Surgery Lab Quiz Flashcards
Should only be used on tissues to be discarded due to crushing effect of tips
Allis Tissue Forceps
Used for helping to grasp and retract robust soft tissues (stomach, bladder)
Babcock Tissue Forceps
Used for intestinal lumen occlusions
Doyen Intestinal Tissue Forceps
Used for clamping pedicles/tissues
Rochester-Carmalt Hemostatic Forceps
Designed for tip clamping of small to medium vessels
Kelly Hemostats
Designed for tip clamping of small vessels
Halsted Mosquito Hemostatic Forcpes
Forceps: Used frequently for general tissue handling
Brown Adson Tissue Forceps
Type of forcep: Poor grip of fat or other friable tissues
Results in less crush injury
Adson Tissue Forceps
Forcep: Most frequently used in soft tissue surgery
DeBakey Tissue Forcep
Forcep: Used to grasp tissue in ophthalmologic surgery
Bishop Harmon Forceps
For use with #10, #11, #12, #15 blades
Bard-Plaker #3 Scalpel Handle
For use with #64 and #67 blades
Beaver Blade Scalpel Handle
Used with pencil grip at all times
Used to incise limbus for intraocular sx
Used by some orthopedic surgeons for incision of intra-articular structures (meniscal release)
Beaver Blade Scalpel Handle
Used to incise dense tissues (fascia, linea alba, trimming skin)
Mayo Dissecting Scissors
Used to incise soft tissues (SQ tissue, intense, bladder, etc.)
Metzenbaum Scissors
Used for precision cutting, such as in ophthalmic and urologic surgery
Steven Tenotomy Scissors
Used for post-op suture removal
Spencer Stitich Scissors
Used to incise thick, tough tissue and orthopedic wire
Vernon Cartilage and Wire Scissor
Combined needle driver and scissor
Olsen Hegar Needle Holders
Ophthalmic Needle Drivers
Derf Needle Holders
Used for ophthalmic and vascular surgery - spring loaded handle
Castroviejo Needle Holders
Retract abdominal wall laterally
Balfour Retractor
Adjustable Rib retractor
Finochietto Retractor
Used for retraction of soft tissues (especially useful for retraction of muscle bellies during orthopedic or spinal surgery) Sharp points!
Gelpi Retractor
Useful for retraction of soft tissue in a small, superficial incision
Weitlaner Retractor
Double-ended blunt retractor - hand held retractor usually held by assistant
Army-Navy Retractors
Used for retracting viscera in abdominal and thoracic surgery
Malleable Retractor
Used to lever muscle and soft tissues away from surgical field and bone during orthopedic surgeries
Hohmann Retractor
Double end retractor - Used in soft issue and orthopedic surgery for retraction of tissues in small working spaces
Senn Retractor
Flat-think handle allow for better visualization of tissue - Used to blindly hook the uterine horn/mesometrium during OHE
Snook Hook/ Spay Hook
Used to grip and manipulate bone during fracture reduction and repair
Kern Bone Holding Forceps
Used to grip and manipulate bone during fracture reduction and repair - locking mechanism
Speed Lock Bone Holding Forceps
Used to drive IM pins and K-wires during orthopedic surgery
Jacob’s Chuck
Used in orthopedic surgery to advance an osteotome for making precise osteotomies
Mallet
Used to create osteotomy in numerous orthopedic procedures
Osteotome and Chisel
Used to reflect muscle and soft tissue from bone
Periosteal Elevator
Small Periosteal elevator
Freer Periosteal Elevator
Used to remove small fragments of bone, to recontour bone, or to prepare bone grafting
Lembert Rongeur
Wire self retaining instrument used to hold eyelids open during enuclecations, and surgery of the cornea and third eyelid
Barraquer Eyelid Spectrum
Used to protect globe when making incisions into the eyelid
Jeger Eyelid Plate
Penetrating clamp, used to hold quarter drapes or Huck towels securely to patient skin
Backhaus Towel Clamp
Used to suction large amounts of fluid from body cavity - blunt tip prevents trauma to organs
Poole Suction Tip
Fine tipped suction tip for removal of small amounts of fluid from surgical field
Frazier Suction TIp
Wing- tipped: Used to sever the periodontal ligament by rotating instrument around the tooth. Wedge tipped: Used to weaken periodontal ligament and luxate the tooth for extraction
Wing Tipped Dental Elevator
Used for subgingival cleansing, root planing and curettage
Curette
Removes dental deposits from above gumline
Scaler
Strong, heavy instrument used to grasp loose/luxated teeth for extraction
Extraction Forceps
Uneven tip instrument useful in removing large pieces of calculi prior to scaling
Calculus Removal Forceps
Increases tactile sensation for detecting areas of enamel decay
Dental Explorer
Used to measure pocket depths around a tooth - establishes the state of health of the periodontium
Periodontal Probe
Absorbable, Multi-filament, Organic
Not Frequently Used in practice
Chromic Gut
Absorable: Broken down by hydrolysis
Stable in contaminated wounds
Rapidly degraded in infected urine
Multi filament: Braided
Uses: Dental Surgery
Polyglactin 910 (Vicryl)
Filaments from glycolic acid
Comes in coated and uncoated forms
Dental surgery
Polyglycolic Acid
Closure of enterotomies, cystotomies, body wall closures, fascia closure
Glycomer 631
Closure of cystotomies (non-infected bladders) SQ tissues
Caprolactone
Uses: Closure of cystotomies (non-infected bladders) SQ tissues
Poliglecaprone 25 (Monocroyl)
Uses: Closure of enterotomies, cystotomies, body wall closure, fascia closure
Polidioxanone (PDS)
Monofilament
Uses: Cardiovascular Surgery
Silk
Multi-filament- braided; decreases number of bacteria require to induce infection
SKin closure, orthopedic repair (lateral tiobiofabellar structure)
Nylon
Non-absorbale - very resistant to degradation (lack of hydrolyzable bonds)
Monofilament
Uses: Tendon, ligament, fascial, and joint capsule closures
Polypropylene
Skin sutures only!
Polymerized caprolactam
Non-absorbable - orthopedic applications (closure of sternotomy)
Stainless Steel Suture
More flexible suture is better for vessel ligation
Flexibility is related to material and size of suture
Flexibility
Process by which fluid and bacteria are wicked along multifilament fibers
Capillarity
Measure of a tissue or fibers ability to resist deformation or breakage
Tensile Strength
Amount of force necessary to cause a knot to slip - related to coefficient of static friction and plasticity of material
Knot Strength
Needle: Sharp tip that pierces and spreads tissues without cutting - intestine, SQ tissue, fascia
Taperpoint Needle
Needle: Combination of reverse cutting and taperpoint - Heavy - thick fascia, tendon, vascular grafts
Tapercut Needle
Needle: Cutting edge on concave portion of needle. Tends to cut out tissue
Cutting Needle
Needle: Cutting edge on convex surface reducing risk of tissue cut out - skin
Reverse Cutting Needle
Needle: Flat on top and bottom : opthalmic procedures
Spatula Point needle
Needle: Blunt point that dissects through friable tissues without cutting: soft parenchymal organs (liver, kidneys)
Blunt point needle