Instruments used in general surgery
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There are many different surgical specialties, some of which require specific kinds of surgical instruments to perform.
General surgery is a specialty focused on the abdomen; the thyroid gland; diseases involving skin, breasts, and various soft tissues; trauma; peripheral vascular disease; hernias; and endoscopic procedures.
Instruments can be classified in many ways, but, broadly speaking, there are five kinds of instruments.
- Cutting and dissecting instruments
- Grasping or holding instruments
- Hemostatic instruments
- Retractors
- Tissue unifying instruments and materials
Instruments used in surgery are:[1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [excessive citations ]
Instrument Name | Image | Brief description | Specific instruments |
---|---|---|---|
Electrical cautery | Electrical surgical cauterization utilizes electricity in either a monopolar or bipolar format to burn soft tissue and control bleeding[12] |
| |
Curette | For scraping or debriding biological tissue or debris in a biopsy, excision, or cleaning procedure | ||
Dermatome | Removes epidermis to graft over another area | ||
Dissecting forceps | Grasping and holding; usually used in skin closures or small wounds | Adson | |
Tissue forceps | Grasping and holding tissue | Allis | |
Penetrating towel clamp | Used to secure towels or reduce bone fragments | Backhaus penetating towel clamp | |
Carmalt forceps | Hemostatic forceps | Kalabasa | |
Cushing forceps | Grasping and holding | Non-toothed dissecting forceps | |
Dandy forceps | Hemostatic forceps | ||
DeBakey forceps | Grasping and holding | Non-toothed dissecting forceps designed for use on blood vessels, organs, or delicate tissue | |
Doyen intestinal clamp | Clamps and distractors | Non-crushing clamp designed for use on the intestines | |
Kelly forceps | Hemostatic forceps | ||
Kocher forceps | Hemostatic forceps | ||
Mosquito forceps | Hemostatic forceps | ||
Hook | Retractor | ||
Nerve hook | Retractor | ||
Skin hook | Retractor | ||
Lancet (scalpel) | Cutting | ||
Mammotome | |||
Needle holder | Grasping and holding |
| |
Retractor | Retractor | Handheld:
Self-retaining:
| |
Ultrasonic scalpel | Cutting | ||
Laser scalpel | Cutting | ||
Scissors | Cutting and spreading | May be curved or straight | |
Speculum | Used to retract orifices |
| |
Suction tube and Yankeur suction tip | Accessories and implants | ||
Surgical elevator | |||
Surgical hook | Retractor | ||
Surgical blade #15 | Used to cut vessels or make small incisions | ||
Surgical mesh | Accessories and implants | ||
Surgical needle | Accessories and implants | ||
Surgical sponge | |||
GIA stapler | Used to make a gastrointestinal anastamosis | Linear stapler | |
Surgical tray | |||
Suture | |||
Tongue depressor | |||
Tonsillotome | |||
Towel clamp | Clamp | ||
Towel forceps | Clamp | ||
Backhaus towel forceps | |||
Lorna towel clamp | Non-penatrating towel clamp | ||
Tracheotome | |||
Tissue expander | Accessories and implant | ||
Subcutaneous inflatable balloon expander | Accessories and implants | ||
Trephine | Cutting instrument | ||
Trocar | Access instrument. Used to create an opening into a space without opening the abdominal cavity. A camera is inserted through one to view the interior while instruments are inserted through the others to manipulate the organs. | ||
Ultrasonic energy device | Surgical device typically used to dissect tissue, but also seals small vessels and tissue bundles |
References
[edit ]- ^ "ilizarov.com (English)". Archived from the original on 2013年01月26日. Retrieved 2008年06月04日.
- ^ Children with Tracheostomies Resource Guide, by Marilyn K. Kertoy, p. 15 (Google book search)
- ^ Rob Toreki (1 December 2004). "Cannulas". The Glassware Gallery. Interactive Learning ←Paradigms Incorporated.
- ^ "Practical approach to nephrostomy". Archived from the original on 2005年11月03日. Retrieved 2008年06月04日.
- ^ See Mr R McElroy for details of various operations and the unintended effects of chemical cauterization
- ^ Ring, Malvin (July 2001). "How a Dentist's Name Became a Synonym for a Life-saving Device: The Story of Dr. Charles Stent". Journal of the History of Dentistry. 49 (2): 77–80. PMID 11484317. Archived from the original on 2005年04月28日. Retrieved 2008年04月01日.
- ^ How do they get the hole through a hypodermic needle?
- ^ Bonfils-Roberts, E (May 1972). "The Rib Spreader: A Chapter in the History of Thoracic Surgery" (PDF). Chest. 61 (5): 469–474. doi:10.1378/chest.61.5.469. ISSN 0012-3692. PMID 4558402. Archived from the original (PDF) on 2008年12月17日. Retrieved 2008年04月22日.
- ^ "General Instrument Sourcebook - KMedic" (PDF). Archived from the original (PDF) on 2011年07月18日. Retrieved 2011年02月10日.
- ^ Russell, R. C. G.; Bulstrode, C. J. K.; Williams, N. S. (25 April 2000). Bailey & Love's SHORT PRACTICE OF SURGERY (23rd ed.). Taylor & Francis. ISBN 0-340-75949-6.
- ^ Gould, George M. (1934). Gould's Pocket Pronouncing Medical Dictionary (10th (rev) ed.). P. Blakiston's Son & Co., Inc.
- ^ Cordero, Ismael (2015). "Electrosurgical units – how they work and how to use them safely". Community Eye Health. 28 (89): 15–16. ISSN 0953-6833. PMC 4579996 . PMID 26435589.