Gynaecology surgical instrument Part 1

Gynaecology surgical instrument used in Obstetrics & Gynaecology surgery listed includes Doyen’s retractor, allis tissue holding forceps, Sim’s posterior vaginal speculum, vulsellum forceps, sponge forceps

Doyen’s retractor used in retracting the abdominal wall in open laparotomy.

Used to retract bladder in (LSCS) Lower segment cesarean section delivery of the baby

Retractor blade designed not to hurt any of the structures with a curved surface to avoid damage to tissue. In LSCS surgery Doyen’s retractor removed from the surgical site when the baby head about to come.

Other names: Bladder blade

Sim’s posterior vaginal speculum

Speculum comes with two types

1. One bladed speculum
2. Double armed bladed Speculum

One blade speculum with a wider blade used commonly in posterior vaginal wall retraction. The sizes vary in purpose and use

Double armed bladed Speculum with narrow and wide types of blade to retract posterior vaginal wall retraction depends upon indication and size

The commonly used instrument in all vaginal surgery and in Gynaecology examination

Indication

1. Inspection of cervix
2. Vaginal examination,
3. Before and after surgical procedure
4. Dilatation and curettage
5. Urethral toileting

Female urethral catheter

Used widely in obstetrics and gynecology for bladder voiding before any examination or any procedure

Used in urology surgical procedure to rooting of urethra and voiding of urine as well

Emptying the bladder reduces the chance of damage to the bladder and voiding during the procedure

Catheter made of metal with slightly curved at the tip. Tip of the catheter with single or multiple holes. Intermittent types of metal catheter used in Voiding of urine for a temporary purpose.

For continuous drainage either closed urinary drainage system or suprapubic indwelling catheter

Foley’s catheter or silicone catheter used widely in the closed urinary drainage system

Gynaecology surgical instrument – Uterine curette

It has a blunt end used in scarping of the endometrial wall of the uterus for pathological examination. Mainly used in cases like dilatation and curettage, incomplete abortion (dilatation and evacuation).

Curette with two ends with their own indication

The sharp end used in scarping endometrial wall tissue

The blunt end used in the soft tissue of the uterine wall

for retractor visit here

Allis tissue holding forceps

Commonly used forceps used present in the entire general surgical instruments tray. Forceps used to catch the anterior wall of the cervix in vaginal surgery.

Allis tissue holding forceps used to hold rectus sheath muscle for the retraction and suturing.

Widely used in all major surgery like laparotomy, laparoscopy port creation, Gynaecology surgery.

Hegar’s dilator

Used in dilatation of soft tissue like

Uterus,

Urethra,

Bladder

Intestinal surgery in rare cases

The dilator with double-ended used with lubrication like Xylocaine jelly, liquid paraffin

Cases used like Dilatation and curettage for dilatation of cervical canal

Vulsellum forceps

The forceps with curved flange long instruments. The tip of the forceps with an atraumatic toothed tip which enhances to catch the anterior tip of the cervix

Used in Obstetrics and gynecology surgery

Allis tissue holding forceps used as an alternative

Sponge holding forceps

Long surgical instruments used in commonly used in the maximum of all the cases.

Used in surgical painting with antiseptic solution before any sterile procedure

Used in special Cases like open cystolithotomy for removal of stone and Vaginal toileting in vaginal surgery postoperatively.

Sponge holder with serration helps in holding the cervix for the examination of the cervix. Also used in cases like cervical encircling

for more about sponge holder see here

Uterine sound

The malleable metallic uterine sound used to know the position of uterus and length of uterine cavity prior to the any vaginal surgery

Used to detect any metallic foreign body in the uterine cavity

The instrument can bend with malleability structure to use according to the direction of the cavity

 

 

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