OBSTETRICS AND GYNAECOLOGY

INSTRUMENTS
LOYAL
 FEMALE RUBBER CATHETER
USES:
• Empty bladder
• Alternative tourniquet
to myomectomy clamp
in myomectomy
operations
• Administer oxygen into
lungs
FOLEY’S CATHETER
USE:
• Continuous drainage of urine
during:
– Vaginal/abdominal
hysterectomy
– Myomectomy
– VVF repair
– Pelvic floor repair
– Urinary retention in pelvic
tumors and retroverted gravid
uterus
• Inserted into cervix to
– Occlude the internal os in HSG
– Assess patency of the fallopian
tubes during laparatomy
FEMALE METAL CATHETER
• Not used in obstetrics
due to risk of trauma
USE:
• Empty the bladder in
major vaginal
operations
• Differentiate between
Gartner’s cyst from
cystocele
 SIMS’ SPECULUM
DOUBLE-BLADED POSTERIOR
VAGINAL SPECULUM
USES:
• Retract the posterior wall of
the vagina for vaginal
operations:
– D&C
– Ant. Colporrhapy
– Vaginal hysteretomy
– Fothergills operation
• Visualize the anterior vaginal OTHER USES:
wall and the cervix so as to: • HSG
– Collect vaginal sample/swabs • IUCD insertion and removal
– Repair VVF, cystocele and
Gartner’s cyst • Pap smear collection
• Colposcopy
CUSCO’S SPECULUM
SELF RETAINING & BIVALVED
(DOUBLE BLADED)
USES:
• Visualize cervix
• PAP smear collection
• Cervicovaginal swabs for
culture
• MVA
• Insertion & removal of IUCD
• Minor operations:
– Punch biopsy
– Surface cauterization
– Snipping of a small polyp
GRAVES SPECULUM
 AUVARD’S SPECULUM
SELF-RETAINING
POSTERIOR VAGINAL
SPECULUM
USES:
• Retract the posterior
wall of the vagina for
vaginal operations:
– Ant. Colporrhapy
– Vaginal hysteretomy
 CERVICAL DILATORS
USES:
• Cervical dilation:
– Hysteroscopy
– D&C
– IUCD insertion
– Fothergills operation DAS’S HAWKIN-AMBLER
– Facilitate drainage in: DILATOR DILATOR
Pyometra, Hematometra,
Lochiometra
• Confirm patency of cervical
canal after cervical HEGAR’S
DILATORS
amputation
• Dilate urethra in urethral
strictures
 METALLIC UTERINE SOUND
USE:
• Acts as a first dilator
• Measuring the length of
uterocervical canal
• To confirm uterine
position
• Locate threads for a
misplaced IUCD
• Differentiate polyp from
inversion
 UTERINE CURETTES
USES:
• Flushing curette: D&C
• Sharp curette: T.B.
endometritis, infertility,
D.U.B.
• Blunt curette: Suspected
choriocarcinoma &
endometrial cancer
• Sharman’s curette: taking FLUSHING CURETTE SHARMAN’S
CURETTE WITH ONE CURETTE
an endometrial strip for SHARP END
diagnosis of infertility AND ONE
BLUNT END
 ABDOMINAL RETRACTORS

DOYEN’S RETRACTOR BALFOUR SELF- DEAVER’SRETRACTOR

USE: Retract abdominal RETAINING RETRACTOR USE:
wall during abdomino- USE: Retract abdominal Retract abdmoinal wall,
pelivic surgery to wall during abdomino- intestines, urinary
increase the visual field pelivic surgery to bladder, parietal wall
increase the visual field
 LANDON’S BLADDER RETRACTOR
USE:
• During vaginal
hysterectomy
• Facilitate opening of
uterovesical pouch
• Intravaginal plugging
• Retract Lateral vaginal
wall
MYOMA SCREW
USE:
• Fix myoma and give
traction in
myomectomy
• Give traction in
hysterectomy due to
multiple fibroids
 SCISSORS
• SINGLE TOOTHED • KOCHER’S ARTERY FORCEPS
VULESELLUM
• UTERINE DRESSING
FORCEPS
• SPONGE HOLDING FORCEPS
• OVUM FORCEPS
• ALLIS TISSUE FORCEPS
• LANES TISSUE FORCEPS
• UTERUS HOLDING FORCEPS
• CERVICAL OCCLUSION
CLAMP
SINGLE TOOTHED VULESELLUM &
TENACULUM
TENACULUM Use: TENACULUM:
• Hold and steady the cervix
during copper-T insertion
and MVA
Use: SINGLE TOOTHED
VULESELLUM
• Hold cervix in total
abdominal hysterectomy
• Hold the cervical stump in:
– After amputation of cervix
– Fothergill’s operation
– Subtotal hysterectomy
• Rarely, used to hold cervix
in D & C
 UTERINE DRESSING FORCEPS
USE:
• Swab the uterine cavity
with gauze piece after
Dilation & evacuation
• Dilate the cervix in:
– Lochiometra
– Pyometra
• Plug uterine cavity with
gauze in continued
bleeding after removal of
polyp
 SPONGE HOLDING FORCEPS
USE
• Antiseptic dressing • Hold cervix in circlage
before vaginal &/or operation during
abdominal operations pregnancy
• Clean vagina before &
after vaginal procedures
 OVUM FORCEPS
USE:
• Remove: • Remove :
– Products of conception – Molar tissue in
in dilation and hydatidiform mole
evacuation after – Small uterine polyp
complete or partial
separation
ALLIS TISSUE FORCEPS
USE:
• To hold:
– Margins of vaginal flaps in
colporraphy
– Peritonium or rectus sheath in
repair of abdominal wall
– Margins of vagina in
hysterectomy
– Ant. lip of cervix in D&C
• Catch the torn ends of
sphincter ani externus in CPT
repair
• Remove:
– Small polyp
– Sample tissue in wedge biopsy
 LANES TISSUE FORCEPS
USE:
• To Hold:
– Parietal wall for
retraction in
hysterectomies
– Polyp in polypectomy
– Fibroid in myomectomy
– Towel during draping
 UTERUS HOLDING FORCEPS
USE:
• Fix and steady the
uterus in tuboplasty
 CERVICAL OCCLUSION CLAMP
• Used in ascertaining the patency of tubes during
laparatomy
KOCHER’S ARTERY FORCEPS
USE
• Clamping in
hysterectomy
 TOWEL CLIP
USES:
• Fix surgical drapes to
each other during
abdominal or vaginal
deliveries
 NEEDLE HOLDING FORCEPS
• Used to hold the needle during suturing
SCALPEL
USE:
• Cut the skin,
subcutaneous tissue,
peritoneum and, during
hysterectomy, cut
pedicles
 DISSECTING FORCEPS
TOOTHED NON-TOOTHED
• Used to hold tough • Used to hold soft
structures, vaginal flaps tissues during suturing
vaginal vault during
suturing
 SCISSORS
• Used in dissection and excision

• NOTE: some scissors are also used for

dissection
 MVA SYRINGE + CANNULLA
• Used for uterine
evacuation for
incomplete abortion
• May also be used to
collect endometrial
sample
 EPISIOTOMY SCISSORS
• Used to perform episiotomies
VACUUM DELIVERY SYSTEM WITH CUP
• Used to carry out assisted vacuum vaginal
deliveries
 PLASTIC, DISPOSABLE CORD- CLAMP
• Clamps the umbilical
cord at birth and
prevents bleeding from
vessels
 PINARD’S STETHOSCOPE
• Used to count fetal
heart rate
OLDHAM’S PERFORATOR
• Used to perform
craniotomies