Surgical Instrument Sets for the Small Animal Practice S

Volume 35 | Issue 3 Article 10 1973 Surgical Instrument Sets for the Small Animal Practice S. R. Haupert Iowa State University D. W. DeYoung Iowa State University Follow this and additional works at: https://lib.dr.iastate.edu/iowastate_veterinarian Part of the Small or Companion Animal Medicine Commons, and the Surgery Commons Recommended Citation Haupert, S. R. and DeYoung, D. W. (1973) "Surgical Instrument Sets for the Small Animal Practice," Iowa State University Veterinarian: Vol. 35 : Iss. 3 , Article 10. Available at: https://lib.dr.iastate.edu/iowastate_veterinarian/vol35/iss3/10 This Article is brought to you for free and open access by the Journals at Iowa State University Digital Repository. It has been accepted for inclusion in Iowa State University Veterinarian by an authorized editor of Iowa State University Digital Repository. For more information, please contact [email protected]. Surgical Instrument Sets for the Small Animal Practice by S R. Haupert, O.R.T.* and D. W. DeYoung, D.V.M., Ph.D.t The use of standardized pre-sterilized 1 Snook or Covault spay hook instrument sets in small animal surgery 2 Mayo-Hegar carbide tipped contributes to practice efficiency by hav needle holder ing sterilized instruments ready when 1 circle retractor they are needed. A basic set of instru· cutting edge and taper point ments is prepared and can be supplement suture needles ed with special packs for specific appli 4" X 4" gauze sponges cations. A disadvantage to this approach Laparotomy sponges is that the expense when the packs are sterile basin originally established may be greater. dental rolls (cut in I" sections) The Major pack is the basic pack which The above pack can be supplemented all others are used to supplement. This by special smaller instrument sets or sep pack is adequate for laparotomy. ovario arately sterilized instruments as the need hysterectomy. soft tissue or abdominal or arises. Recommended packs and instru gan surgical procedures. It is recommend ments are: ed that this pack contain: A. Orthopedic pack to be used for rou Quantity Description tine orthopedic surgery. fracture repair or 2 #3 scalpel handles joint Burgey. 1 curved Mayo dissecting scissors Quantity Instuments 1 straight Mayo dissecting scis- 1 drill guide sors 1 calibrated depth gauge 1 curved Metzenbaum scissors 1 compression device and gauge 1 suture wire scissors 1 periosteal elevator 2 Brown Adson tissue forceps 1 bone drill and bits 1 Russian tissue forceps 1 Rongeur 12 Halsted mosquito forceps 1 bone chisel 4 Rochester-Carmalt forceps 1 mallet 6 Allis tissue forceps 1 bone cutting forceps 2 Pearlman intestinal bulldog 1 bone rasp clamps 1 self-retaining retractor 2 Mixter right angle forceps 1 wire cutters 2 Babcock intestinal forceps 1 pin cutter 12 Backhaus towel clamps 1 hand chuck and key 1 Foerster sponge forceps 1 assorted bone plates and screws 1 Grooved director 1 assorted intramedullary pins Gigli saw and handles • Mrs. Haupert is 'an Operating Room Technician in the Department of Veterinary Clinical Sciences, 20 and 26 gauge orthopedic Iowa State Univer,sity. t Dr. DeYoung is an Associate Professor in the De wire partment of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University. B. Cardiovascular Pack 104 Iowa State University Veterinarian Quantity Instrument 1 Brown Adson forceps 1 5J!2" Satinsky forceps 2 Allis tissue forceps 1 cardiovascular thumb forceps 2 Rochester Carrnalt forceps 2 atraumatic Bulldog clamps 1 curved Mayo scissors 1 Potts-Smith 7J!2" scissors 1 straight Mayo scissors 1 cardiovascular needle holder 1 curved Metzenbaum An additional pack that may be indi 1 #3 knife handle cated is the eye pack that is used for surg 2 rubber shod forceps ery of the eye and the eyelid. 4" X 4"'s dental roll -( (cut in I" sections) Quantity Instruments laparotomy sponges 2 #9 scalpel handles sterile basins 10 towel clamps An extremely useful pack is the minor 1 curved Halsted mosquito for- pack which can be used for minor super ceps ficial surgery such as lacerations, declaws, 1 straight Halsted mosquito for- and skin tumor excisions. This pack may ceps contain: 1 straight Iris scissors 1 left corneal section Universal, Quantity Instruments McGuire type 6 Halsted mosquito forceps 1 right corneal section Universal, 4 Backhaus towel forceps McGuire type 1 suture wire scissors 1 suture scissors 1 curved Mayo scissors 1 curved Strabismus scissors 1 Brown-Adson tissue foreep 1 Bishop Harmon forceps 1 Russian tissue forceps 1 tying forceps 1 #3 scalpel handle 1 Von Graefe forceps 2 Allis tissue forceps 1 Botvin Iris forceps assorted cutting and taper 1 Castroviejo Capsule forc~ps point needles 1 VVilderlensloop The instruments selected for any pack 1 Burch fixation pick should be of the best quality available and 1 VVilder Cystotome knife can be purchased from most hospital sup 1 Green iris replacer ply firms. They should be selected with 1 curved lacrimal Canula 23 the needs of the practice in mind and the gauge numbers and types selected on the basis 1 anterior chamber irrigator of the personal preference of the surgeon. 