SURGICAL INSTRUMENTS
DR. MUSTAFA YASSER
DATE: 02/2024
DR. MOHAMED WAGIH
Surgical
Instruments
complication
• Bleeding
• Infection
• Trauma
• Pain
Artery forceps (
Straight or Curved )
(Hemostat)
• Description:
• Two handles and two blades
• Attached by joint & ratchet (lock)
• No teeth
• Uses:
• Catch the bleeding point (hemostat)
• Clamping a vessel between 2 forceps &
then dividing between the 2
• Catch peritoneum or aponeurosis
• Opening abscess cavity (Hilton method)
• Dressing
• Sterilization by autoclave
Mosquito
Forceps (Straight)
• Smaller than artery forceps
• Description:
• Two handles and two blades
• Attached by joint & ratchet (lock)
• No teeth
• Uses:
• Catch the bleeding point (hemostat)
• Clamping a vessel between 2 forceps & then
dividing between the 2
• Catch peritoneum or aponeurosis
• Opening abscess cavity (Hilton method)
• Dressing
• Sterilization by autoclave
Mosquito Forceps
(Curved)
• Description:
• Smaller than artery forceps
• Two handles and two blades
• Attached by joint & ratchet (lock)
• No teeth
• Uses:
• Catch the bleeding point (hemostat)
• Clamping a vessel between 2 forceps & then dividing
between the 2
• Catch peritoneum or aponeurosis
• Opening abscess cavity (Hilton method)
• Dressing
• Sterilization by autoclave
Needle Holder
• Description:
• 2 handles and 2 blades
• The handles are much longer than the blades
• It has a lock
• Serrations at the tips in both directions prevent slipping
of needles
• Uses:
• To hold the curved needles
• Straight types are used in superficial sutures
• Curved types are used in deep sutures
• In plastic surgery a fine needle holder is used
• How to hold the needle?
• Just behind the midpoint for maximum advantage in
curving action
• Sterilization by autoclave
Kocher forceps
• Description:
• Like artery forceps with teeth at the tips of the
blades, the teeth fit together when the Kocher is
closed
• Uses:
• Holding & traction of tough structures like sole of
the foot and rectus sheath in paramedian incision
• Crushing the base of the appendix 3 times in
appendectomy
• Clamping of vascular bands of Omentum
• Bone surgery
• Radical mastectomy
• Sterilization by autoclave
Babcock
Forceps
• Description:
• 2 handles & 2 blades
• The blades are gentle
• Blades have serrations, with no teeth
• There is an opening on the sides of the
blade “lighter Blades”
• Made of metal
• Uses
• Holding of the intestine
• It can be used in appendectomy,
Gastrectomy, resection of intestine
• Sterilization by autoclave
Allis Forceps
• Description:
• 2 handles & 2 blades
• Blades have very fine interlocking teeth &
meet only at the tip
• There is elongated cavity between the blades
• There is a lock
• Made of metal
• Uses:
• To hold the delicate structures like the
intestine, tendon, urinary bladder,
mesoappendix and skin
• To hold the duodenum for closure during
gastrectomy
• Sterilization by autoclave
Ring Forceps
(Sponge holding
forceps)
• Description:
• 2 handles & 2 blades
• With joint & lock
• The operating end is oval, fenestrated
with fine serrations
• The main axis of the blade is in line with
the shaft
• Made of metal
• Uses:
• To hold pieces of gauze for cleaning of
the skin
• Cleaning the depth of the operative field
from blood
• For dressing of wounds
• As a retractor
• Sterilization by autoclave
Toothed
Dissecting
Forceps
• Description:
• Same as non-toothed
dissecting forceps but with
teeth
• Uses: Holding tough
structures like skin,
subcutaneous tissue, fascia,
muscles, and aponeurosis
• Sterilization by autoclave
Non-Toothed
Dissecting forceps
1- Description:
• Two handles attached at their ends
• The tip is either pointed or fenestrated
• The inner surface of the tip shows
transverse serrations, but no teeth
• No joint
• No lock
2- Uses
-Dissecting of delicate structures like vessels,
intestine
-Dissecting of hernial sac from vessels of the
spermatic cord
Sterilization by autoclave
Langenbeck
Retractor
• Description:
• Long handle
• Curved blade
• Non- self retaining
• Uses:
• To retract the skin during operations as
appendectomy, thyroidectomy
hernioraphy and ureterolithotomy
• Sterilization by autoclave
Morris Retractor
• Description:
• Long handle
• Long curved blades
• Broad operating end
• Non- self retaining
• Uses:
• Retraction of large abdominal wound
during laparotomy, cholecystectomy,
splenectomy, renal & ureteric
operations & pelvic operations.
• Sterilization by autoclave
Doyen Retractor
• Non- self retaining
• Uses:
• 1. Abdominal surgery
• Retracts the abdominal wall
• Exposes the peritoneal cavity
• Provides better visualization during
laparotomy
• 2. Gynecological surgery to retract UB
• Hysterectomy
• Cesarean section
• Ovarian surgery
• Myomectomy
• Sterilization by autoclave
Deaver
• Description:
• Long handle, blade & curves operating end
• Uses:
• Retraction of the liver during vagotomy,
cholecystectomy & gastrectomy
• Sterilization by autoclave
Autoclave