Lecture 9: Special Surgical Instruments & Equipment - LA (Exam 1) Flashcards

1
Q

What is found in a large animal general pack

A
  • Needle drivers (Mayo-hegar & olsen-hegar)
  • Scalpel handles w/ appropriate blades ( #3 & #4)
  • Scissors (Mayo, metzenbam, & lister bandage scissors)
  • Towel clamps
  • Hemostats
  • Thumb forceps
  • Tissue forceps
  • Hand-held retractors
  • Suction tips
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2
Q

What blades are used w/ a #3 scalpel handles

A
  • 10
  • 11
  • 15
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3
Q

What blades are used with a #4 scalpel blade

A
  • 20
  • 22
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4
Q

What type of tissue are mayo scissors used for

A

Thicker tissue

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5
Q

What type of tissue are metzenbam scissors used for

A

Thin, finer dissection

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6
Q

Describe the lorna edna towel clamp

A
  • Non penetrating towel clamp
  • Not commonly used
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7
Q

What is this

A

Lorna Edna Towel Clamp

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8
Q

What are hemostats used for

A
  • Clamping up vessels
  • Clamping off a bunch of different things
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9
Q

What should rochester oschner be used on & why

A

Only on tissue that is being removed b/c they are quite traumatic

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10
Q

Which thumb forceps are traumatic

A

Rat tooth forceps

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11
Q

What is found in a LA laceration pack

A
  • Less instruments
  • Many clinicians prefer olson hegar needle holders
  • Sterile towels for drapes
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12
Q

Which hemostats should be used instead of mosquitoes in LA

A

Kelly hemostats

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13
Q

What is this

A

Gelpi self retaining retractors

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14
Q

What is this

A

Weitlaner self retaining retractors

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15
Q

What is this

A

A balfour retractor used in abdominal retraction in SA

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16
Q

What is this

A

Doyen intestinal forcep

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17
Q

What do doyen intetestinal forceps do

A

Occlude the lumen of the small intestine w/ minimal trauma

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18
Q

What are the advantages of GI staplers

A
  • Faster
  • Inert compared to suture
  • Reduce contamination
  • Preserve blood supply
  • Able to be used in areas of limited accessibility
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19
Q

What are the disadvantages of GI Staplers

A
  • Expensive
  • Leakage is possible
  • May be limited if the tissue is thickened (edema)
  • Need trained personnel
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20
Q

Describe TA-90 GI stapler

A
  • A thoracoabdominal stapler
  • Does not cut only shoots our a double row of stable
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21
Q

Describe an ILA (intestinal linear stapler) & a GIA (GI anastomosis)

A
  • Linear stapler
  • Cuts & divides @ the same time
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22
Q

What is an LDS stapler

A
  • Ligating dividing stapler
  • Useful on mesenteric vessels
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23
Q

Elaborate ligating clips

A
  • Quick ligation of vessels
  • Can slip off easily
  • Need appropriate size for the vessel
24
Q

Elaborate on skin staples

A
  • Rapid closure of surgical incisions
  • Have been associated w/ surgical sit infections
  • Appose or evert tissue never invert the tissue
25
What is this
Serra Emasculator
26
What is this
Modified White Emasculator
27
What are the serra & modified white used for
To simultaneously crush & cut
28
What is this
Reimer Emasculator
29
What is a reimer used for
To crush & separate cutting w/ the handle
30
What is this
Sands Emasculator
31
What are sands used for
Crush only
32
What is this
Henderson Emasculator
33
What is the henderson used for
Twist the cord
34
Delete this
Henderson equine emasculator
35
What is this
Burdizzo
36
What is the burdizzo used for
* Crushing only * Young animals may not get a complete crush
37
What is this
Newberry knife
38
Elaborate on the newberry knife
* Cuts the scrotum * Prevents cutting other structures accidentally * Perpendicular cuts don'g allow for ventral drainage
39
What is this
Elastrator bands
40
Elaborate on elastrator bands
* Typically done by producer * YOUNG animals only * Difficult to provide analgesia for several week
41
What animals are emasculators & henderson used on
More mature animals
42
What is this & what is it used for
* Chain Ecraseur * Can be used in ovariectomies or the removal of other masses w/ blood supple
43
List arthroscopy equipment
* Tower * Arthroscope * Light cable & fluid line * conical obturator * Ferris smith rongeurs * Currettes * Probe
44
What is this
Arthroscope
45
What is this
Obturator
46
What is this
Cannula
47
What is this
Ferris smith rongeurs
48
What is this
Currettes
49
What is this
Limited contact dynamic compression plates (LC-DCP)
50
What is this
Locking compression plate
51
What is this
Guarded epiglottic hook knife
52
What does LASER stand for
Light Amplification by stimulated emission of Radiation
53
What are lasers used for in equine URT surgery
* Scar the tissue to make it less flexible * Incise/excise mucosa or masses * Can get into tight space of larynx/pharynx
54
What does lasers have a negative effect on
* Wound healing of a primary closed incision due to there being an area of thermal necrosis * generates an intense beam of light that can cut, seal, or vaporize tissue; Energized molecules emit a certain wavelength of light
55
What are the advantages of lasers
* Decreased bleeding * Decreased swelling * Decreased pain * Kills bacteria as it cuts * Use through the endoscope * Precise cutting
56
What are the disadvantage of lasers
* Requires specialized training * Equipment is expensive * Can result in excessive thermal damage to surround tisues
57
When are lasers used in LA surgery
* Upper airway surgeries * Uterine cysts * Skin tumors * Neurectomy * Fusing Hock Joints (Facilitated ankylosis) * Hemostasis during laparoscopic surgery