Commonly Used Surgical Instruments
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SURGICAL INSTRUMENTS Veterinarians Are the Doctors Specializing in the Health of Animals
SURGICAL INSTRUMENTS Veterinarians are the doctors specializing in the health of animals. They do the necessary surgical operations and care for the well-being of the animal creatures. The very basic thing they need in a certain operation and care are the veterinary instruments. This will serve as the main allay of every veterinarian in providing care. (1) What are surgical instruments? Surgical instruments are essentially gadgets planned in an uncommon manner to perform particular capacities amid a surgical operation to improve viability and accomplishment of the surgery. (1) 4 Basic types of surgical instruments Surgical instruments are specially designed tools that assist health care professionals car- ry out specific actions during an operation. Most instruments crafted from the early 19th century on are made from durable stainless steel. Some are designed for general use, and others for spe- cific procedures. There are many surgical instruments available for almost any specialization in medicine. There are precision instruments used in microsurgery, ophthalmology and otology. Most surgical instruments can be classified into these 4 basic types: Cutting and Dissecting – these instruments usually have sharp edges or tips to cut through skin, tissue and suture material. Surgeons need to cut and dissect tissue to explore irregular growths and to remove dangerous or damaged tissue. These instruments have single or double razor- sharp edges or blades. Nurses need to be very careful to avoid injuries, and regularly inspect these instruments before using, for re-sharpening or replacement. 11 Iris Scissors 2016 – 1 – LV01-KA202 – 022652 This project is funded by the European Union Clamping and Occluding – are used in many surgical procedures for compressing blood vessels or hollow organs, to prevent their contents from leaking. -
Single Port Laparoscopic Hysterectomy Through a 12Mm Incision Created by a Bladeless Trocar: a Novel Technique
Single Port Laparoscopic Hysterectomy through a 12mm incision created by a Bladeless Trocar: A Novel Technique Greg J. Marchand, M.D., Katelyn M. Sainz MS1 From the National Foundation for Minimally Invasive Surgery (minvase.org), and Research and Development division of Marchand OBGYN PLLC Precis: Single Port Hysterectomy can be performed safely through a 12mm bladeless incision via this novel technique. Decreasing port size is continually pushing the limits of minimally invasive surgery for enhanced patient outcomes. Corresponding author: Greg J. Marchand M.D., Marchand OBGYN Research and Development, 1520 S. Dobson #218, Mesa, AZ 85202, Tel: 480-628-0566, Fax: 480-999-0801 ABSTRACT Study Objective: The aim of this study is to report the technique used by one surgeon performing a laparoscopic hysterectomy performed through a single 12mm bladeless incision. With the exception of pure vaginal hysterectomy we believe this technique is the least invasive technique published thus far to date where the hysterectomy is performed entirely abdominally. Design: Retrospective Analysis of Charts and Technique Setting: One private Hospital in the Southwest US Patients: 6 patients receiving single port hysterectomy between 2013 and 2014 Intervention: Single Port Laparoscopic Hysterectomy was performed with our ultra-minimally invasive technique, using a Covidien(C) 12mm bladeless laparoscopic trocar followed by an Olympus(C) TriPort device and Olypus(C) articulating 5mm laparoscope without in any way stretching or extending the 12mm port. Other novel aspects of our technique include placement of the single port at the bottom of the umbilicus regardless of patient BMI, the usage of intra-abdominal marcaine to help with postoperative pain and vaginal repair of colpotomy. -
Entry Techniques in Gynecologic Laparoscopy—A Review
Gynecol Surg (2012) 9:139–146 DOI 10.1007/s10397-011-0710-8 REVIEW ARTICLE Entry techniques in gynecologic laparoscopy—a review Johannes Ott & Agnes Jaeger-Lansky & Gunda Poschalko & Regina Promberger & Eleen Rothschedl & René Wenzl Received: 9 June 2011 /Accepted: 19 October 2011 /Published online: 13 November 2011 # Springer-Verlag 2011 Abstract Laparoscopy is one of the most common surgical underpowered in order to assess the risk for rare but life- procedures in gynecologic medicine. Major complications threatening complications. In conclusion, there is no solid associated with gynecologic laparoscopy are relatively rare, evidence proving the superiority of any method of with up to 50% related to laparoscopic entry. Several entry laparoscopic entry. techniques have been developed, all of which aim to provide a safe and easy entry to the abdominal cavity. In Keywords Laparoscopy. Entry