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Surgical Instruments and Techniques Guide

The document contains a comprehensive overview of various surgical instruments and techniques used in surgery, particularly in obstetrics and gynecology. It includes details on forceps, retractors, scissors, drainage systems, and anesthesia methods, along with their specific applications and considerations. Additionally, it outlines procedures for managing complications and patient care during surgical interventions.

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© All Rights Reserved
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0% found this document useful (0 votes)
52 views30 pages

Surgical Instruments and Techniques Guide

The document contains a comprehensive overview of various surgical instruments and techniques used in surgery, particularly in obstetrics and gynecology. It includes details on forceps, retractors, scissors, drainage systems, and anesthesia methods, along with their specific applications and considerations. Additionally, it outlines procedures for managing complications and patient care during surgical interventions.

Uploaded by

mailergotsent
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

Annotated by Tathagata Bakuli @ bakulitathagata

SURGERY
stery-curved ⑪) Alamatemi din a
-

straight I
-acys
e

=-Traumatic
->

forceps
D
Transverse
E servations

fin hold
Multiple
Wide
+

200li
teelt
edge

Bout

right angle
Minteis Kocheis Green armytage
foreps
All's
forceps
forceps
Kelly's hemo static

arting force -
,
hemo static
Lealia

vessels/pedices
Secure
hold) fascial rectus gorcepscit
isS Interme

episiatory
-

it

-
ARM in OBG incio

slipping
Scissor avoid even
Forceps VS -

L

more
Cenept scissors)
joint Screw Autodamc
stainless steel-
Bow
Loint
Eto
rubber cannula
-
scissors
-

,
,
abaumstic N
hd leas
Faumatic
Longitudinal senations)
no
rachet
~

Ramptey's Mayo's tower


Babcock's
forceps sponge holding forceps Intestine
clamp
Desjardine's
g
choledo cho
littomy clip
Zubutan studie corum - no
to d/rachet) forceps
forceps
Intestine
open CBD exploration)
FT
melei
choledo cho
littomy
round
ligament
no de
Lymph
RETRACTORS
-


z

Czerney's [Lagenback's ~ [ Morris

Doyen's

retiact
bladder
in 2SCS
makes
Deaver's -

labd wall
edhiaction) light
weight

Balfour self retaining Joll's selferetractor 1 Sx)


Ses 9 I need 2
for
I
-

Mollison Jansers
Perkins
d 3
Doyer's 3

4
3
U
~ aponemosis/ligaments/tough structies

i
Scissor
Mayo Short & mota tooled
mays echarge
- now

#
miss co

toothed

Needle holder
L r handle
subre
precise
Shin Stab
Adsor's Tissue
G
removal
mys 1 &D
W UB thin
Long
holding forceps anteriolony
&
-

paed sy
~ Aubectomy
Metzenbaum
scissor seb
cyst
~peritoneum lipomar
(minovos)

BP handle
d
2
pigs
L

&
water si
DI Stent
grat
Lureteric Stent)

Scheat tube Romovac (neg pressure)


.

Jackson Pratt
post EslL

& closed de am
Abd
drainage barg drainage bag -
post .
Abdominal

wick abscess/sPC- Malesot


Kehis ⑦> > > > >
<°I=

calticle
calticle
Pigtail T-tube

calticti
abscess Indian rubber
(2 less combustible)
subire
1
pig (Flatus Libe

0 (no subire)
tourniquet is

self retaining ⑦
flower
centery]
side camera)
<Lap
access main
optical -
.

35 z so Harmonic scalpel
130 side ports S
ulliasonic waves

mode
Trocas-cammula .
1 Seal
1 .

