General Retractors Flashcards
Army navy retractor
(Us army retractor)
Retracting/ viewing
Counted (ind)
- Handheld: used in pairs for counter retraction in procedures like appendectomy + breast biopsy
- atraumatic: used in narrow incisions with ½” to 1 ½” of depth to retract edges of wound (provide optimal visibility to surg)
Gelpi retractor
Retracting/ viewing
Counted (ind)
- self retaining: used on tough tissues such as fascia and periosteum
- traumatic: used to hold two edges of depose tissue apart while another pair of retractors holds edges in perpendicular direction
Size: variable
Goulet retractor
Retracting/ viewing
Counted (ind)
- handled: used in pairs for counter retraction in procedures such as inguinal hernia and breast biopsies
- atraumatic: used in midsized incisions to retract skin through fascia tissue by selecting the retracting end based on depth and width of incision
Senn retractor
(Matthew senns <atraumatic>)
Retracting/ viewing
Counted (Ind)</atraumatic>
- Handheld: used in pairs for counter retracting in procedures such as carpal tunnel and podiatry cases
- traumatic + atraumatic: one end is small three pronged rake that penetrates the fatty tissue preventing slipping out of position
Abdominal fisch
(The fish, glassman viscera retainer)
Retracting/ viewing
Counted (Ind)
- atraumatic: it lays over the abdominal contents, protecting underlying visceral organs while abd wall is sutured closed
- ring on the cord is left hanging on the outside of the incision, blue bendable portion is left inside
Size: variable
Balfour retractor with the bladder blade
retracting/ viewing
counted (each part ind)
- self retaining: allows traction from three different direction at the same time (leaving the scrub crews hands free for other tasks)
- atraumatic: used for large abdominal incisions for visualization
size: retractor comes with variable blades ( blades variable sizes)
deaver retractor
retracting/ viewing
counted (ind)
- handheld: may be used in pairs for counter retraction or for singe sided retraction in most major ABD procedures
- atraumatic: used in major abdominal or vaginal procedures to retract deep tissue
size: variable (lengths and widths)
green loop retractor
retracting/ viewing
counted (ind)
- 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
Harrington retractor
(sweetheart retractor)
retracting/ viewing
counted (ind)
- handheld: used in procedures that require retraction of the liver
- atraumatic: the broad smooth surface of the heart shaped blade gently holds the fragile live (indent at the top of heart straddles the gallbladder)
Parker retractor
retracting/ viewing
counted (ind)
- 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
pratt recta spectulum
(bivalve rectal retractor)
retracting viewing
counted (ind)
- self retaining: used in rectal procedures
- atraumatic: lubricated with KY jelly as inserted into rectum for visualization deep into cavity
size: variable
rake retractors
(volkmann rake retractors)
retracting/ viewing
counted (ind)
- handheld: used in pairs for counter retraction in procedures such as mastectomy of orthopedics
- atraumatic + traumatic (comes in sharp and dull): used to retract thick layers of tough tissue
size: variable widths (according to # of teeth)
ribbon retractor
(malleable retractor)
retracting/ viewing
counted (ind)
- handheld: used to retract and protect delicate tissue such as the brain and ABD organs
- atraumatic: can be bent into any form necessary and then reshaped
size: variable lengths and widths
richardson retractor
(side- wall retractor)
retracting/ viewing
counted (ind)
- handheld: may be used in pairs for counter retraction or single sided retraction in most major ABD procedures
- atraumatic: select the one that matches the thickness of the patient from skin to peritoneum
size: variable length and width
vein retractor
retracting/ viewing
counted (ind)
-handheld: used for single sided retraction of small delicate structures
-atraumatic: used to retract veins or similar small quantities of tissue
O’connor O’sullivan retractor
retracting/ viewing
counted (ind)
- self retaining: allows traction from four different directions at the same time ( leaves scrub crews hands free for other tasks)
- atraumatic: used for medium ABD incisions (GYN procedures) to allow for visualization
size: variable
weitlander retractor
(weitlaner, wheaty)
retracting/ viewing
counted (ind)
-self retaining: used to retract medium amounts of tough tissue ( muscles, bones ) in shallow incisions
-atraumatic/ traumatic: comes in sharp for fatty or dense tissue and blunt for delicate structures
size: variable
right angle retractor
(Heaney retractor)
retracting/ viewing
counted (ind)
- handheld: used for single sided retraction of deep tissue
- atraumatic: used to retract ABD organs in laparotomies or the vaginal walls to visualize the service
