Instruments Names and their Uses in Cesarean Section Delivery
Backhaus Towel Clamps:
Backhaus Towel Clamps are mainly used to fasten drapes or towels to patients during
medical procedures in order for them to stay on.
Outlet Forceps:
Outlet Forceps are used when:
the fetal scalp is visible without separating the labia
the fetal skull has reached the pelvic floor
the sagittal suture is in the antero–posterior diameter or right or left occiput anterior or
posterior position (rotation does not exce
ed 45°)
The main uses of ARTERY FORCEPS FOR controlling bleeding and for the retraction
of tissues, skin, etc. Artery forceps are otherwise called as Haemostatic forceps. The
hemostat used to blocks the flow of blood and tips close the blood vessels. Its also used
to hold the tissue and skin.
Green Armytage uterine haemostatic forceps are used to hold the incised uterine
edges at caesarean section prior to closing the hysterotomy incision. Four are
commonly used, one on each side of the uterine incision angle.
Sponge holding forceps are used during surgical procedures to hold sponges. They
have a ratchet mechanism towards the handles and have looped serrated jaws. It is
also use to hold Swabs for painting the area before Operation.
Allis forceps are ratcheted. They have hinged teeth and are used to hold or grasp
heavy tissue. They can be used to hold soft tissues without causing damage for long
periods. It is also used to grasp fascia and soft tissues such as breast or bowel tissue.
The Littlewood Tissue Grasping Forcep is an instrument used for grasping slippery
tissue. It is commonly used during gynecological procedures, general surgery,
cardiovascular, and orthopedic surgery. A streamlined, lightweight design ensures
comfortable handling.
Scalpel Handles are used for skin incisions in both cardiac and thoracic surgery, and
to cut the bronchus in lung resection surgery.
Doyens are used at caesarean section for retracting the bladder away from the
incision site on the uterus and guarding it against potential injury when suturing. They
are usually removed prior to delivery of the baby and reinserted after delivery to allow a
good view of the lower edge of the hysterotomy.
. Needle holders have a clamp mechanism that locks the needle in place. This
allows the user to manoeuvre the needle through various tissues. In order to
maintain a firm grip on the needle, the jaws are textured and short compared to
the handles.
The Morris and Balfour Retractors are two examples of commonly used retractors in
pelvic surgery. The Balfour retractor is self-retaining and need not be held once it is
inserted freeing the assistant’s hands.
Spencer Ligature Scissors are used for cutting stitches or suture
Mayo Scissors are broadly classified into dissecting or suture scissors. Dissecting or
tissue cutting scissors are usually curved and heavy. They are used when a surgeon
needs to cut through tough scar tissue. They are inserted with closed blades and gently
open to help dissect through anatomical planes
