OSPE Preparation: Surgical
Instrument
Dr. Md. Rajibul Haque Talukder
MBBS(SSMC), FCPS(Surgery)
Registrar BIRDEM General Hospital & IMC
Towel clips
• Uses
• Used for fixing the draping sheets.
• Used for fixing the diathermy cables, suction tubes, laparoscopic
camera cables and fiberoptic light cables to the draping sheets taking
care not to pierce any of these with the towel clip.
• May be used as a tongue holding forceps.
• May be used for holding the ribs while elevating a flail segment of
chest.
Bard Parker’s handle
LANGENBACH’S RETRACTOR
Morris’ retractor
Deaver’s retractor
Cat’s paw or Volkman’s retractor
Metzenbaum scissors
SWAB HOLDING FORCEPS
• Used for cleansing the skin with swab dipped in antiseptic solution
during all operations.
• It is used for removing the laminated membrane and the daughter
cysts during operation of hydatid cyst.
• This may be used to hold the fundus and Hartmann's pouch of the
gall bladder during cholecystectomy.
• This may be used as ovum forceps.
• This may be used to swab an abscess cavity.
• This may be used as a tongue holding forceps.
Hemostatic Forceps
1. It is used during all operations. It is used to hold bleeding vessels
while cutting through
different layers of tissues.
3. During appendicectomy through McBurney’s Gridiron incision the
hemostatic forceps may be used to split the internal oblique and
transversus abdominis muscle. May be used to crush the base of
appendix during appendicectomy.
4. While doing intestinal resection and anastomosis, the mesenteric
vessels are held in between hemostatic forceps and the desired line of
mesentery is divided.
5. It may be used to dissect the vein while doing venesection in the arm
(Basilic or cephali vein) or in the leg (great saphenous vein).
6. It may be used for blunt dissection while doing lymph node biopsy,
excision of lipoma sebaceous cyst.
7. May be used to hold the end of a ligature while suturing.
8. May be used as a dressing forceps.
SINUS FORCEPS
For incision and drainage of abscess by Hilton’s method.
What is Hilton’s method for drainage of
abscess?
During drainage of abscess situated in important areas like axilla, groin
there is chance of injury to the underlying major vessels and nerves if
adequate care is not taken. In drainage of abscess in such location the
skin and the subcutaneous tissues are incised with a knife. The deep
fascia is not incised with a sharp knife but is pierced by thrushing a
sinus forceps through the deep fascia and the sinus forceps is then
opened up to enlarge the opening in the deep fascia for easy
drainage of pus.
Langenbach’s
retractor