Instruments used in general surgery

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There are many different surgical specialties, some of which require specific kinds of surgical instruments to perform.

General surgery is a specialty focused on the abdomen; the thyroid gland; diseases involving skin, breasts, and various soft tissues; trauma; peripheral vascular disease; hernias; and endoscopic procedures.

Instruments can be classified in many ways, but, broadly speaking, there are five kinds of instruments.

  1. Cutting and dissecting instruments
  2. Grasping or holding instruments
  3. Hemostatic instruments
  4. Retractors
  5. Tissue unifying instruments and materials

Instruments used in surgery are:[1][2][3][4][5][6][7][8][9][10][11]Template:Excessive citations inline

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Instrument Name Image Brief description Specific instruments
Electrical cautery File:Electrocauter 00.jpg Electrical surgical cauterization utilizes electricity in either a monopolar or bipolar format to burn soft tissue and control bleeding[12]
  • Bovie pencil
  • Monopolar hook
  • Monopolar spatula
  • Bipolar forceps
Curette File:Uterine Curette 01.jpg For scraping or debriding biological tissue or debris in a biopsy, excision, or cleaning procedure
Dermatome File:Dermatome.png Removes epidermis to graft over another area
Dissecting forceps File:Adson 00.jpg Grasping and holding; usually used in skin closures or small wounds Adson
Tissue forceps File:Allis clamp 01.JPG Grasping and holding tissue Allis
Penetrating towel clamp File:Backhaus clamp.svg Used to secure towels or reduce bone fragments Backhaus penetrating towel clamp
Carmalt forceps Hemostatic forceps Kalabasa
Cushing forceps Grasping and holding Non-toothed dissecting forceps
Dandy forceps Hemostatic forceps
DeBakey forceps File:Debakey forceps.jpg Grasping and holding Non-toothed dissecting forceps designed for use on blood vessels, organs, or delicate tissue
Doyen intestinal clamp Clamps and distractors Non-crushing clamp designed for use on the intestines
Kelly forceps File:Kelly Forceps.svg Hemostatic forceps
Kocher forceps File:Kocher grossklein totale.jpg Hemostatic forceps
Mosquito forceps File:Medical Instrument Mosquito forceps.jpg Hemostatic forceps
Hook Retractor
Nerve hook Retractor
Skin hook Retractor
Lancet (scalpel) File:Various scalpels.png Cutting
Mammotome File:Mammotome.jpg
Needle holder File:Needle holder2.JPG Grasping and holding
  • Castroviejo
  • Crilewood
  • Mayo-Hegar
  • Olsen-Hegar
Retractor File:Surgical retractor Orem 2.jpg Retractor Handheld:
  • Deaver
  • Army-Navy
  • Richardson
  • Richardson-Eastmann
  • Ribbon

Self-retaining:

  • Weitlaner
  • O'Connor-O'Sullivan
  • Thompson
  • Omni-Tract
Ultrasonic scalpel Cutting
Laser scalpel File:Sharplan 40C.jpg Cutting
Scissors File:Nożyczki Mayo.svg Cutting and spreading May be curved or straight
Speculum File:Spéculum en plastique.jpg Used to retract orifices
  • Graves'
  • Sim's
Suction tube and Yankeur suction tip File:Yankauer Suction Tip.jpg Accessories and implants
Surgical elevator File:Lecluse's elevator 01.jpg
Surgical hook File:Крючок хирургический трехзубый острый.jpg Retractor
Surgical blade #15 File:Surgical Blade.jpg Used to cut vessels or make small incisions
Surgical mesh File:Hernia mesh 2.JPG Accessories and implants
Surgical needle File:Surgical needles.jpg Accessories and implants
Surgical sponge
GIA stapler File:Surgical stapler & cutter linear.JPG Used to make a gastrointestinal anastamosis Linear stapler
Surgical tray
Suture File:Atraumatisches Nahtmaterial 17.JPG
Tongue depressor File:Lack's Longue Depressor ENT Instrument Medical.jpg
Tonsillotome
Towel clamp File:Towel Clamps 01.jpg Clamp
Towel forceps Clamp
Backhaus towel forceps File:Backhaus clamp.svg
Lorna towel clamp Non-penatrating towel clamp
Tracheotome
Tissue expander Accessories and implant
Subcutaneous inflatable balloon expander Accessories and implants
Trephine File:Trepan, Nordisk familjebok.png Cutting instrument
Trocar File:Trocar family.jpg Access instrument. Used to create an opening into a space without opening the abdominal cavity. A camera is inserted through one to view the interior while instruments are inserted through the others to manipulate the organs.
Ultrasonic energy device Surgical device typically used to dissect tissue, but also seals small vessels and tissue bundles

References

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  5. See Mr R McElroy for details of various operations and the unintended effects of chemical cauterization
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