was

Retractor
SinAnt-vaginal
-

well
pulsive
.

Loven's
-

Deaver's
retracter
.

retractor
.

-
n
Babcocklooke win
Tissuetrups foreps
&
e
·
.

~ allesup -Punch big

-wer
↓

Landon
Bladder
enter C -

wil
-

metalli &
sommer castute Doyen's
d ↓
Peible kamman) wor d cip

panic
Sim's Lusco's
Double blade
cannular a
Bivalus as
·

Post V .
Speculum self retaining vaginal dilator
speculum
.
.

toothed
rulsellum

Dearn's
- retractor
.
Bal E
cock's -

bissel
forups
.
Kineon'
and s

↓
wil

and ch venn a

-ballgam
I
to inject due
-
-
2
Punch
p

prups
&

biopm
-undhold ureter moder
in

umph fr during lanen

-

U cervical
.

-so Hystersalphingo
suphe luse)
①somberCathedin wor eithe side
bladde
Uses = Routine evaluation of
in normal Labor .

inchumental
=
Bladder emptying in
used toumiget .storups)

&
= or a
delivery
-adm of O2 When
Bladder emptying before C-sect
=
.

catheter notO
other navar
a ppH .
during
=

planta
max
-as mucous
suchev C - retained
. .

② lu's silicon rubber 7

mic used 14 16 187
, ,
.
-
one is or
usine

user =
Drainage of bladder drainag
-
one
to push
PDM
of Ahonic
.
- Max NS/H20 to

In case of spected
bladde inflate
the .
bulb
nicy
-

method
.
=
JOL as a mechanical
-
- to evacuate
Labor
Obstructed
prevent ricovaginal fistula
.
=

Sim'sDouble (non sy staining

-

O
3
Blade Port U. . .

Speculum-Groom But
e allow
-
drainage of blood ,
sample
collect
for felt
-

to inspectCerrix & Vagina

to detect any injury
=
User ① ,

Single Blade
⑧ To clean ragine post delivery any local cours
or
- blading in Aph

Doubleslade
③ inspectcervix a raging
to

① During Dilation & evacuation (D&C)

-

operations 4 Abortion
-

Molar pregnancy
 Retaining ginal Se comtallic)
④ Cus Bals -

to
-two blades joined by screws

allow blades to open s close

↓ =
Disadvantage IAnt vagina a
concave blade .

-
Use ① to visualize
-
umix e vaginal
local
forice for any
came MAPH

⑧
a
dur
forulton
--

③ to detect leaving Liquor

-
in car
from amical on

of suspuched Prom
.

⑥ Multiple looshed
⑤ Au Tissue ups -
-
-

valsettum
-
-

3
E
Burve .

[Link]
User ① to hold the
arrix during DEE op .
C
⑧ to hold the apex of
.
epsiotomy during repair
⑤ c-section
to hold shin margine Use ① to hold ant-Lip
to hold peritorial
"

of unix in DEEOP
.
to 1 .
RS
 ⑧ To hold
and lip
⑦ wine sand curix in surm
a
evacuation .

~
Valsellum is more
so
haumatic new
Allis is und
dive malleable graduated
pointed ,
,
mid
-

shouted
.
metallic uterine sound antiverted ,
or

priorLo posith
4
.

-
un to know the position oftene .

DEE op .

8
.. "
Length of clei

③ to detect any .
foreign body
canal
.
of orical
④ Alte as a
first dilator

⑧
- Hegar's
-
dilato
Nitators me sise 112 m
crical
=
und for dilatation of
canal prior to -DEE (Obs)
DEC /gynae).
-

② Doyen's nutra - - Und to schalt

inshument wal
long metallic abdominal
)
?
=

atone end
stout handle - bladder
.

wide fan shaped CS

.

and stracting
blac
.
p in
forups Pop
> fram verse
- bend
D slightly .

-blader
servation
"
- Handl
I rachet
scatch
Handle
no
watch
Introduced I blade closed
User
vagina
=

To clar vulva
,

we = ,
to open inside utavine
to deliim.
pesincum prior the
camily to graps
=
Antiseptic parting of abdo.
producte E
,

tall out the

to -section .
wall prior inhument I slight solators
curix
=
to catch hold of .
movement
too imports of suspected
cuical lear
.