Manipulation 2 = 600
mode
2
cut

2
Aginnths 30"
.

2 1
laparoscope
=
.

veness needle main


.
3 Elevation 30
surface
=

shin
& 450 :
(1-22t) Ivanious
angles 1) =

202
:
-20mmty
vessel sealess
-

injury)
(2d so organ
-bevelled edge
-

confirm-drop of
saline
(succeed ise
respirate
I correct
~]

Gases:
combustible embolism)
WSA
Co2 Mc - now
blood - no risk of an -

soluble (dissolves
in
Ulliasonic
C
sish of hypeecbia
N2O
Heliumanalgesic (combustibel e heatf
pressure
harmonies Bolt

Room air [ Last resort]


Bipolar
AC
:
coagulation Staples
M
x:
cutting ineas

Resection & anastomosis Circular


Monopolar cantery -

piles
9 NS
no
:

media
distending lebctrolyte
glycine wich)
:

use
PPH
P/W conduct current jugad
in
Bakiballoon not ther
~ lif

Minnesota
S-B libe
Linton's
W --
wa

Tamponading @⑧
0 O (upper GI
bleeding) -

-
S

0
-


60 un

160 un
B Humber split
thickness Tucut biopsy
es contractive)
& core tissive
Bx
Balloon
Breast/Lung
I
9 14- 16G

25 u
10 a

numbers

UGIE-120cm

Kelly's proctoscope

Intermittent
15 em
IPC-
Military
antishock
garment
pneumatic
compressions

u
OBG
wall retractor
Sins ant .

vaginal
~
2 Allis
gle
Sconcavity
0 Nutseller
I I hold

of x)aut- Lif

multiparous

enscos Nulliparous- Tenacuhur (only 1 tooth)


Sin's Anvard's L
self
-
Pregnancy- sponge holding
specium ↑

self retaining Posterior lip- sponge


retaining
&

h holding
1 I retract
vaginal lobsemes botti
Iweighted Speculum) to be seem forceps
wall) walls) POD needed
vaginal Cx tear
-
non
self
- WVE repain
aT
3x
retaining vaginal
-

Pap smear

I not in of
olive tif

(pregnancyx) ↓ · 10
no perforation
L

gradations conservative
L MX

: Iwat & watch , ②


vitals]
0 8
⑦ in - see
Bladder
sound
Hankin Amber
Menstical
Megais dilator PHC
remote
Karman's
segulation
arrette

dilator cannula lobs blunt


sound
-

Uterine L syninge
d I POG
to avoid

Perforation]
:
size
=

angulation dilation in DOC 6 WKS : MTP


UCL/ POG-1 Manual
POG-1)
-

91 [inx lengin] -

diagnose
x incompetance vaccum


:

6-8 ams in non pregnant Aspirator


dilation) city source)
I
Ino electri
-

s
pass
no

60mb
9
-

9
non
pregnant
: Lash & Last -
660 min
Ag
MTP : till 12 whes

Complete evacuation signs:


1 No
fproducts 5 Bubbling
more
.

contracing
.

Gratting
.

.
2 interns
3 .

Gripping
A

Ovum
forceps Endometrial
Leech-Wilkinson
cannla Mulla's
Rubin cannular
interine
>12 whs MTP Biosy (HSG : old)
ET >4 men
manipulat Hysteroscope
perforation)
:

-
PMB
100
Famozifen :

ET > smm

ET 12mm
Perimenopausal
-

-
Koplin

conventional
cyto brush
Doyen's myoma
Ginge
-

Based
screue Liquid
↓ BC cytology
Mentos
-

C
sensitivity
/
I allops Ayeis
14t
cells
more

spatula
-

- no slide

meet 9
Bonney's My my
rig applicator drying
no air
Fallope
-

Clamp 95% ethand


fin
:

I
Reduce blood loss during myomectomy: Order of clamp- cut- ligate during hysterectomy:
- GnRH
analog
- 3
(preop)
with 1 .
Round Ligament 4 . Broad
ligament
-vasopressin/Transena (intaop) 2 .

Ligament
Ovarian
Tube
blood from enterine A . Fallopian
-Clamp (corral Id (more lateral)
3

infundibulopehic ligament
) .

