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SURGICAL INSTRUMENT DEMONSTRATION FOR MEDICAL STUDENT

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MEDICAL STUDENTS' INSTRUMENT DEMONSTRATION, SURGICAL EXAMS FOR UNDERGRADUATE MEDICAL STUDENTS.

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SURGICAL INSTRUMENT DEMONSTRATION FOR MEDICAL STUDENT

  1. 1. INSTRUMENT/DEVICES Bashir Bn Yunus Medical student tutorials
  2. 2. Parts of an instrument • Finger bows • Shaft • Ratchet • Joint • Blades
  3. 3. Sponge holding forceps (Rampley’s) Used to clean operative field To swab cavities To hold gall bladder, cervix or stomach during surgeries Ques tions 1. How many times would you clean 2. What agents 3. How would you clean
  4. 4. TOWEL CLIP Use to fix drape in operative field Use to fix suction tubes and diathemy wire Use to fix rib in flial chest
  5. 5. ARTERY FOCEPS (HEMOSTAT) Small(mosquito), medium or large Straigth or curve Has transverse serration Has lock Uses ; To catch bleeding points To open facial planes in different surgeries To pass and ligature To crush base of appendix To hold prepuce in circumcision QUESTION Classify hemorrhage What are the steps to secure hemostasis
  6. 6. Artery forceps
  7. 7. KOCHERS FORCEPS It has apposing tooth in the tip It use for holding tough tissues
  8. 8. ALLIS Forceps The tip got teeth on each blade apposing The blades don’t appose For holding flap of skin, facial, fibrous tissue aponeurosis and other tough tissues
  9. 9. Babcock’s forcep Blades have triangular fenestrations which allow tissues to bulge out. Tip is non-traumatic Use to hold bowel, appendex, urinary bladder, ureter, lymph node
  10. 10. DISSECTING FORCEPS Non- toothed is for holding soft friable tissue like peritoneum , bowels, nerves and vessels Toothed is for holding tough structures like fascia or aponeurosis They are use to steady needle during suturing.
  11. 11. Identify the instrument
  12. 12. IDENTIFY
  13. 13. IDENTIFY
  14. 14. NEEDLE HOLDER
  15. 15. BARD PARKER HANDLE (scapel handle)
  16. 16. SURGICAL BLADE
  17. 17. SCISSORS Surgeon’s scissors • Mayo’s dissecting scissors
  18. 18. Identify
  19. 19. RETRACTORS Plain Self- retaining Use To retract cut edges of tissues To hold important structure s To avoid inadvertent injury to tissue
  20. 20. LANGENBER RETRACTOR
  21. 21. MORRIS RETRACTOR
  22. 22. DEAVER’S RETRACTOR Atraumatic for liver, spleen and other abd visera
  23. 23. DOYENS RETRACTOR Pelvic surgeries
  24. 24. BALFOUR’S
  25. 25. JOLL’S RETRACTOR For thyroid and parathyroid surgeries
  26. 26. MILLIN’S RETRACTOR Bladder retraction Open prostatectomy
  27. 27. MASTOID RETRACTOR Mastoid surgery, scalp surgery, laminectomy. It is hemostatic
  28. 28. SUTURE Define Classify Properties
  29. 29. URETHRAL SOUND (bougie urethral dilator ) Urethral dilatation- partial stricture Locate site of stricture Complications; Trauma Infection False passage
  30. 30. DRAIN Define and classify drains Properties of ideal drain When do you remove a drain Corrugated rubber drain (below) Redivac drain (right)
  31. 31. TRACHEOSTOMY TUBE
  32. 32. ENDOTRACHEAL TUBE
  33. 33. OROPHARYNGEAL TUBE
  34. 34. URETHRAL CATHETER Types Indications Complications
  35. 35. IV CANNULA
  36. 36. PROCTOSCOPE INDICATION; • Diagnostic • Hemorrhoides, fissure in ano, polyps, stricture, fistula in ano, for biopsy of tumour. • Therapeutic • Injection therapy,cryotherapy, polypectomy • Types ; illuminating or non- illuminating • Parts ;proctoscope (outer sheet ) and obturator(inner part)
  37. 37. OSTEOTOME
  38. 38. MALLECT
  39. 39. FACE MASK
  40. 40. AMBU BAG
  41. 41. DIATHEMY
  42. 42. CHEST TUBE
  43. 43. SUCTION TIP YANKAUER’S
  44. 44. SUCTION TIP POOLE’S
  45. 45. QUESTIONS?

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