OPERATION THEATRE ARTICLES - FORCEPS. - (PART - 2).
It is a long forceps with gently curving blades. It is one ring is incompletely as to facilitate the passage of suture material while tying blood vessels in a deeper plane.
It is used during tonsillectomy and pelvic surgery.
It can be used to select and pick up sterilized articles like drapes instruments and vessels or even bottles from sterilized drumps or autoclave.
As, it is a heavy, long and good with serrations solutions, sterile articles can be safely transferred from one tray to another.
1. To hold the needle for suturing.
2. Straight type is used for holding needles while suturing at surface, curved type is used to work at depth or inside the cavity.
Spencer Wells Artery Forceps:
It is a medium size straight forceps with coarse transverse serrations. It has a broad and blunt tip. The blade is diamond shape.
1. For crushing the base of the appendix.
2. To hold catheter around tubular structure e.g. during ureterolifthotomy.
It has a curved and blunt tip with longitudinal serrations on its blades. It has a long handle with a rachet so as to facilitate working in the depth.
1.To get around tubular structures.
2. To pass ligature or catheter around tubular structures.
3. For blunt dissection, when isolating structures during gall bladder, kidney and splenic surgery.
4. During truncal vagotomy.
Thompson Walker Suprapubic Cystolithotomy Forceps:
It has a spoon shaped blades with spike on its inner surface to give a proper grip on the stone.
It is used to remove bladder calculi during suprapubic cystolithotomy operations.
Scalp Artery Forceps:
It is differentiated from other artery forceps by the plane of its blade.
To catch bleeders during scalp surgery.
Rampley’s Sponge holding Forceps:
It is a 9 and half long instrument with thin shafts. This blades are fenestrated near its distal end and the inner surface of the blades have transverse serrations. It has a rachet.
1. To hold gauze pieces while preparing the operating site.
2. To hold structures like gall bladder, ovary etc.
3. To pack the cavity and compress the bleeder in depth.
e.g. Tonsillectomy, Prostarectomy etc.
Young’s Gland Holding Forceps:
It is similar to sponge holding forceps but its fenestras are round and without serrations. It is an atraumatic forceps but has a racket.
It is used to hold structures like lymph nodes, cysts etc during the dissection.
Lane’s Tissue Holding Forceps:
It is a traumatic instrument. The blade is curved, thick and fenestrated with a single tooth at its tip.
1. To hold tough structures which are to be encised. Eg. Fibroma, lymph nodes etc.
2. To fix towels, suction tube, cautery wires etc.
It is an traumatic forceps with fenestration and its tip has fine teeth. There is a gap between the blades which makes the instrument light.
1. For holding tubular structures like appendix, fallopian tube etc.
2. To hold intestines and soft viscera. E.g. Resection anastomosis etc.
Desjardin’s Choledocholithotomy Forceps:
It has long, thin and gently curved shafts to facilitate its introduction into the dults. It has a rectangular fenestrated blades without serration on the inner aspect. There is no rachet so that the stone does not get crushed.
For removing stones from the common bile ducts and hepatic ducts.
It is available in various sizes and curvatures. The fenestrated blades have serrations to hold the stone. It has a long shaft with raws set at an angle for easy introduction in the calyces. It has no rachet.
For removing stones during pyelolithotomy.
Pile Holding Forceps:
It is similar to young’s gland holding forceps, except that the pile holding foreceps has a groove on the inner aspect of each ring shaped blade. It has a rachet.
For holding the pile mass during haemorrhoidectomy.
Duval’s Lung Holding Forceps:
It has jaws at its tip and endoses a triangular apertove. The inner surface is finely grooved to obtain a firmer grip without traumatizing the lung. The blades are gently curved.
To hold the lung during lobectomy, Pneumonectomy etc.
It is also called as cord holding forceps. It is a ring shaped forceps with a rachet. The ring is formed when the handles are approximated.
For holding and retracting the cord structures during hernia operation.
Yeoman’s Punch Biopsy Forceps:
It is right angled instrument. It has a rectangular, cutting, mobile upper jaw at it tip. The lower jaw is cupped to accommodate the punched fissues. The jaws can be opened and closed by approxiamately the handles.
For taking biopsy from polyps, growths, ulcers of the rectum, anal canal and oral cavity.
It is curved forceps with fenestrated blades and serrations on its inner aspect. It has no rachet. The curve of the blade facilitates introduction by endotracheal tube without obstructing the vision.
1. To guide endotracheal and ryles tube.
2. To pack the oropharynx.
3. To remove foreign body from the oropharynx.
Rampley’s Sponge Holding Forceps:
1. It is also known as sponge holder.
2. It is used for holding sponge and cleaning the site of the operations or for deep mopping to clean or swab blood in the cavity.
3. It is also used for packing body cavities such as vagina.
4. It is used for separating tissues also, it is again used to catch soft organs like ovary, cervix etc.
1. Non-toothed Dissecting Forceps
2. Toothed Dissecting Forceps
1. Plain Dissecting Forceps are used to hold the delicate structure like intestine, skin over the face and cartilages for stitching purposes.
2. It is used in dissecting soft friable structure.
3. Toothed Dissecting Forceps are used to hold the structure like skin, fascia, rectal sheath, etc.
(a). All Lister’s Sinus Forceps
(b). Allis Sinus Forceps
It is used to plug cavities such as nose, ear or abscess cavity.
1. It is used to hold thin, but tough structures to give traction on these structures to give traction on these structures. Eg. For holding skin, fascia, hydrocele sack etc.
2. It can be used to hold tissue with fibrous capsule of an organ for dissection.
3. It can be used to hold the bladder neck, while doing operations on the neck of the bladder.
1. Use as clamp for the pedicles of internal organs like kidney, spleen, ligaments of uterus.
2. To hold the tip of appendix and crush the base of the appendix.
3. Used for blunt dissection by bolding peanut or swabs.
4. To introduce small plug or drain in a small cavity.
5. To substitute in the place of a needle bolder
AUTHOR: POOJA YADAV