2 22 gauge 4" needles It is recommended that at least two ma 2 probes jor and minor packs be available and Cotton tip applicators more may be needed. #1 6" dental rolls cut in I" It is important that good care of the pieces for sponges instruments is taken following surgery. In addition to the above packs it is a Instruments should not be placed in sa good idea to have extra instruments steri line to soak as the salt will cause the in lized in separate wraps. These instru truments to rust. If possible an easy meth ments are used as necessary to aid the od of cleaning instruments is to place surgeon or replace contaminated instru them within an ultrasonic cleaner; how ments. Among these instruments are: ever. hand scrubbing with a soft-bristled Balfour abdominal retractors brush and a good quality instrument de Baby abdominal retractors tergent will do. VVhatever method is used, VVeithaver retractors instruments first must be thoroughly Ribbon retractors cleaned so that they are free from organic Miller-Senn rake retractor debris, grease or oil, which will interfere Finochietto rib spreader with sterilization. Then rinse and dry 4 Halsted mosquito forceps them. Issue No.3, 1973 105 A list of instruments placed in each if you use a nylon film the package will pack is very helpful in getting the instru remain sterile indefinitely. ments back into the appropriate packs. In preparing a pack for surgery all locks Color coding is another method of keep must remain open for the instrument to ing the packs in order. Place a band of be completely sterile. After the pack is colored autoclavable tape around a han wrapped, it may be secured with a small dle of each instrument. piece of autoclave steam indicator tape. Thirty days is the standard shelf life for It is also a good idea to place a small piece all sterile packages when using double of this tape inside the pack to make sure thickness muslin wrappers, paper wrap the steam is getting through to all parts pers, or cellophane wrappers. However, of the pack. A Case Report of Pyometra in the Bitch by N. A. Haji, D.A.H.• B.V.M.* D. W. DeYoung, D.V.M., Ph.D.t G. L. Spaulding, D.V.M.:!: Introduction These conditions are eliminated primarily Pyometra is a common clinical entity on the basis of history (occurrence of an seen in the intact middIe-aged bitch. This estrus cycle approximately 4 to 6 weeks paper reports the diagnostic findings, previous, polyuria, polydipsia), physical anesthetic, surgical, and post-operative exam (pendulous abdomen, palpable uter management of one such case presented ine horns, slight to profuse vaginal dis to the I.8.U. Small Animal Clinic. charge), clinical pathology tests (protein Pyometra must be differentiated from mia, no glUCOSUria, elevated white blood gastrointestinal disorders i.e. gastroenter cell count) and radiographs (demonstrat itis, renal disease (especially chronic in ing the enlarged uterine horns). terstitial nephritis), other endocrine dis orders, diabetes mellitus and diabetes in A Case Report sipidus and lymphosarcoma. The vomit A IS-kg., 5Y2-year-old female Keeshond ing which may accompany pyometra can was referred to the I.S.U. Small Animal also be seen with gastroenteritis and the Clinic with a distended abdomen, de build-up of toxins from chronic interstitial pressed mental state, indigestion, vomit nephritis. The polyuria and polydipsia ing of two-days duration, and a history of can be found with diabetes mellitus and diarrhea two weeks prior. On admission insipidus and the high white blood cell a blood sample was collected and abdom count may be found with lymphosarcoma. inal radiographs were taken (Table 1). * Dr. Haji is an instructor In the Department of As a result of physical examination. radio Veterinary Clinical Sciences. College of Veterinary graphs, and laboratory findings a diagno Medicine. Iowa State University. t Dr. DeYoung is an Associate Professor in the sis of pyometra with a closed cervix was Department of Veterinary Clinic a.! Sdences. College of Veterinary Medicine. Iowa State University. made and preparation for surgical inter t Dr. Spaulding is 'an intern at the Animal Medical vention was started. Center. New York City. 106 Iowa State University Veterinarian .

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