Surgical Instruments Chapter6 P42-53

Question 1

How should a pair of scissors/needle-driver/clamp be held?

P42 (picture)

Answer 1

With the thumb and fourth finger, using the index finger to steady

Question 2

Is it better to hold the skin with a DeBakey or an Adson, or toothed, forcep?
P42

Answer 2

Better to use an Adson, or toothed, pickup because it is better to cut the skin rather than crush it!

Question 3

What helps steady the scissor- or Bovie-hand?

P42 (picture)

Answer 3

Resting it on the opposite hand

Question 4

What can be done to guarantee that you do not cut the
knot when cutting sutures?
P42 (picture)

Answer 4

Slide the scissors down to the knot, then turn the scissors at a 45 angle, and cut

Question 5

How should a pair of forceps be held?

P43 (picture)

Answer 5

Like a pencil

Question 6

What are forceps also known as?

P43

Answer 6

“Pickups”

Question 7

Identify the following instruments:

P43-51 (picture)

Answer 7

Forcep
DeBakey pickup
Adson pickup
Iris scissors
Bandage scissors
Needle-driver
Right-angle clamp
Kelly clamp
Babcock clamp
Tonsil clamp
Metzenbaum scissors

Mayo scissors (heavy scissors)
Straight
Curved

GIA stapler

What does “GIA” stand for?
GastroIntestinal Anastomosis
TA stapler

What does “TA” stand for?
ThoracoAbdominal

Poole sucker

What is the Poole sucker used for?

Suctioning fluid (often irrigation) from peritoneal cavity

Gigli saw

EEA stapler

What does “EEA” stand for?
End-to-End Anastomosis
Pott’s scissors

Allis clamp

Kocher clamp, for very thick tissue (e.g., fascia)

Bovie electrocautery

Yankauer suction (sucker

Question 8

Define the following scalpel blades:

P51 (picture)

Answer 8

Number 10
Number 11
Number 15

Question 9

RETRACTORS (YOU WILL GET TO KNOW THEM WELL!)
What does it mean to “toe in” the retractor?
P51

Answer 9

To angle the tip of the retractor in by angling the retractor handle up

Question 10

Identify the following
retractors:
P51-53 (pictures)

Answer 10

Deaver retractor

Sweetheart retractor (Harrington)

Army–Navy retractor

Weitlaner retractor also known as a “WHEATY” (self-retaining retractor; sorry, operates without a student!)

Bookwalter retractor

Richardson retractor, also known as a “RICH”

Question 11

What is a “malleable” retractor?

P53 (pictures)

Answer 11

Metal retractor that can be bent to customize to the situation at hand