O&G instruments

O&G instrumentsCreated OnApril 14, 2020Last Updated OnApril 14, 2020byadmin You are here: Main Surgical Instruments O&G instruments < All Topics Table of Contents O&G instrumentsAyre’s spatula and cytobrush Uses: Used for Pap Smear for screening of cervical malignancy. Broad end of Ayre’s spatula is for vaginal sample collection while narrow end is for cervical sample collection. Cytobrush is to collect endocervical cells Babcock’s Forceps Features: Has curve ends and fenestrated. Has no serration. Uses: Less traumatic compared to Allis Tissue Forceps Eg: grasping fallopian tubes during modified Pomeroy’s operation or grasping ureter or appendix. Fallopian ring applicator Uses: To apply silastic bands to fallopian tube in tubal ligation Silastic bands are loaded prior to grasping the tube Cusco’s Speculum Features: Self retaining double bladed vaginal speculum Uses: Used for routine vaginal examination, Pap smear or other gynaecological procedures. Episiotomy Scissors Features: Slightly bent blades to allow precise incision at medio-lateral from an angled position Uses: For episiotomy during delivery Cervical punch biopsy forceps Uses: Used to take cervical biopsy to rule out suspected neoplasm. Often used along with colposcope and Lugol’s iodine to detect premalignant lesions Green-Armytage Hemostatic Forceps Features: the tips are broad and widen for compression Uses: For hemostasis in caesarean section to grasp the angle of uterus securely and clamping the bleeders Grasp and clamp tissue in the uterus Commonly used in caesarean section, hysterectomy, myomectomy and uterine repair. Hegar’s Dilator Uses: Used for dilatation of the cervix during D&C, hysteroscopy, cervical stenosis, primary dysmenorrhea Cervical dilator Uses: As an osmotic dilator with hydrogel for cervical dilatation Used in induction of labour Foley catheter Uses: Used as balloon catheter for cervical dilatation To drain urine during urinary retention or surgical procedures. Kocher’s Forceps (straight or curved) Uses: To hold fallopian tube in hysterectomy or salpingectomy in ectopic pregnancy or oophorectomy To clamp umbilical cord of new born. Clamp the vessels for hemostasis Used during artificial rupture of membrane Amniotic hook Features: 10 inch rod with a hook on the end of the rod. Uses: To perform amniotomy to induce labour Rubin’s cannula Uses: Used for tubal patency test (hysterosalpingo-graphy) Urographin or methylene blue are usually used as contrast Leech-Wilkinson’s cannula (also known as hysterosalpingography cannula) Features: has different sizes, straight instrument with conical tip Uses: Used for tubal patency The cone is screwed into cervix and dye is injected Sim’s anterior vaginal wall retractor Features: has blunt loops at the both ends Uses: Used with Sim’s speculum For visualization of cervix and vagina in case of cystocele. Sim’s speculum Uses: Inspection of vagina and cervix Retracts posterior vagina wall For complete visualization, Sim’s anterior vaginal wall retractor should be used Used during Pap smear, colposcopy, inspection for cervical tears or other gynaecological procedures Provides a wide area for inspection Suction curette Features: tip is blunt and below the tip are few sharp openings for suction and curette of the cavity. Uses: For suction and curettage Used in therapeutic abortions, treatment of miscarriage, retained placenta after vaginal delivery or others Shirodkar Cerclage Needle Uses: Used to put stitches around the cervix To perform cervical cerclage Used for cervical incompetency Thomas Uterine curette Features: the tip is angled about 15 degree for easy scraping Uses: Scarping the endometrial cavity for endometrial histopathology examination, diagnostic D&C for menorrhagia, endometrial hyperplasia, endometrial carcinoma and others. Uterine sound Features: blunt tip to avoid uterine perforation, bend 30 degrees at the tip, has marking on it for measurement Uses: Helps to estimate the position of the uterus and measurement of uterocervical length Used prior to D&E To detect the uterine cavity for any abnormalities Bladder sound Features: gentle curve. Not angled like uterine sound and has no marking on it. Uses: Used to look for extension of bladder cystocele and vaginal hysterectomy Diagnose cervical stenosis, measuring length of cervix Bonney’s Myomectomy clamp Uses: Clamp used in myomectomy Curtails the blood supply to the uterus temporarily to decrease blood loss during myomectomy Hand-held disposable ventouse. Uses: Designed for vacuum assisted delivery Less trauma to mother. Can be used when rotation is not complete. Produces a chignon. Umbilical cord clamp Uses: Clamp the umbilical cord in place Put two clamps on the umbilical cord following birth and use scissors to cut between the clamps Umbilical cord cutting scissors Features: has wide, flat, curved blades Uses: Designed to cut the umbilical cord following birth Simpson forceps Features: has elongated cephalic curve Uses: Obstetrics outlet forceps Wrigley Forceps Features: has pelvic curve, has fenestration for firm grip of fetal head Uses: Obstetrics outlet forceps

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