Instruments used in general surgery
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There are many different surgical specialties, some of which require specific kinds of surgical instruments to perform.
General surgery is a specialty focused on the abdomen; the thyroid gland; diseases involving skin, breasts, and various soft tissues; trauma; peripheral vascular disease; hernias; and endoscopic procedures.
Instruments can be classified in many ways, but, broadly speaking, there are five kinds of instruments.
- Cutting and dissecting instruments
- Grasping or holding instruments
- Hemostatic instruments
- Retractors
- Tissue unifying instruments and materials
Instruments used in surgery are:{{Cite web |url=http://www.ilizarov.com/english/ |title=ilizarov.com (English) |access-date=2008-06-04 |archive-url=https://archive.today/20130126120621/http://www.ilizarov.com/english/ |archive-date=2013-01-26 |url-status=dead }}Children with Tracheostomies Resource Guide, by Marilyn K. Kertoy, p. 15 ([https://books.google.com/books?id=FDHoDc5Qyr0C&dq=decannulation&pg=PA15 Google book search]){{cite web | url = http://www.ilpi.com/inorganic/glassware/cannula.html | title = Cannulas | work = The Glassware Gallery | author = Rob Toreki | date = 1 December 2004 | publisher = Interactive Learning ←Paradigms Incorporated}}{{Cite web |url=http://www.jvir.org/cgi/content/full/11/8/955#SEC8 |title=Practical approach to nephrostomy |access-date=2008-06-04 |archive-url=https://web.archive.org/web/20051103041851/http://www.jvir.org/cgi/content/full/11/8/955#SEC8 |archive-date=2005-11-03 |url-status=dead }}See Mr R McElroy for details of various operations and the unintended effects of chemical cauterization{{cite journal|title=How a Dentist's Name Became a Synonym for a Life-saving Device: The Story of Dr. Charles Stent|journal=Journal of the History of Dentistry|date=July 2001|first=Malvin|last=Ring|volume=49|issue=2|pages=77–80|url=http://www.fauchard.org/publications/history/49_2_july01/stent49_2.htm|access-date=2008-04-01|pmid=11484317|url-status=dead|archive-url=https://web.archive.org/web/20050428141049/http://www.fauchard.org/publications/history/49_2_july01/stent49_2.htm|archive-date=2005-04-28}}[http://www.straightdope.com/mailbag/msyringe.html How do they get the hole through a hypodermic needle?]{{cite journal
| last = Bonfils-Roberts
| first = E
| date = May 1972
| title = The Rib Spreader: A Chapter in the History of Thoracic Surgery
| journal = Chest
| volume = 61
| issue = 5
| pages = 469–474
| issn = 0012-3692
| pmid = 4558402
| doi = 10.1378/chest.61.5.469
| url = http://www.chestjournal.org/cgi/reprint/61/5/469.pdf
| access-date = 2008-04-22
| archive-url = https://web.archive.org/web/20081217025255/http://www.chestjournal.org/cgi/reprint/61/5/469.pdf
| archive-date = 2008-12-17
| url-status = dead
}}{{cite web|url= http://www.teleflexmedicaloem.com/pdf/KMAD-4_General.pdf|title= General Instrument Sourcebook - KMedic|access-date= 2011-02-10|archive-url= https://web.archive.org/web/20110718143226/http://www.teleflexmedicaloem.com/pdf/KMAD-4_General.pdf|archive-date= 2011-07-18|url-status= dead}}{{cite book|title=Bailey & Love's SHORT PRACTICE OF SURGERY|edition=23rd|isbn=0-340-75949-6|last1=Russell|first1=R. C. G.|last2=Bulstrode|first2=C. J. K.|last3=Williams|first3=N. S.|date=25 April 2000|publisher=Taylor & Francis }}{{cite book|last=Gould|first=George M.|title=Gould's Pocket Pronouncing Medical Dictionary|edition=10th (rev)|year=1934|publisher=P. Blakiston's Son & Co., Inc.}}{{Excessive citations inline|reason=Please put them after cited information.|date=January 2025}}
{{Expand list|date=August 2008}}
class="wikitable sortable" |
Instrument Name
! class="unsortable" | Image ! Brief description ! Specific instruments |
---|
Electrical cautery
| 120px | Electrical surgical cauterization utilizes electricity in either a monopolar or bipolar format to burn soft tissue and control bleeding{{Cite journal|last=Cordero|first=Ismael|date=2015|title=Electrosurgical units – how they work and how to use them safely|journal=Community Eye Health|volume=28|issue=89|pages=15–16|issn=0953-6833|pmc=4579996|pmid=26435589}} |
|
Curette
| 120px | For scraping or debriding biological tissue or debris in a biopsy, excision, or cleaning procedure | |
Dermatome
| 120px | Removes epidermis to graft over another area | |
Dissecting forceps
| 120px | Grasping and holding; usually used in skin closures or small wounds |Adson |
Tissue forceps
| 120px | Grasping and holding tissue |
Penetrating towel clamp
| 120px |Used to secure towels or reduce bone fragments |Backhaus penetating towel clamp |
Carmalt forceps
| | Hemostatic forceps |Kalabasa |
Cushing forceps
| | Grasping and holding | Non-toothed dissecting forceps |
Dandy forceps
| | Hemostatic forceps | |
DeBakey forceps
| 120px | Grasping and holding | Non-toothed dissecting forceps designed for use on blood vessels, organs, or delicate tissue |
Doyen intestinal clamp
| | Clamps and distractors | Non-crushing clamp designed for use on the intestines |
Kelly forceps
| 120px | Hemostatic forceps | |
Kocher forceps
| 120px | Hemostatic forceps | |
Mosquito forceps
| 120px | Hemostatic forceps | |
Hook
| | Retractor | |
Nerve hook
| | Retractor | |
Skin hook
| | Retractor | |
Lancet (scalpel)
| 120px | Cutting | |
Mammotome
| 120px | | |
Needle holder
| 120px | Grasping and holding |
|
Retractor
| 120px | Retractor |Handheld:
Self-retaining:
|
Ultrasonic scalpel
| | Cutting | |
Laser scalpel
| 120px | Cutting | |
Scissors
| 120px | Cutting and spreading |May be curved or straight |
Speculum
| 120px | Used to retract orifices |
|
Suction tube and Yankeur suction tip
| 120px | Accessories and implants | |
Surgical elevator
| 120px | | |
Surgical hook
| 120px | Retractor | |
Surgical blade #15
| 120px |Used to cut vessels or make small incisions | |
Surgical mesh
| 120px | Accessories and implants | |
Surgical needle
| 120px | Accessories and implants | |
Surgical sponge
| | | |
GIA stapler
| 120px | Used to make a gastrointestinal anastamosis |Linear stapler |
Surgical tray
| | | |
Suture
| 120px | | |
Tongue depressor
| 120px | | |
Tonsillotome
| | | |
Towel clamp
| 120px | Clamp | |
Towel forceps
| | Clamp | |
Backhaus towel forceps
| 120px | | |
Lorna towel clamp
| |Non-penatrating towel clamp | |
Tracheotome
| | | |
Tissue expander
| | Accessories and implant | |
Subcutaneous inflatable balloon expander
| | Accessories and implants | |
Trephine
| 120px | Cutting instrument | |
Trocar
| Access instrument. Used to create an opening into a space without opening the abdominal cavity. A camera is inserted through one to view the interior while instruments are inserted through the others to manipulate the organs. | |
Ultrasonic energy device
| | Surgical device typically used to dissect tissue, but also seals small vessels and tissue bundles |
References
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