Surgical Instrument Techniques and Grips Overview

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Dr. Rudra Pratap Pandey
 
Mayo-Hegar
 
Olsen-Hegar
 
Micro-spring
 
Needle grasped perpendicular to the jaws
Grasp near the center of the curve for most situations
Grasp near tip if penetrating tough tissue
Grasp near eye or swedged-on end for large amount of tissue
Rotating the wrist while the needle is penetrating the tissue uses the
arc of needle so less force is needed
 
Backhaus towel clamp
 
Cross action towel clamp
 
Wide based tripod grip..concavity downward
 
To fix the drape…drape to drape and skin grip
 
4
 
3
 
Finger tip grip
 
Reverse pencil grip
 
Palm grip
 
Pencil grip
 
Curved vs Straight
 
General
 
Mayo
 
Metzbaum
 
Poor hold, tissue
strangulation
 
Good hold, less
tissue strangulation
 
Brown-Adson
fine tips..broad handle for
delicate secure grasp also for
manipulating small needles
during suturing
 
Correct pencil grip
 
Poor control…
 
Allis tissue forceps
 
Babcock tissue forceps
 
Consider
replacing
with stay
sutures for
prolonged
grip
 
Mosquito
straight n
curved
 
Crile curved
stout large
 
Rochester
Carmalt large
crushing for
pedicles
 
Wide base tripod grip
 
Dunhill, Spencer Wells, Kocher’s, Ochsner’s are some other artery forceps
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Explore a detailed guide on various surgical instruments, grips, and techniques including needle manipulation, tissue forceps usage, and artery forceps variations. Enhance your surgical skills and knowledge with practical insights.


Uploaded on Aug 26, 2024 | 0 Views


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  1. Dr. Rudra Pratap Pandey

  2. Mayo Mayo- -Hegar Hegar Olsen Olsen- -Hegar Hegar Micro Micro- -spring spring

  3. Needle grasped perpendicular to the jaws Grasp near the center of the curve for most situations Grasp near tip if penetrating tough tissue Grasp near eye or swedged-on end for large amount of tissue Rotating the wrist while the needle is penetrating the tissue uses the arc of needle so less force is needed Rotating the wrist while the needle is penetrating the tissue uses the arc of needle so less force is needed

  4. Wide based tripod grip..concavity downward Backhaus towel clamp Cross action towel clamp To fix the drape drape to drape and skin grip

  5. 3 4

  6. Finger tip grip Pencil grip Palm grip Reverse pencil grip

  7. General Mayo Metzbaum Curved vs Straight

  8. Good hold, less tissue strangulation Poor hold, tissue strangulation Brown fine tips..broad handle for delicate secure grasp also for manipulating small needles during suturing Brown- -Adson Adson

  9. Poor control Correct pencil grip

  10. Consider replacing with stay sutures for prolonged grip Allis tissue forceps Babcock tissue forceps

  11. Mosquito straight n curved Rochester Carmalt large crushing for pedicles Crile curved stout large Wide base tripod grip Dunhill, Spencer Wells, Kocher s, Dunhill, Spencer Wells, Kocher s, Ochsner s Ochsner s are some other artery forceps are some other artery forceps

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