Curette Sims Anterior vaginal wall

ne

2
-

uto

↓
smaller
use =
De Page in size

zD&C for incomplete

abortion

T
Con
pisiotomy
 ↓

↓
L
Cannula ↓
-
to test
secology
-

Orange suh(target)
-
Serum
Glass
seven lactate
-

Gran e
16
is
ru

in
Smar
① Pap -
-

Ayris Spatula
-

Induarnical
Brush/
Yellow 26
-

Cyto brush
(smallest)
.

28
Purple .

- .
Endocervical swab
·
sampling of pane fortation
sone
For Cytofixation
·

I
95% ethyl alcohol
or

19
~
I
-I
+ poly
thylene glycol
 >
-
ant vaginal
wall retractor
>Hirin urette
- .

E Sim Doulds e
blad
sutur blade (sizeal hom Nullip.
Multip
cutting Blad in 201 cause

-bad
scissor
Suctsevacuat collect of
.

und DNC , ,

feed
a
&

e
Vaginal hysterectory amniotic
-Punche
L
termostatic forups. PROM
↓ -
Forc Dilata in
Green amytam Dilatath E

iM)Instill&
E Evacua
~

dinin ↓ san cathet&er at the

Einettage

6
L

↓
so
wund ↓
inside not
,
a
Kmall Obs

retractor tis Periniotomy

is tomy metal we we
-
gynae
orum forceps
~
= UPD We Allis .

T, smear
,
copper pap
ownin ↓
Removal of products
check
cervice
toothed hamy shaight Grac tooled interlocked We
sowna artiy
=
Non -

of conception
-

sirrath surgery Transverse

servation
-

Transverse ↓
-

↓ forceps L
↓ used in Obs
S
incision
Cred A . Forceps .
in perinuum Kocher forups D
Hemosluis (Arterial & ↓ 7
-

venou Bluden 2 E

protect
membrane & ⑦ Sim's Triad
Position
humation
a Condition where S

afal
·
-
.

C
.

ARM C11
= HIV
used fir S
Speculum
infection
a
-

a
.

drainageine
- =
IUD) proctor -
S .
Silver wire .

nac [Link]] (prolonged suptan

&

to
-
N we

..
I

Cystocode ① Sim i jamour

zatm
&
of membran

Ein
&
obs
-causes injury
in
choro amnionitis) upper e
for Vasico
l

twin vaginal.
M
var
as perineum a very
istula
Vascular differentiate Cruf)
do pr examination
v

S 7
Cysto well Gartnes syst
↓
Patheterfelt
Cather not

Conis
feet .

⑧ ala's not present usually Myomectomy

if I
job's
und
clamp
Gobs = Urine chainage
.
around
to constrict it
h gynae : Circle the istme
N
L to block Uteine A
done in myomectomy
↓ .
↓
Ibeuding
 (myoma

is cancelation
couniquet for
&

General rese.
eltine sound
malleable metallis un

③ duated
pointed - d

marcementulu
shorte ab =
career
-
to prevent ent ↓ und
chuel
w

damage
of weins wadel
L
cut
Utio-cm-have to
·

wall stone
lengin reach till
the
↓
made
,
as 1dilator in
funde
in

sound
= Und -enter
its

Kine then
serial dilatation. Ant
- Post Lichen
inside
used to
.

&
sound
=
putX-ray all perT.
it
noun
in
sidetenus
=
for missing farad M
do X-Ray
lat
setzen
deck engn
.

dilator -now
② Kaege's imid
E Zutsich
u Cavity a enter uterus und Los
Uterin .

W to see sarix .
Kee
-

into os
Cavite
f
.
-

loss of
~
e resistance - DEE
to reach &
Euphoband
cross
int os.
U .
por copper
Perforation immersion
.

Intosu/s
=
Cerix -
3-y a knym
.
↓ ↓
Wein bodym -3um
=

-Bum
Sum -star
at position
2 diameter at one when left.
diff dilator
at int .
OS

↓
.
dilation of crix
used for serial

-
-
I
① Multiple round Es Singer toothed .
valsallem
un
u
A He

Gyna obs
-
-

awix Organix
-

Not pug
.
-

Conical Punch
-
Biopsy
-
-

--
-
.
cancer
Biopsy for Crical

① Read forups-types
-
~
↓ indications .