techniques . Gynecology. this article, we aim to review the available evidence on Complications . Veress needle . Hasson technique . Direct laparoscopic entry techniques in gynecologic surgery. We trocar entry found no evidence that the Hasson (open) technique is superior to the Veress needle entry, the preferred method of most gynecologists all over the world. When entering the Background abdomen using the Veress needle, an intraperitoneal pressure <10 mmHg is a reliable predictor of correct Laparoscopy is one of the most common surgical intraperitoneal placement. Entry at Palmer’s point (left procedures in gynecologic medicine and has become upper quadrant laparoscopy) is recommended for patients the method of choice over the last few decades for with suspected or known periumbilical adhesions, or a treating benign diseases that require surgery [1, 2]. -
Usefulness of the Harmonic Scalpel in Thyroid Surgery
ORIGINAL ISSN: 2005-162X J Korean Thyroid Assoc 2012 November 5(2): 138-142 ARTICLE http://dx.doi.org/10.11106/jkta.2012.5.2.138 Usefulness of the Harmonic Scalpel in Thyroid Surgery Hwan Choe, Kwang-Yoon Jung, Soon-Young Kwon, Jeong-Soo Woo, Min Woo Park and Seung-Kuk Baek Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea Background and Objectives: The harmonic scalpel using the ultrasonic energy is able to grasp and divide tissue while sealing small vessels in narrow operating fields. The aim of the present study was to evaluate the usefulness of the harmonic scalpel in thyroid surgery. Materials and Methods: This study was performed for 247 patients who underwent thyroidectomy. According to the use of harmonic Scalpel, the patients could be divided into two groups: the conventional technique (CT) group of knot tying and the harmonic scalpel (HS) group. Results: For hemithyroidectomy, operation time and hospital stay were shorter in the HS group compared with the CT group (p<0.05). For total thyroidectomy with central neck dissection (CND), operation time, total drainage volume, drain removal date, and hospital stay were significantly reduced in the HS group (p<0.05). Among the patients who underwent total thyroidectomy with CND with the HS, one patient (2.9%) showed transient recurrent laryngeal nerve palsy. Transient hypoparathyroidism showed significantly lower incidence in the HS group (p<0.05). Conclusion: HS might be cost-effective by reducing operation time and hospital stay -
Cleaning, Disinfection and Sterilization Guide
CLEANING, DISINFECTION AND STERILIZATION GUIDE Revision 5.2 Copyright 2016, Brainlab AG Germany. All rights reserved. TABLE OF CONTENTS TABLE OF CONTENTS GENERAL INFORMATION...................................................................................................7 Contact Data and Legal Information......................................................................................................7 Contact Data................................................................................................................................................7 Legal Information .........................................................................................................................................8 Symbols .......................................................................................................................................................9 Symbols Used in This Guide ........................................................................................................................9 Hardware Symbols.....................................................................................................................................10 Hardware....................................................................................................................................................13 Using the Hardware ...................................................................................................................................13 Documentation .........................................................................................................................................14 -
Comparison Between Different Entry Techniques in Performing Pneumoperitoneum In10.5005/Jp-Journals-10033-1257 Laparoscopic Gynecological Surgery REVIEW ARTICLE
