Surgical Instruments

Question 1

What do we need instruments for?

Answer 1

Cutting tissue
Tissue manipulation and retraction
Hemostasis
Wound closure
Securing surgical drapes

Question 2

Hemostatic forceps

Answer 2

Halsted
Kelly
Crile
Oschner
Rochester-Carmalt

Question 3

Mosquito and Halsted forceps application

Answer 3

crushing instrument used to clamp small blood vessels

Question 4

Crile & Kelly forceps application

Answer 4

crushing instrument used to clamp larger blood vessels

Question 5

Rochester Carmalt application

Answer 5

crush larger bundles of tissue (ovarian pedicles in OHE)

Question 6

Bulldog & Satinsky application

Answer 6

gentle compression on vessel without causing endothelial damage for temporary hemostasis.

Question 7

Tissue forceps can be…

Answer 7

thumb forceps or tissue forceps (ratcheted)

Question 8

Application of thumb forceps and types

Answer 8

stabilize tissue and/or expose tissue layers when suturing.
Adson (rat tooth)
Brown Adson

Question 9

Adson application

Answer 9

Stabilize and retract less delicate tissue

Question 10

Brown Adson application

Answer 10

General tissue manipulation

Question 11

Allis tissue forceps application

Answer 11

Enables a firm grasp of tissue (tissue being removed from body)

Question 12

Babcock tissue forceps application

Answer 12

Enables more gentle grasp of delicate tissues (bladder/intestines)

Question 13

Doyen intestinal forceps application

Answer 13

Non crushing, occluding forceps used to temporarily occlude lumen of bowel

Question 14

Foerster (sponge) forceps application

Answer 14

Manipulate/handle sponges or sterile dressing materials

Question 15

Bone Holding forceps and application

Answer 15

holds bones during fracture repair or other orthopedic procedures.
AO reduction forceps
Speed lock reduction forceps
Lane bone holding forceps
Clamshell reduction forceps

Question 16

Needle holders and application

Answer 16

Grasp and manipulate curved needles.
Mathieu
Olsen Hegar
Mayo Hegar
Crile Wood

Question 17

Pencil grip vs. thumb ring finger

Answer 17

Castroviejo needle holders (delicate suturing - vascular and opthalmis sx)
High precision to suture delicate tissues

Question 18

Palm grip vs Thenar eminence grip

Answer 18

High driving force; low precision

Good mobility and good for continuous patterns

Question 19

Types of Scissors

Answer 19

Sharp - blunt and blunt - blunt

Question 20

Spencer scissors

Answer 20

Suture removal

Question 21

Mayo scissors

Answer 21

cut more dense tissues

Question 22

Metzenbaum scissors

Answer 22

used for sharp and blunt dissection of more delicate tissues

Question 23

Doyen scissors

Answer 23

cut suture material (during surgery) - sharp-blunt

Question 24

Lister bandage scissors

Answer 24

Cut bandages

Question 25

Grips for scissors handling

Answer 25

Tripod grip, thenar eminence 4th finger grip and backhand grips.

Question 26

Scalpel

Answer 26

Make incisions (stab incisions, incise linea alba and long incisions); size 3 and 4

Question 27

Grips for scalpel handling

Answer 27

fingertip grip (long incisions), palm grip (for more force to incise tissue), pencil grip (short precise incisions) and inverted pencil grip (stab incisions in linea alba).

Question 28

Self - retaining Retractors

Answer 28

retracts tissue to facilitate exposure of surgical field.

Gelpi and Weitlaner

Question 29

Balfour retractors

Answer 29

retract the abdominal wall for exposure of abdominal cavity

Question 30

Finochietto retractors

Answer 30

used during a thoracotomy to keep ribs separated.

Question 31

Hand held retractors

Answer 31

Retraction of skin and superficial muscle layers.

Senn-Miller, Parker and Army-Navy

Question 32

Towel clamps

Answer 32

secure drapes to patient or surgical instrumentation to drapes (suction, electroscalpel) - Backhaus

Question 33

Ovariohysterectomy hooks

Answer 33

Retrieval of uterine horn during OHE

Snook and Covault