180
anaesthesia If -

Hypotensive
I
screw

9 Cord camp
Episiotny umbilical cord
cord
-

culling
a) 3-4an
from
scissor

e
Episiotomy Mediolalival
Angle: 60"(M)6
-

Timing: a crowing
(MMS)
Order: Mucosa-Musck-skin
Type of perineal tear: 20
Suture: Vicrys sapide/ che catght (absorbable)
Muscles cut: Bulbospongiosus, Levator ani, Superficial
and deep transverse perinii
9
Not cut: Ischiocavernosus/coccygeus, obturator Analsphinc
⑲E 9 outlet
forceps
Weighy's

3 ,

Kielland rotational forceps


(not used)
Slidinge Silicon vaccum

Barton (not used) cup


I & flenion point
OT position touch tip at Post Iontanell
.

Pipes forceps -after commit


a automatically
at
flenion pr
.

Correct application:
It hand-it-lock
It
forceps -

(traction)
-
- Downward backword -
stnight- upward
Curve of cams)

Maternal or fetal distress in 2nd stage


Station >+2
No CPD
Full dilation, ruptured membranes
ANESTHESIA
~

Inhoy
needle

needle
Spinal

headache central line chemopost Tunneled


cutting
I
post puncline cathete
- dural
(Best : 13Y

leim : subclavian
de
Long 20 PTX)
·
Permacatt :
disysis
- -

Ab Hichmann
+
-

remove
.

:
-

I splitting Infection
den
culture
central ->
tife
alwo -

line

L sample e from e

e
peripheral
new : (5x41) ⑰
⑦.

Burst
seen

cytology
⑩IMe
steite
-DIW
or

wobag

In canular
I
diameter NG Tube
L I8F onli

Balloon
inflation
Fowler's position
-
NEX (adnt)
/Fr 0 3 mm
(bachu)
= .

NEMU
me/min Inflation using: Distilled
-
-

Colour Code Green 14fr umbilical)


CNose-Ear--Mid
water Lobele
Orange 14 G 270 Shull #
Stuck Foley’s: of
guided
Base
USG Orange 16Fr -4I-
Gray
16G 210
balloon unctive
I
White 17G 130 Red 18Fr
Green 80(996 my min)
186 d
here !!! Yellow 20Fr
Pink 50
Marrow
mong
corrected
(Rohan sir
206
in his
group)
Blue
226 30 Purple 22Fr peripherally
inserted
Yellow 24G 20 PICC Line i
centisch
Blue 24Fr
Violet 10 Line
366
Percutaneous
endoscopic
PEG
gastrostomy

-prolonged feeding

NI tube

Freca's tube
Guedel's
"unconscious) Supreme
LMA

Grocea)
ND

anway

classical

King's Laryngeal
Tube

i Get
AMBULMA
adult
inclutosh
-

D Murphy's eye
&

Miller-children
Vocal cord Bongie
guide

&
invoughout
Mecoy Inflate cuff with: N/s or air

Pressure: <30 Ha0 a

Et CO2 (35-45
mety)
:

Best place
in
Stylet
metallic
99 non combustible

Red rubber tube


Flexometallic libe

Laser
Double lumen

ET

ventilation
single lang
RAE) preformed

dental
PNSSX
Sx
fixed % .

Oz

52/ min
40 %
Nasal
prongs Hudson mack 10 & 60 % ventini device - COPD
me/mm 60%
15
mmm -

HFNC
NRBM

15 me min
85 -

95 %

60
my mi IV-CPAP
N N
-

~ 100/ 100%
PSM
<11 . 5 an

- MAC

Shallis Jape &


I

till
5 yas infantometer Herpenden calipers
Age independent
<2
ys for
eldemand

gee
e

residual a
-

residual Cl
Horrock's apparatus chloroscope OTA :

free -

Ortho to lidine assents


wind wase

direction
Kata sling &

Globe Shmometer velocely


-

Psychomein
wind
Thermometer Baromeli-
anemometer
effective pressure
-Low air velocity temp
humidity
cooling temp
. an
-
&

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