F
. Delving
 Instruments

For
by entraves - know how to
idently the instruments for Image ques

Show instruments I ask ques

for Ug viva - know how to

identify
complete never

1-2 uses

Related topics/vive ques

Instruments for examining

the
raging
of cervix Pink Exocervix Squamous
epictransformation
->
④
per speculum
->
Anat - on exam ->

Red -> Endocervixcolumnar epi

->
zone near

extos
is
Pale part
of read pink
seen on area
lot area
Ferropient of fut Ost place where endocervit
"endocervix as moved out nterve
means
opens into
ext Ost place
at
June of vagina
excocervix

Per speculm exam

- Double bladed non
self retaining
Steps -> -Retreet past
wall
of vagine packets
SIMS speculum

Uses - <

⑪ In ORD
for routine gynecological Handle
connection a
be
a cervix
narrow
exam to visualise vagina
⑪InoRD proudures ->
PAp smear Prada
luaD insert m ↑
niblade for
Endometrial groove
Birpsy drainage of discharge
3 MAP a Abortm -> suction evaluation

1) In minor a major sy-Mysterectiney, hysteroscopy out

To see rupture of meats -
put time speculum ask to cough- if
anmiotic
fluid comes

Membs
ruptured
wall retractor.
249-Retract Ant Wall - sims At. vaginal
well
gally
lised
sims post
-

rapt Forsime podim ifa needed

in

speculum 1

Air gushes to fill the

gap
 likeends handle
Loop make a
15'Angle I

I loop points anteriorly

2
loop points posteriorly
should
inserting loop enteringfacing
an ->

d
uses - is same as sins speculum
Rare - Blunt curette in obs
*
un; exams
you

After and step

*

various SIMS vi

OBG
1 sims speculum
a sims position
③ Sins vvy repairsy
↓
3
Ms Triad ADA

2) Since Ant Wall

retractor

DIBADV speculum a gut wall retrator

of SIMS

Non see retaining needs assistance

PRO 5
Page
If Arm
1.
Leg
flexed I
uses

1) Exam-vagina
Rectem

1) Enema
 self
retaining vaginal
overcomed Cusco's Bivalve speare
This disadv
by

-> on
fightening
scree

cusco'get's
fixed.

uses G -

⑪
Route persplewe
te

O
Ord
procedures
⑪ Pap swede

2) IUCD insertifi
3) Endometrial By
③Cervical By
Disolde
Ant wall a post wall not dent can not prolapse
"
-

space for procedures

- cannot be used
for minor a major genae sy
 O
Identifying feature-wt
*

a Sims cannot
be used
↑casco

To enter certix vulsedum holds the

3rd step -> VULSELLUM - ->

art up of cervix

next
-uses
page
-> should face upwards
while
using

i
 t

econcerningfacing

To visualize posterior furnix use - vulsellum to hold the

post up of cervix

↑scimage from google

I single tooth valselum
res
Pregcervix
3
-> As it has teetle -

of

injury

myonestomy
hypter actory
 have - Rocket Lock
Mostforceps

=Tsin

-> uses k

↑ Only 2 Cheattle
-

foreme
Over
forceps
O
vd
and

preventam
↑

↑ utevocervical length Mercervical length

As eterns G
->
cervix poet
menopauses
Atropley
 lawhim tuber dilator
Haegars dilatore, US

Purpose / Both divators -

use
of

in a
BT0 x cervical incompetence
non
pregnant of
b
No 8
Hagar
dilator - the woman int or closed - resistance in
passing
84.D.
f of No

In carvical -> tnt as

incorp open 2 No resistence
 dicates come ->
Hegar
dilator-
other are uses
of larger
⑪To measure cervical length
an idea about direction
to
Go no on
dilator) get
of uterus

to
3)
dilate int. Os

uterine length
f
arteries
It can not measure
aft pain
-> WAI a WATCH
dilation
-In
forcible

for
enveltage (PR)
Diff blu Ant vaginal wall retractor

b
Ant Wael Cureete
vag
retractor
No Serrat Ce
scretions on loop
tut
m
loop
servations int
Iblunt I sharp - at
handle
in

d
 dicates come ->
Hegar
dilator-
other are uses
of larger
⑪To measure cervical length
an idea about direction
to
Go no on
dilator) get
of uterus

to
3)
dilate int. Os

uterine length
f
arteries
It can not measure
aft pain
-> WAI a WATCH
dilation
-In
forcible

for
enveltage (PR)
Diff blu Ant vaginal wall retractor

b
Ant Wael Cureete
vag
retractor
No Serrat Ce
scretions on loop
tut
m
loop
servations int
Iblunt I sharp - at
handle
in

d
 for suction a Evacuation

CkC>

->

Of
-
Canwe
in mm.

