Instruments in General
Surgery
General Surgery
ET Tube
• The ET tube is used for intubating the trachea
• Indications are elective and emergency ventilation
• Orotracheal/Nasotracheal
• Cuffed/uncuffed
• Single/double Lumen
• constructed of polyvinyl chloride, but specialty tubes
constructed of silicone rubber, latex rubber, or stainless
steel are also widely available
Ryle’s tube
• Also known as the naso-gastric tube
• Is used for feeding
• Also used for nasogastric suction and aspiration
• Is approximately 90-100 cms long
• Has a radio-opaque line
• Has three steel balls at lead tip
• Has multiple windows/perforations
• Dubhoff/Levin/Salem Sump
L/Z
• Langenbuch
• Czerny
• Retractors
• Multiple uses
Artery forceps (Kelly)
• Usually used to control bleeding
• Can be either curved or straight
• Also known as a haemostat
• from the Latin “Forca” meaning to snare or to
trap
• plural forcipes
Sponge holding forceps
• Used for cleaning in asepsis
• Used as a fundus grasper/retractor in open
chole
• Has atraumatic holding edge
• Rampley’s/Foerster’s
Allis / Babcock
• Allis forceps is traumatic
• Babcock is atraumatic
• Both are tissue holding forceps
• Babcock is specifically used for bowel,tubes
Airway
• Prevents the tongue from rolling back
• Is useful for maintaining short term airway
• Has a lumen for passing suction catheters/RT
Gabriel’s syringe
• Used in haemorrhoids
• Grade?
• Sclerosants?
Scissors
• Curved/straight
• Mayo/Metzenbaum
• Tissue/other
Kocher’s
• Traumatic tissue holding forceps
• Abdominal closure
Tracheal dilator
• Steps of trach
• Elective/emergency
• Opposite movement!
Towel forceps
Needle holder
• Ratcheted instrument
• Grooved instrument
• Short pivot
Malecot’s cath
B-P Handle
Thumb forceps
• Toothed / non toothed
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