LA Special Surgical Instruments & Equipments (9) Flashcards
Dr. Devine
What is in the large animal pack?
- mayo-hegar, olsen-hegar
all similar to small animal
What blades are in a large animal pack?
No. 3: 10, 11, 15
No. 4: 20, 22
What is this used on? What instrument?
Rochester Oschner - used only on tissue that’s going to be removed - pointy end: traumatic
Instrument?
Russian forceps
Instrument?
foerster sponge forceps
What are the types of retractors in LA?
- Senn retractor
- Army-Navy retractor
- malleable retractor
- Hohmann retractor
How is the LA laceration pack different from small?
less instruments, include sterile towels for drapes
How do instruments for LA compare with small?
bigger scalpels/scalpel blades used for bigger incisions
Which hemostats do you normally use for large animals?
kelly - NOT mosquito
What are metzenbaum scissors used to cut?
fine tissue
What are the self-retaining retractors?
- gelpi
- weitlaner - fork thing
What is the Balfour retractor used for in LA?
rectovaginal tears
What is the purpose of doyen intestinal forceps?
occlude the lumen of the small intestine with minimal trauma
What is the TA-90 in LA?
thoracoabdominal stapler
does not cut, only double row of staples
What are the ILA and GIA?
linear stapler
cuts and divides at the same time
What is the LDS?
ligating dividing stapler
useful on mesenteric vessels
What are ligating clips?
- quick ligation of vessels
- can slip off easily
What are skin staples?
- rapid closure of surgical incisions
- have been associated with surgical site infections
- appose or EVERT
What are the advantages and disadvantages of GI staplers?
What are the equine emasculators?
- serra - simultaneous crush and cut
- modified white - simultaneous crush and cut
- reimer - crush, separate cutting handle
- sands - crush only
- henderson
What are the ruminant castration tools?
What is a chain ecraseur?
- can be used in ovariectomies
- removal of other masses with blood supply
What are the types of arthroscopy equipment?
- tower
- arthroscope
- light cable and fluid line
- instrumentation
In arthroscopy equipment, which part goes in the joint?
light source and scope part
What is this?
cannula and obturator
What do ferris smith rongeurs do regarding arthroscopy equipment?
grabs cartilage flaps, osteochondral fragments
What are currettes with arthroscopy?
scrape at subchondral bone, break up stuff
Look at bone plates and screws
What is this?
guarded aryepiglottic hook knife
What are lasers used for in LA?
commonly used in URT surgeries
- scar tissue
- incise/excise mucosa or masses
- can get into tight space of larynx/pharynx
How do lasers work?
- generates an intense beam of light that can cut, seal, or vaporize tissue
- energized molecules emit a certain wavelength of light
What is a downside to lasers?
area of thermal necrosis - negative effect on wound healing of primary closed incision
What are the advantages and disadvantages of lasers versus conventional surgery?
When do you use lasers in LA surgery?
