades.
Blades come in variable sizes

• Self-retaining: Allows traction from three different directions at the same time
  leaving the scrub crew’s hands free for other tasks.
• Atraumatic: Used for large abdominal incisions for visualization.

(just in case its just the bladder blade on the test)

The blades on the Balfour can often be exchanged for shallower ones for thinner patients. Pass the Balfour to the surgeon with the blades together and pointing
down into the abdomen. Once that piece is in place, pass the bladder blade which the surgeon will attach to the wing nut devise.

Question 7

Deaver Retractor

Answer 7

Retracting/viewing

Size: Variable (lengths and widths)

• Handheld: May be used in pairs for counter
  retraction or for single sided retraction in most major abdominal procedures.
• Atraumatic: Used in major abdominal or vaginal procedures to retract deep tissue

Question 8

Green Loop Retractor

Answer 8

Retracting/viewing

• Handheld: Used in procedures that would need to retract the thyroid or subcutaneous tissue.
• Atraumatic: Used to retract skin and fatty tissue
  in shallow incisions without bruising.

Question 9

Harrington Retractor

Answer 9

• Retracting/viewing
• Handheld: Used in
  procedures that required retraction of
  the liver.
• Atraumatic: The broad smooth surface of the heart shaped blade gently holds the fragile liver, while the indent at the top of the heart straddles the gallbladder.

Question 10

Parker Retractor

Answer 10

Retracting/viewing

• Handheld: Used in pairs for counter retraction
  in pediatric and neck incision procedures.
• Atraumatic: Used to retract the skin and fatty
  tissues of small shallow incisions.

Question 11

Pratt Rectal Speculum

Answer 11

Retracting/viewing

Size: Variable

• Self-retaining: Used in rectal procedures.
• Atraumatic: Lubricated with KY Jelly an inserted into the rectum for visualization deep into the cavity.

Question 12

Rake Retractors

Answer 12

Retracting/viewing

Size: Variable widths (according to the number of teeth (two to six))

• Handheld: Used in pairs for counter retraction in procedures such as mastectomy or orthopedics.
• Atraumatic and Traumatic (comes in sharp and dull): used to retract the thick layers of tough
  skin/fatty/fascia tissue.

Question 13

Ribbon Retractor

Answer 13

• Retracting/viewing
• Size: Variable lengths (6” to 12”) and widths (1/2” to 3”)
  .
• Handheld: Used to retract and protect delicate tissue such as the brain and abdominal organs.

Used instead of an abdominal fisch for closing abdominal incisions to protect underlying viscera.

Question 14

Richardson Retractor

Answer 14

Retracting/viewing

Size: Variable (length and width)

• Handheld: May be used in pairs for counter
  retraction or for single sided retraction in most
  major abdominal procedures.
• Atraumatic: Select the one that matches the
  thickness of the patient from the skin to the
  peritoneum.

Question 15

Vein Retractor

Answer 15

Retracting/viewing

• Handheld: Used for single sided retraction of
  small delicate structures.
• Atraumatic: Used to retract veins or similar
  small quantities of tissue.

Question 16

O’connor O’sullivan Retractor

Answer 16

Retracting/viewing

Size: Variable (ring size and blades with variable blade sizes)

Self-retaining: Allows traction from
four different directions at the same time leaving the scrub crew’s
hands free for other tasks.

• Atraumatic: Used for medium abdominal incisions (GYN
  procedures) to allow for
  visualization.

Question 17

Weitlander Retractor

Answer 17

Retracting/viewing

Size: variable

• Self retaining: Used to retract medium amounts of tough tissue (muscles, bone) in shallow incisions.
• Atramatic/Traumatic: comes in sharp for fatty or dense tissue and blunt for delicate structures.

Question 18

Right Angle Retractor

Answer 18

Retracting/viewing

• Handheld: Used for single sided retraction of deep tissue.
• Atraumatic: Used to retract abdominal organs in laparotomies or the vaginal walls to visualize the cervix.