Surgery Lab Quiz Flashcards by Heather Teichgraeber

Should only be used on tissues to be discarded due to crushing effect of tips

Allis Tissue Forceps

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Used for helping to grasp and retract robust soft tissues (stomach, bladder)

Babcock Tissue Forceps

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Used for intestinal lumen occlusions

Doyen Intestinal Tissue Forceps

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Used for clamping pedicles/tissues

Rochester-Carmalt Hemostatic Forceps

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Designed for tip clamping of small to medium vessels

Kelly Hemostats

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Designed for tip clamping of small vessels

Halsted Mosquito Hemostatic Forcpes

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Forceps: Used frequently for general tissue handling

Brown Adson Tissue Forceps

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Type of forcep: Poor grip of fat or other friable tissues

Results in less crush injury

Adson Tissue Forceps

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Forcep: Most frequently used in soft tissue surgery

DeBakey Tissue Forcep

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Forcep: Used to grasp tissue in ophthalmologic surgery

Bishop Harmon Forceps

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For use with #10, #11, #12, #15 blades

Bard-Plaker #3 Scalpel Handle

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For use with #64 and #67 blades

Beaver Blade Scalpel Handle

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Used with pencil grip at all times
Used to incise limbus for intraocular sx
Used by some orthopedic surgeons for incision of intra-articular structures (meniscal release)

Beaver Blade Scalpel Handle

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Used to incise dense tissues (fascia, linea alba, trimming skin)

Mayo Dissecting Scissors

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Used to incise soft tissues (SQ tissue, intense, bladder, etc.)

Metzenbaum Scissors

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Used for precision cutting, such as in ophthalmic and urologic surgery

Steven Tenotomy Scissors

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Used for post-op suture removal

Spencer Stitich Scissors

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Used to incise thick, tough tissue and orthopedic wire

Vernon Cartilage and Wire Scissor

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Combined needle driver and scissor

Olsen Hegar Needle Holders

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Ophthalmic Needle Drivers

Derf Needle Holders

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Used for ophthalmic and vascular surgery - spring loaded handle

Castroviejo Needle Holders

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Retract abdominal wall laterally

Balfour Retractor

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Adjustable Rib retractor

Finochietto Retractor

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Used for retraction of soft tissues (especially useful for retraction of muscle bellies during orthopedic or spinal surgery) Sharp points!

Gelpi Retractor

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Useful for retraction of soft tissue in a small, superficial incision

Weitlaner Retractor

Double-ended blunt retractor - hand held retractor usually held by assistant

Army-Navy Retractors

Used for retracting viscera in abdominal and thoracic surgery

Malleable Retractor

Used to lever muscle and soft tissues away from surgical field and bone during orthopedic surgeries

Hohmann Retractor

Double end retractor - Used in soft issue and orthopedic surgery for retraction of tissues in small working spaces

Senn Retractor

Flat-think handle allow for better visualization of tissue - Used to blindly hook the uterine horn/mesometrium during OHE

Snook Hook/ Spay Hook

Used to grip and manipulate bone during fracture reduction and repair

Kern Bone Holding Forceps

Used to grip and manipulate bone during fracture reduction and repair - locking mechanism

Speed Lock Bone Holding Forceps

Used to drive IM pins and K-wires during orthopedic surgery

Jacob's Chuck

Used in orthopedic surgery to advance an osteotome for making precise osteotomies

Mallet

Used to create osteotomy in numerous orthopedic procedures

Osteotome and Chisel

Used to reflect muscle and soft tissue from bone

Periosteal Elevator

Small Periosteal elevator

Freer Periosteal Elevator

Used to remove small fragments of bone, to recontour bone, or to prepare bone grafting

Lembert Rongeur

Wire self retaining instrument used to hold eyelids open during enuclecations, and surgery of the cornea and third eyelid

Barraquer Eyelid Spectrum

Used to protect globe when making incisions into the eyelid

Jeger Eyelid Plate

Penetrating clamp, used to hold quarter drapes or Huck towels securely to patient skin

Backhaus Towel Clamp

Used to suction large amounts of fluid from body cavity - blunt tip prevents trauma to organs

Poole Suction Tip

Fine tipped suction tip for removal of small amounts of fluid from surgical field

Frazier Suction TIp

Wing- tipped: Used to sever the periodontal ligament by rotating instrument around the tooth. Wedge tipped: Used to weaken periodontal ligament and luxate the tooth for extraction

Wing Tipped Dental Elevator

Used for subgingival cleansing, root planing and curettage

Curette

Removes dental deposits from above gumline

Scaler

Strong, heavy instrument used to grasp loose/luxated teeth for extraction

Extraction Forceps

Uneven tip instrument useful in removing large pieces of calculi prior to scaling

Calculus Removal Forceps

Increases tactile sensation for detecting areas of enamel decay

Dental Explorer

Used to measure pocket depths around a tooth - establishes the state of health of the periodontium

Periodontal Probe

Absorbable, Multi-filament, Organic | Not Frequently Used in practice

Chromic Gut

Absorable: Broken down by hydrolysis Stable in contaminated wounds Rapidly degraded in infected urine Multi filament: Braided Uses: Dental Surgery

Polyglactin 910 (Vicryl)

Filaments from glycolic acid Comes in coated and uncoated forms Dental surgery

Polyglycolic Acid

Closure of enterotomies, cystotomies, body wall closures, fascia closure

Glycomer 631

Closure of cystotomies (non-infected bladders) SQ tissues

Caprolactone

Uses: Closure of cystotomies (non-infected bladders) SQ tissues

Poliglecaprone 25 (Monocroyl)

Uses: Closure of enterotomies, cystotomies, body wall closure, fascia closure

Polidioxanone (PDS) | Monofilament

Uses: Cardiovascular Surgery

Silk | Multi-filament- braided; decreases number of bacteria require to induce infection

SKin closure, orthopedic repair (lateral tiobiofabellar structure)

Nylon

Non-absorbale - very resistant to degradation (lack of hydrolyzable bonds) Monofilament Uses: Tendon, ligament, fascial, and joint capsule closures

Polypropylene

Skin sutures only!

Polymerized caprolactam

Non-absorbable - orthopedic applications (closure of sternotomy)

Stainless Steel Suture

More flexible suture is better for vessel ligation | Flexibility is related to material and size of suture

Flexibility

Process by which fluid and bacteria are wicked along multifilament fibers

Capillarity

Measure of a tissue or fibers ability to resist deformation or breakage

Tensile Strength

Amount of force necessary to cause a knot to slip - related to coefficient of static friction and plasticity of material

Knot Strength

Needle: Sharp tip that pierces and spreads tissues without cutting - intestine, SQ tissue, fascia

Taperpoint Needle

Needle: Combination of reverse cutting and taperpoint - Heavy - thick fascia, tendon, vascular grafts

Tapercut Needle

Needle: Cutting edge on concave portion of needle. Tends to cut out tissue

Cutting Needle

Needle: Cutting edge on convex surface reducing risk of tissue cut out - skin

Reverse Cutting Needle

Needle: Flat on top and bottom : opthalmic procedures

Spatula Point needle

Needle: Blunt point that dissects through friable tissues without cutting: soft parenchymal organs (liver, kidneys)

Blunt point needle