Instrumentation
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Transcript of Instrumentation
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Instrumentation
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II. Basic Concepts and Techniques
A.InstrumentationB.Sutures and Needles
C.Hemostasis and Surgical Needles
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Parts of the Instruments
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Handling instruments
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Mayo table set-up
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Preparing scalpel
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Placement of the Needle on the Holder
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Serving instruments
ScalpelCurve clamp instrumentsScissorsSutures in needle holderFree ties Stick tiesPusherForcepsHandling retractors
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CLASSIFICATION OF INSTRUMENTS
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SCALPELS
Cutting instruments
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Scissors
Cutting instruments
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Suture Scissors
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Curved Mayo Scissors
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Metzenbaum
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Hemostats
Grasping instruments
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Kelly, Baby Kelly, Mosquito
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Hemostats Clamps: control bleeding, especially from a torn blood vessel
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Needle Holders
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Graspers
Grasping instruments
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Allis Clamp: holds tissue
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Towel Clamp
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Kocher Clamps: A heavy, straight hemostat with interlocking
teeth on the tip.
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Babcock Clamp: intestinal clamp
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Pick-up Forceps
Grasping instruments
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Tissue ForcepsToothed and Plain
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Skin Retractors
Retractor instruments
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Army Navy Retractor
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Abdominal Retractors
Retractor instruments
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Richardson Retractor
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Deaver Retractor
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Abdominal Retractors
self retaining
Retractor instruments
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Balfour Retractor
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SKIN Retractorsself retaining
Retractor instruments
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Self Retaining Retractor
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Ancillary/Accesoriesinstruments
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Sutures and needles
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Definition of Terms•Suture•Stitch• Ligature• TIE•Stick tie•Suture ligation
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SURGICAL SUTURES
Classification:1. Absorbable2. Non-absorbable
Types:1. Atraumatic / Non-traumatic
2. traumatic
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Absorbable
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Non absorbable
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Non absorbable
SilkNylon- EthilonWire/StaplesPolyester FiberProlene- Polypropylene
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TYPES OF
SUTURES
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Through and through sutures- may be called tension sutures, retention sutures, or stay sutures
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Needle: Parts
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Classification/PURPOSE
1.Taper2.Straight cutting3.Curved Taper4.Curved Cutting
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Uses of needles
1.Specific parts of the body and different preferences of surgeons determine the use of needle.
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Uses of needles
2.Curved needles are always used on a needle holder.
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Uses of needles
3.Needles must be cleaned and polished after each use.
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Uses of needles
4.Bent and dull needles should be discarded.
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Uses of needles
5.If a needle breaks during surgery, the surgeon must be informed and all parts of the needle must be accounted for