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.

  1. Cutting and dissecting instruments
  2. Grasping or holding instruments
  3. Hemostatic instruments
  4. Retractors
  5. Tissue unifying instruments and materials

Instruments used in surgery are: [1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [ excessive citations ]

Instrument NameImageBrief descriptionSpecific instruments
Electrical cautery Electrocauter 00.jpg Electrical surgical cauterization utilizes electricity in either a monopolar or bipolar format to burn soft tissue and control bleeding [12]
  • Bovie pencil
  • Monopolar hook
  • Monopolar spatula
  • Bipolar forceps
Curette Uterine Curette 01.jpg For scraping or debriding biological tissue or debris in a biopsy, excision, or cleaning procedure
Dermatome Dermatome.png Removes epidermis to graft over another area
Dissecting forceps Adson 00.jpg Grasping and holding; usually used in skin closures or small woundsAdson
Tissue forceps Allis clamp 01.JPG Grasping and holding tissue Allis
Penetrating towel clamp Backhaus clamp.svg Used to secure towels or reduce bone fragmentsBackhaus penetating towel clamp
Carmalt forcepsHemostatic forcepsKalabasa
Cushing forcepsGrasping and holdingNon-toothed dissecting forceps
Dandy forcepsHemostatic forceps
DeBakey forceps Debakey forceps.jpg Grasping and holdingNon-toothed dissecting forceps designed for use on blood vessels, organs, or delicate tissue
Doyen intestinal clampClamps and distractorsNon-crushing clamp designed for use on the intestines
Kelly forceps Kelly Forceps.svg Hemostatic forceps
Kocher forceps Kocher grossklein totale.jpg Hemostatic forceps
Mosquito forceps Medical Instrument Mosquito forceps.jpg Hemostatic forceps
HookRetractor
Nerve hook Retractor
Skin hookRetractor
Lancet (scalpel) Various scalpels.png Cutting
Mammotome Mammotome.jpg
Needle holder Needle holder2.JPG Grasping and holding
  • Castroviejo
  • Crilewood
  • Mayo-Hegar
  • Olsen-Hegar
Retractor Surgical retractor Orem 2.jpg RetractorHandheld:
  • Deaver
  • Weitlander
  • Army-Navy
  • Richardson
  • Richardson-Eastmann
  • Ribbon

Self-retaining:

  • O'Connor-O'Sullivan
  • Thompson
  • Omni-Tract
Ultrasonic scalpelCutting
Laser scalpel Sharplan 40C.jpg Cutting
Scissors Nozyczki Mayo.svg Cutting and spreadingMay be curved or straight
Speculum Speculum en plastique.jpg Used to retract orifices
  • Graves'
  • Sim's
Suction tube and Yankeur suction tip Yankauer Suction Tip.jpg Accessories and implants
Surgical elevator Lecluse's elevator 01.jpg
Surgical hook Kriuchok khirurgicheskii trekhzubyi ostryi.jpg Retractor
Surgical blade #15 Surgical Blade.jpg Used to cut vessels or make small incisions
Surgical mesh Hernia mesh 2.JPG Accessories and implants
Surgical needle Surgical needles.jpg Accessories and implants
Surgical sponge
GIA stapler Surgical stapler & cutter linear.JPG Used to make a gastrointestinal anastamosisLinear stapler
Surgical tray
Suture Atraumatisches Nahtmaterial 17.JPG
Tongue depressor Lack's Longue Depressor ENT Instrument Medical.jpg
Tonsillotome
Towel clamp Towel Clamps 01.jpg Clamp
Towel forcepsClamp
Backhaus towel forceps Backhaus clamp.svg
Lorna towel clampNon-penatrating towel clamp
Tracheotome
Tissue expander Accessories and implant
Subcutaneous inflatable balloon expanderAccessories and implants
Trephine Trepan, Nordisk familjebok.png Cutting instrument
Trocar Trocar family.jpg 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 deviceSurgical device typically used to dissect tissue, but also seals small vessels and tissue bundles

References

  1. "ilizarov.com (English)". Archived from the original on 2013-01-26. Retrieved 2008-06-04.
  2. Children with Tracheostomies Resource Guide, by Marilyn K. Kertoy, p. 15 (Google book search)
  3. Rob Toreki (1 December 2004). "Cannulas". The Glassware Gallery. Interactive Learning ←Paradigms Incorporated.
  4. "Practical approach to nephrostomy". Archived from the original on 2005-11-03. Retrieved 2008-06-04.
  5. See Mr R McElroy for details of various operations and the unintended effects of chemical cauterization
  6. 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 2005-04-28. Retrieved 2008-04-01.
  7. How do they get the hole through a hypodermic needle?
  8. 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 2008-12-17. Retrieved 2008-04-22.
  9. "General Instrument Sourcebook - KMedic" (PDF). Archived from the original (PDF) on 2011-07-18. Retrieved 2011-02-10.
  10. 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.
  11. Gould, George M. (1934). Gould's Pocket Pronouncing Medical Dictionary (10th (rev) ed.). P. Blakiston's Son & Co., Inc.
  12. 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.