WJOLS Comparison between Different Entry Techniques in Performing Pneumoperitoneum in10.5005/jp-journals-10033-1257 Laparoscopic Gynecological Surgery REVIEW ARTICLE Comparison between Different Entry Techniques in Performing Pneumoperitoneum in Laparoscopic Gynecological Surgery Mandavi Rai ABSTRACT safety of one technique over another. However, the included studies are small and cannot be used to confirm safety of any Background: The main challenge facing the laparoscopic particular technique. No single technique or instrument has surgery is the primary abdominal access, as it is usually a blind been proved to eliminate laparoscopic entry-associated injury. procedure associated with vascular and visceral injuries. Lapa- Proper evaluation of the patient, supported by good surgical roscopy is a very common procedure in gynecology. Complica- skills and reasonably good knowledge of the technology of the tions associated with laparoscopy are often related to entry. instruments remain to be the cornerstone for safe access and The life-threatening complications include injury to the bowel, success in minimal access surgery. bladder, major abdominal vessels, and anterior abdominal- wall vessel. Other less serious complications can also occur, Keywords: Complications, Laparoscopy, Pnumoperitoneum, such as postoperative infection, subcutaneous emphysema Trocar. and extraperitoneal insufflation. There is no clear consensus as to the optimal method of entry into the peritoneal cavity. It How to cite this article: Rai M. Comparison between Dif- has been proved from studies that 50% of laparoscopic major ferent Entry Techniques in Performing Pneumoperitoneum complications occur prior to the commencement of the surgery. in Laparos copic Gynecological Surgery. World J Lap Surg The surgeon must have adequate training and experience in 2015;8(3):101-106. -
The Introductory Guide/Basic Course #1 Chapter I About Sklar for 123 Years, Sklar Has Set the Standard for Surgical Instrumentation
Surgical Instruments: The Introductory Guide/Basic Course #1 Chapter I About Sklar For 123 years, Sklar has set the standard for surgical instrumentation. In 1892, German born instrument maker John Sklar, founded the company to fill a need for American made surgical instruments and the rest is history. Sklar rose to prominence during World Wars I and II and was awarded the principal contract as the surgical instrument provider for the United States military. This contract established Sklar as the industry leader and placed it on the forefront of the surgical marketplace, where it went on to receive Certificates of Merit and Achievement from the U.S. Navy and six Army Navy “E” Production Awards. During the 1930s, Sklar’s research department helped to develop a stainless steel alloy especially suited to the manufacture of surgical instruments. The company’s investment in research was justified long-term; most surgical instruments are still made of long-lasting, rust resistant, stainless steel. Today, Sklar is headquartered in West Chester, Pennsylvania where it remains the authority on the manufacture of high quality surgical instruments to medical professionals in 75 countries worldwide. Throughout its history, Sklar has collaborated with leading surgeons and medical facilities to develop thousands of unique surgical instrument patterns. In recent years, Sklar has expanded its product line to include more than 19,000 precision crafted, stainless steel instruments: the largest offering of surgical instruments in the world. Specialty practices include: OB/GYN, Orthopedic, ENT, Cardiovascular, Endoscopic, Dermatology, Podiatry, Veterinary, Dental, etc. The prevention and reduction of healthcare associated infection (HAI) is a top priority in medical facilities today. -
The World of SURGICAL INSTRUMENTS
Textbook Preview The World of SURGICAL INSTRUMENTS The Definitive Inspection Textbook 501 full color pages 1,198 high resolution photos Glossy, hard cover Lay flat design by RICK SCHULTZ SCISSORS Frequently Asked Questions Q: Do all scissors go dull? A: Yes. Every scissor goes dull no matter what size, specialty, manufacturer, or design. Q: Does sterilization dull a scissor? A: Generally, no. However, when old autoclaves produce dirty steam, the scissor blade edges can become stained, which can cause the scissor not to cut. Q: Can all scissors be resharpened? A: Yes. Every scissor can be resharpened. Make sure the repair vendor is properly trained, especially on SuperCut scissors (black-handled). Q: How often should scissors be tested? A: Scissors should be tested 1 to 2 times per week. The proactive approach is picking 2 days per week as scissor testing days. Using an instrument tracking system will allow the facility to track sharpening frequency. Eventually, a large percentage of scissors will be sharp. Q: Is the scissor testing standard red and yellow scissor test material? A: Yes. The industry standard is to use red scissor test material for scissors longer than 41⁄2" in overall length and yellow scissor test material for scissors that measure 41⁄2" and shorter. Yellow scissor test material is used on 41⁄2" scissors. Q: Do all repair technicians know how to sharpen scissors? A: No. Experience and proper training is key, and many times repair technicians are learning on your expensive instrument inventory. The hospital should verify how many months of training/employment the repair technician has. -