Surgical Instruments Flashcards

1
Q

What sizes are these?

A

A - No4
B - No3

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2
Q

What blades will these accept?

A

A 20, 21, 22, 23
B 10,11,12,15

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3
Q

Why do you need different sized scalpel handles?

A

Handle A is more commonly used in large animal practice to accept larger blade sizes.
Handle B is generally used for small animal general surgery.
Other handles are available for different situations like ophthalmology.

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4
Q

Name and use

A

Littauer scissors
Used for removal of tight or awkward sutures

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5
Q

Name and use

A

Metzenbaum scissors
Good for fine dissection of tissues and more delicate work. Not for cutting suture material.

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6
Q

How would these be held?

A

Held in the Tripod grip.
Thumb in one ring and third or ring finger in the other ring.
1st and 2nd finger are used to stabilise the instrument along the blade.

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7
Q

Name and use

A

Mayo scissors
It is used for cutting heavy or tough tissue, such as fascia.

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8
Q

How would these be held

A

Held in the tripod grip.
Thumb in one ring and third or ring finger in the other ring.
1st and 2nd finger are used to stabilise the instrument along the blade.

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9
Q

name and use

A

dressing scissors
Used for cutting dressing material and general work.
Also used for cutting suture material during surgery.

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10
Q

How would these be held?

A

Held in the tripod grip.
Thumb in one ring and third or ring finger in the other ring.
1st and 2nd finger are used to stabilise the instrument along the blade.

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11
Q

Name the artery forceps/haemostats

A

A Mosquito
B Spencer Wells
C Rochester Pean

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12
Q

Name the bowel clamp

A

Doyen bowel clamp

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13
Q

which is the artery forceps and which is the bowel clamp and why?
Why are the ends different?

A

1 Artery forceps (serrated appearance is transverse on the blade)
2 Bowel clamp (serrated appearance runs lengthways along the clamp)

The bowel clamps striations are less traumatic and thought to be more secure in sealing the bowel during surgery.

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14
Q

Name and use

A

Spay forceps
Elevating the uterine horn in a cat spay. Most forceps have a plain grip, but these have a
Debakey grip which is a secure grip less traumatic than rat toothed forceps.
Good for surgery of ear, bowel or urogenital tract.

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15
Q

Name and use

A

Block ended serrated dressing forceps
Cheap dressing forceps, minimal use during surgery

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16
Q

Name, varieties and uses

A

Adson tissue forceps
Rat toothed - gives more grip when needed but can be traumatic, not for use with visceral organs.

Serrated end - has less grip but little trauma to tissue good for fine tissue handling.

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17
Q

Name and use

A

Treves tissue forceps
General purpose rat toothed forceps.
Used in general surgery.
Traumatic to tissues.

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18
Q

Name and use

A

Allis tissue forceps
Use for grasping and retracting more tough connective tissue for example the linea alba. They can be traumatic so not to be used on skin

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19
Q

name and use

A

Babcock forceps
For use in grasping more delicate viscera and retracting.
Less traumatic than Allis tissue forceps.

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20
Q

name and use

A

Gosset retractors
Rib/laparotomy retractor

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21
Q

name and use

A

Hohman retractors
Retraction of bones/bone fragments during fracture repair

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22
Q

name and use

A

Gelpi retractors
Joint surgery and spinal surgery

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23
Q

name and use

A

Travers retractors
retraction of skin and superficial soft tissue

24
Q

name and use

A

senn retractors
fat pad retraction in medial meniscus repair

25
name and use
Balfour retractors retraction of the body wall during an exploratory laparotomy
26
Name
Mayo needle holder (with tungsten carbide inserts)
27
name
Olsen hagar needle holder
28
name
gilles needle holder
29
Name
McPhails needle holder
30
What does B and C have that the others do not, how is this useful?
Scissor For cutting suture during surgery no need for separate instrument. Can continue suturing without putting needle holders down
31
What does A, B and D have the C does not. How is this useful?
Locking catch Good grip of the needle
32
Name and use
Backhaus towel clamp Securing drapes to patient
33
Name and use
Cross over towel clamp Securing drapes to the patient
34
Are there towel clamps other than these that may be better?
Yes. There are some atraumatic towel clamps which are more friendly to the patient and less likely the pierce through the drape material. They can sometimes be less secure.
35
name and use
spay hook Atraumatically lifting the uterine horns within the abdomen.
36
name and use
Rongeurs Nibbling away tough edges of bone
37
name and use
periosteal elevator removal of periosteum from bone
38
name and use
Staple removers
39
What information can you gather from the packet of suture material?
Name of suture material - Monosyn Monofilament or multifilament - monofilament Absorbable or non-absorbable - absorbable Diameter in USP and metric - 3/0 2m Length - 70cm Colour or undyed - violet Details of needle - as illustrated in actual size Manufacturer – B/Braun Batch number – LOT 13254R Expiry date – 2028-06-44 How it is sterilised – Ethylene oxide
40
What factors do you need to consider when choosing an appropriate suture material
-the type of tissue you are repairing and nature of the wound -how long it needs support for -the characteristics of the suture material -size of suture material -the type of needle – cutting or atraumatic -what is available in the practice -preference or what you are used to using -Permanent or absorbable suture material? -Long-term, medium-term or short-term support? -Smallest size of suture material that provides adequate support Rule of thumb - 3metric for dogs, 2 metric for cats delicate tissue- reduce by 1 size tough tissue- increase by one size -Least traumatic needle that will do the job
41
Describe the use of the penholder grip
stable good contact angle allows only short slide cuts
42
Describe the use of the fingertip grip
less stable flatter contact angle allows long slide cuts
43
Describe the use of the 'stab cut'
Visceral puncture Difficult to control depth
44
Describe the use of the 'push cut'
Large animal surgeries only Deep incision
45
What is the purpose of a #10 blade
general purpose small animal
46
What is the purpose of a #12 blade
suture removal
47
What is the purpose of a #15 blade
general purpose cat
48
What is the purpose of a #20 blade
general purpose large animal
49
Describe the use of artery forceps
Curved up - grasping tissue bunch Curved down - picking up small bleeders
50
What suture material and size is suitable for the ligature of the uterus in a 25kg labrador?
Monosyn or Novosyn - size 3 metric (2/0)
51
What suture material and size is suitable for the linea alba in a 25kg labrador?
MonoPlus(PDS) (long term support) - size 3/3.5 metric (2/0 / 0)
52
What suture material and size is suitable for the subcutaneous and subcuticular tissue in a 25kg labrador?
Monosyn size 3 metric (2/0)
53
A Jack Russel terrier has had a tooth removed during a dental and the gum needs suturing. What suture material would be suitable?
Monosyn Quick a short-term support
54
In an orthopaedic surgery, what suture material would be suitable for the following tissues? Fascias Tendons and ligaments Joint capsule
Fascias – MonoPlus long term support Tendons and ligaments – MonoPlus long term support. Joint capsule – MonoPlus long term support Size 3 metric (2/0)
55
What methods of skin closure are available
Suturing Skin staples Tissue adhesive
56
Describe the use of skin staples
quick and easy to apply, requires a special instrument to remove staples
57
Describe the use of tissue adhesive
useful in rabbits and other small animals as it is more acceptable to them instead of skin sutures