0% found this document useful (0 votes)
7 views18 pages

Valsallum Use in Gynecological Procedures

The document provides a detailed overview of various gynecological instruments, including their design, uses, and applications in obstetrics and gynecology. Instruments such as vaginal speculums, forceps, and dilators are described, highlighting their roles in procedures like cervical inspections, biopsies, and surgeries. Each instrument's specific features and intended uses are outlined for medical professionals in the field.

Uploaded by

Vasishta L Swamy
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
7 views18 pages

Valsallum Use in Gynecological Procedures

The document provides a detailed overview of various gynecological instruments, including their design, uses, and applications in obstetrics and gynecology. Instruments such as vaginal speculums, forceps, and dilators are described, highlighting their roles in procedures like cervical inspections, biopsies, and surgeries. Each instrument's specific features and intended uses are outlined for medical professionals in the field.

Uploaded by

Vasishta L Swamy
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

ant.

vaginal
wallretracto

Shaft; oval fenestrated ends with transverse serrations

Uses: retract anterior vaginal wall- visualize the cervix


Obs and gynae uses...same as sims speculum (used as a conjunct to sims speculum)
cuscosspeculum

ESTD.

Bivalved, metallic self retaining vaginal speculum


2 blades joined by screws
handle- rod n screw system
Uses: Vaginal wall retraction and retraction of the cervix(?)
Obs:- inspection of cervix
Gynae:- routine; colposcopy; cervical procedures- pap smear, biopsy;
uterine- endometrial sampling, iucd insertion and removal, iui
simsspeculum
Double bladed, posterior vaginal wall speculum
non self retaining
ends are rounded- avoid trauma
concave groove- collect secretions, blood.
uses: Post vaginal wall retraction and inspection.

Obs:- inspect cvx and vag for - discharge, leak and bleed
- injuries following delivery
Gynae:- routine inspection
- cvx procedures- biopsy, polypectomy,dilation
- uterine procedures- d&c, biopsy endo, IUCD insertion
- major procedures- vag hysterectomy, colposcopy.
uterine
sound

To know intra uterine cervical length (?)


allis
forceps
Tissue holding forceps
Sharp, serrated, multiple teeth
Grasping and retracting tough tissues

Obs:- Hold rectus sheath


- hold angles of uterine incision in CS
- hold vag apex during episiotomy repair

Gynae:- to hold vag flaps during vag hysterectomy and vault closure
-colporraphy
valsallum
gentle curve+ blades with 3-4 teeth
uses:
to hold ant lip of cvx for-
-endometrial bipsy
- iucd insertion
- IUI
-Biopsy
-Vag hysterctomy

To hold post lip of cvx for


- Culdocentesis in sus ruptured ectopic
- culdoscopy
kochersforceps
Tooth at the tip of one blade,
corresponding groove at the other
ratchet and catch +,2 types - straight n curved
uses: hold tissues firmly, less slippage

obs:- artificial low ROM


- clamp umbilical cord

gyae:- hold cornual end of uterus during TAH


clamp pedicles
remove pedunculated fibroid
babcocks
triangular curved blades; space b/w the blades present when locked
atraumatic- can hold tubular structures like
- fallopian tubes
- appendix
- intestines
- ureter
- vas deferens

uses: to hold these structures during their respective surgeries


Blades with transverse serrations; ratchet and catch
small artery- curved- used as hemostatic clamps
small straight- to hold stay sutures

long artery forceps- used as hemostatic clamps

uses:
-hemostasis
- clamp pedicles before ligation
- hold stay sutures
- clamp umbilical cord

artery
forceps
sponge holding
forceps
fenestrated rings with transverse serration; ratchet and catch
Obs:- hold pregnant cvx for d&c , encerclage
-identify and repair cvx tears
- remove products of conception(if ovum not available)

gynae;- hemostasis
- keep bowel and omentum away during sx
- polypectomy
OVum forceps
Spoon shaped fenestrated blades
no locks (prevents crushing of tissues)
Uses: remove products of conception from uterus during abortion
Its either a female suction catheter or
a Karmanns suction canula
currette

Oval fenestrated end with blunt or sharp or double ended shaft


Uses: scraping endometrial cavity blunt- obs ( curette following surgical abortion)
sharp- gynae- endometrial sampling
- remove adhesions ( ashermans )
- remove embedded IUDs
(Tenaculum)

tinnacullum
Single pointed hook at one end - to hold cvx
Uses: same as vulsellum
curved, double ended dilators with conical tips
Min-1/2; Max- 11/12; Angulated
Obs:- rapid dilation of cvx for abortion
- diagnose cvx incompetence

Gynae:- Endometrial curettage


- hysteroscopy
- Cvx stenosis
- primary dysmenorrhoea

dialator
hegar's
Endocervical brush

CuT
Uniesspackag penecd ordar
See detat 1structior
loat and uSe

Ayre's spatula

RAUTE

PPER

ON

RAEPTIVE

INCH

Batcl D.:A0110-2( 1
Mfg. e :2021-10
Exp. e :2026-09
Govenrert of

MFGMO2000ONTE

ay DomeySmg

of
trom

coer

wie
h pap smear
Sunlight

PEN

You might also like