Operative

Instruments
C-section
 Allis Tissue Forceps
Multiple teeth, space when closed, has lock

Multiple teeth

Sterilization :Autoclaving or boiling

Use:
1)to hold peritoneum or rectus sheath during repair
2)to hold margins of the vagina in abdominal hysterectomy
3) to hold margins of vaginal flaps in colporrhaphy
4) to take out tissue in wedge biopsy
Kidney Tray
Use: 1) to put collected specimen
2)to put the hemoperitoneum clot
3) to hand over sharp instruments
4) used in post op. ward for vomitting patients
5) used during N.S. washing
Gullipot/Bowl
For betadine for painting

to hold small amount of medicine eg : Vasopressin

 Doyen’s Retractor
use : to retract the bladder and expose the lower uterine segment

Tip :
first introduced after cutting peritoneum

then removed and introduced to push the bladder flap

taken out when baby is to be delivered

re introduced for repairing till peritoneum toileting is done

For pulling
 Mayo’s towel clip

use: for draping (4)


to fix electrodiathermy cables, suction tubings , endoscopic surgery cables(5th one)
 Thumb/ Tissue/
Dissecting forceps
Non toothed- for soft structure -peritoneum ,muscles, bladder during suturing
- to hold bleeding vessels for cauterization

Serration inside
Toothed-

use: to hold tough structure like

rectus sheath, cut margins
of vaginal vault following
hysterectomy

to hold needle during tissue
suturing 

to hold suture ends during suture
removal
 Tissue cutting
scissors(Mayo’s)

Cutting rectus sheath, vaginal vault, peritoneum, sutures, ligaments

Sterilization : immersing in Cidex (gluteraldehyde) for 24 hrs

Note: Metzenbaum : cut peritoneum and adhesion

Suture cutting
scissors

Tip : while holding guard with index finger near fulcrum

 Green Armytage
hemostatic forceps

*transverse serration

best to hold angle of incision

4- one for each angle and one for each flap
Also for hemostasis
 Skin retractor Langenback

perpendicular

exposure of operative site, suture rectus sheath

 Artery Forceps =
Hemostatic Forceps
types- long straight, small, mosquito forceps(super small one)

Serrated

use : clamp pedicle while removing

ruptured uterus, alternative to
kocher’s to clamp umbilical cord
 Babcock’s Forceps
curved blades, fenestrated blades

use : to hold fallopian tubes in tuboplasty


to hold lymph nodes during dissection in radical hysterectomy

to hold appendix in appendicectomy

to hold ureter during dissection
 Scalpel Holder/
Handle (Bard parker handle)

Note: cut from

belly 

hold in pen
holding or knife
holding positon
 Needle holding
forceps
Fulcrum is near the tip Where to hold?

tip ko distal 2/3 ra
proximal 1/3
and needle lo 2/3 from
tip and 1/3 from base

Tip has a groove

 Sponge holding
Forceps
**Ovum - has no serration, no lock and is curved at tip

has serration inside for grip

use 1) to clean vulva, vagina , perineum during delivery


2) for painting
3) to catch hold of membranes if it threatens to tear during delivery of placenta
4) to catch cervix for inspection of suspected cervical tear

5) hold lip of cervix - pregnant 

6)clamping
7) uterine incision ko angle samatna
8) hold cervix during encirclage
others:
Myoma screw
Rubin's canula
Vulsellum
Karman canula
MVA syringing
umbilical cord cutting scissor
episiotomy scissor