General Surgery Instruments | Ward procedures | Viva questions for MBBS



this is tooth detecting forceps and this will have a tooth at the tip of the one blade and a groove at the tip of the other blade the tooth are designed so that the dish you may be better gripped and there is less chance of slipping this is used to hold the top structures like skin fascia and upon neurosis this is fine-tipped tooth dissecting foursome or add sons to precepting for self this is used to hold the cut margins of the prepuce for suturing during circumcision these are debacles plane detecting forceps this will have translation at the tip of the blades which helps in lifting the tissue and needle during the suturing and there are grooves on the shaft of the instrument which allows easy gripping this is used almost in all operation to hold delicate structures like peritoneum vessels nose and muscles during the suction and suturing this is Neos blunt pointed scissors it can be used for cutting sutures or dressing or it can be used during appendicectomy operation to split the internal Knoblauch and transversus abdominus muscle or it can be used to cut top structures like Linea Alba or external oblique aponeurosis you these are Spencer Moe static forceps commonly known as Audry forcep now the blades are provided with transverse durations and the tips of hemispheric forceps are conical and non tooth so how will you differentiate it from a needle holder needle holder is readily heavier instruments and the blaze of the neighborhood that will have criss-cross serrations and there will be a groove in center of the needle holder now the r34 set is used to hold the bleeding vessels while cutting through the different layers of tissues or it can be used to hold the margins of the hole the cut margins of the structures while making an abdominal incisions or during the closure of the incision now how will you control the bleeding while making an incision the answer is you may control it by a simple pressure fine capillary bleeding's will simply be controlled by a simple pressure with a moke you may use ultra forceps to crush the bleeding point now the crushing of the bleeding point will cause the curling of the tunica media and intima inwards which will result in illusion of the lumen of the vessel or you may hold the bleeding point with the hemostatic forceps and apply a diathermy to the hemostatic force F which will result in coagulation or you may use a ligature like chromic catgut to control the bleeding now what is primary hemorrhage primary hemorrhage is one in which the bleeding occurs during the operation or at the time of the injury reactionary hemorrhage occurs within 24 hours following the operation or injury this may be due to slippage of the ligature or dislodgement of the clot secondary hemorrhage occurs within seven to fourteen days and this is usually due to infection or sloughing of the vessels this is mosquito hemostatic person this is used to hold the fine bleeding vessels during the operations like cleft lip operation or used in circumcision this is usually used for the operation in infants and children where the vessels are delicate this is cockers hemostatic forcep these forces have tooth in one blade and a groove in the other blade and this type of forces is suitable for holding vessels in tough structures like farm soles and the skull this is mixed right-angle artery forceps or lodged forcep the terminal part of the blade have ended right angle to the shaft of the instrument and there are tons of cetaceans in the blade and due to this bent right angle bend in the shaft this is usually used to pass the ligature around the dissected vessel this is deluxe needle holder there are criss-cross serrations in the blade and there is longitudinal groove in the center of the crisco solutions which allows for the form gripping of the needle and the needle is usually held at the junction of anterior 2/3 and the posterior one-third for ease of suturing this is Ram plays a swab holding forceps this is a long instrument in which the blades are oval and fenestrated and provided with serrations on the inner aspect now why is the instrument long so that so that the frozen is able to apply the antiseptic solution to the skin without touching the unsterilized field of operation and also sweating can be done at the depth now usually for the abdominal operation the skin from the mid chest to mid thigh is cleaned this is Alice tissue forceps the tip of the blades are provided with sharp teeth with grooves in between and after you close the blades there will be gap in between the blades which can accommodate some amount of tissue this is used to hold the tough structures like flaps fascia aponeurosis or sheet this is that Cox tissue forceps the terminal part of the blades are curved and fenestrated and as there are no teeth on the terminal part this is what non-traumatic forceps this can be used to hold the tabular structures like fallopian tube appendix or ureter or to hold inter Stein or gall bladder this is Doyle's cross section type towel clip it is used for fixing the draping sheets and used for fixing the diatonic cables now what is draping draping is a suitable placement of sheets to isolate the area of operation from rest of the body and draping of the operation sites reduces the contamination from the adjacent skin areas this is Devers retractor it can be used to retract right or left lobe of liver in the operations like cholecystectomy or uncle they go Tommy respectively it can be used to retract the stomach or it can be used to retract the abdominal wall as well this is C retractor these are el retractors this is self-retaining abdominal retractor bulb force type this is also a provision for attachment for the third blade this is maurice retractor this is Yonkers action canola you this is suction tip this is born a blur double action you this is bone cutter double action punch biopsy what is it you this is Reynalds was cool you this is 2 tallis forcep you this is Doyle's straight intestinal occlusion clamp the blades are lighter and there are vertical si ratios in the blade and this instrument is used for gut resection and anastomosis this is called holding faucet this is used during hernia operation to hold the spermatic cord so that the cord can be retracted during the repair of posterior wall of think oil canal this is Callie's rectal speculum commonly known as proctoscope there is an outer hollow sheath with a handle which is called the scope and there is inner rod which is called the obturator and the terminal part of the obturator is smooth and rounded to avoid the trauma its diagnostic user it can be used for diagnosis of piles or an allure rector Crawley polyp or carcinoma of anal canal or rectum or diagnosis of ulcerative colitis or to find the internal opening of the perianal fistula for therapeutic use it can be used for injection of piles or it can be used during polypectomy you

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