b
onerved
*
traumatic
I
transparent can be used I

manual vacuum
syringe
c
#pulling the
plunger viside
syring
-> that
helps sum back - creates valuem
I

600 rat changing

>
press pinch valves
-> MTP E
a
Now put KC on tip
f
Release values -> vacuum transferred

completes
products of conception
comes out

To know if evacuation is
out
1) No products of conception come

sensation
2) Grating
contract cannula
③ uterus tends to over

is Menstrual regulation syringe

urAsyrings

O O
v

I
Y

weeksSMTP
Cell >12 weeks

shaped forceps
->only spoon

Eppn case
 Forceps ->
1)ALLs FORCEPS Alls "S valslvem

1 smaller longer
curved end
-

~
inward
- >

concavity -
not
cconcavity)

=
-

duringby
To hold cervix of a child

child small-valselum cannot be used

As serrix of
DKOCKCR's Forceps

->

= Green
Armytage
Alternative Allis but
greenArmy
->

At served

->

-pressurevosin
servations
·

-> Good hemostasis

a)
t
->

Roches -> thamsverse

serrations

in Andominal
In which order as the
ligaments clamped hyperectomy?
Corners the uterus
- found ligament - fallopian
tube + ovarious
lig
of
to uteris
Werine
artery ->
to
blood supply
③ Cardinal rig
i uterosacral lig
This order is
opposite for vaginal hipterectory
⑤) Babcocks forceps -

-> Werthien's
hysterectory
Tip is curved
 Retractors

thin/tissues after the invision

General use
of retractors - 1 to retract giving
hold from us operating field
2) To fall
organs away

I retractors
Organ 890 handle; Blade-straight a
narrow

Retractor
- I shaped; Blade to

⑪ Landon's
one
raginalhyperatory narrow releader
was

toout awayin
5. bed
one

< Landors refractor

petractor - curved a broad made

Doyne's
D to retract bladder in Abd. Sy

And Ex
secti

hysterectory
③ Mor's peracto
-

To retract And wall in Abed by Blade- BROAD a FLAT

1) Ieaves Retractor

intesting
to retract keep organ like
omentun et in And Sy
Always use swab then

retract
prevent injuries
to

eutier
- man shaped

-- retractors -
Non
self retaining
f
3)

middle headl
similar to
dognes
 To Retract
#
skin

is Czerney's retractor

I shaped
instrument

NEEDLE HOLDER

t
To preventstraightening
↓
A

sum e
not
of

Scissors

&
1) 2)

can be
H
straight or curved
+
 WHO-> Support
to
prevent perineal team ->
head
Perinum-hand while
delivering

- > i shoulder
dystocia
2) Macrosomia

Le head
3) Aftercousing freed
3 unnandaan ) face to Pubes
for delivery
5) Rigid Perinum ex
primigravida
 to hear sound
-earlier
fetal heart

Various Pihards in OBG

Pinard fetal steth

to deliver buttocks mi
back Pinard maneuvre ->

no the
frank breach

3 Pinard living ligature

Middle
layer of myometrium

Instruments
SphGynal

proximalaset
D
and
a ~

cornuale
ice of path
↑

Mc BK CrnualE i RSG

use 4

2)
LW cannula
->
- -
--

I can
be used to
manipulate
the uterus
 sy
HULKA's Metripulator
to manipulate
uterus
during
if small Rod
perforate stave

-
uterus -

Rod doesn't resche

if were
big -

fundus
not as
to manipulate
·Not preferred

hepart
seemedpartistrecrosis
nodismore
- pairs of finger grips
Ogo -> Hold
Istnues
f
round lig?
uprightor
in
-keep funds
not
- Round ligament does
let compressing effect of
damp com onto istene
3
Boney in 132
- Boney Myoma clamp
removal fundal
wood sx for of
Boney's
posterio
wall fibroid
⑤ in Su
Boney's test

length of spatula
COcm
end used
bifed As
end
longer on ext M

smaller on
transformation
zen

sote 360-2-3 time

 in tube
-> to
apply fallen ring ligation

make
# istune of
ring of

·I
fallop - silicone

O
Has Barium
sulphate
O Radioopaque
Prong

3
away from
an cornua

of uterus
 in tube
-> to
apply fallen ring ligation

make
# istune of
ring of

·I
fallop - silicone

O
Has Barium
sulphate
O Radioopaque
Prong

3
away from
an cornua

of uterus