A surgical instrument is a tool or device for performing specific actions or carrying out desired effects during a surgery or operation.

1. Surgical Instrument
Prepared by
Mr.Abhay Rajpoot
HOD (Dep. of Medical Surgical)
abhayrajpoot5591@gmail.com

2. RAMPLEY’S SWAB HOLDING FORCEPS
⚫ Used forcleansing the skin
with swab
⚫ It is used for removing
laminated membraneand
daughtercysts from Hydatid
cyst.
⚫ Used to hold fundus and
Hartman’s pouch during
cholecystectomy.

3. Doyen’s cross action Towel Clips
⚫Used to fix draping
towels.
⚫Used for fixing
diathermy
cables, suction tubes
etc.
⚫May be used to hold
ribs whileelevating
flail segmentof chest.

4. Bard Parker’s Handles
⚫Blades 10,11,12 and 15
fit in B.P handle 3.
⚫Blades18,19,20,21,22, 23
and 24 fit in B.P
handle 4.

5. Spencer Well’s Haemostatic Forceps
⚫Used to hold bleeding
vessels.
⚫Used to split internal
obliqueand transverse
abdominis during
appendectomy.
⚫Used todo blunt
dissection.

6. Kocher’s Haemostatic Forceps
⚫Used to crush the base
of the appendix during
appendectomy.
⚫Used to hold meniscus
during menisectomy.
⚫Used to do sub total
thyroidectomy.

7. Mosquito Haemostatic Forceps
⚫Used to hold fine
bleeding vessels.
⚫Used to puncture the
mesoappendix at an
avascularsite.
⚫Used in operations of
infants.

8. Lister’s Sinus Forceps
⚫Used todo I&D of
abscess by Hilton’s
method.
⚫Used to hold gauge
swab toclean abscess
cavity.

9. Allis’ Tissue Forceps
⚫Used to hold skin
while raising skin
flaps.
⚫Used to pick up a fold
of peritoneum during
laparotomy.
⚫Used to hold lineaalba
while closing midline
incisions.

10. Babcock’s Tissue Forceps
⚫Used to pick up
appendixduring
appendectomy.
⚫Used to hold delicate
visceral organs.
⚫Used to hold cut
margins of bladder
during open
prostatectomy.

11. Plain Dissecting Forceps
⚫Used to hold delicate
visceral organs
⚫Used to hold blood
vessels and nerves
whiledissecting.
⚫Used to hold the
hernial sac in hernia
repair.

12. Toothed Dissecting Forceps
⚫Used to hold tough
structures like skin
while suturing.
⚫Used to hold scalp
whilescalp suturing.
⚫Used to hold rectus
sheath whileclosureof
abdomen.

13. Needle Holders
⚫Used to hold needles
while suturing.

14. Mayo’s Scissors
⚫ Used to tough structures
like lineaalba,rectus sheath
during entry in to the
abdomen.
⚫ Used tocut delicate
structures like hollow
viscus, investing layerof
deep fasciaof the neck in
thyroid surgery.
⚫ Used to raiseskin flaps by
sharpdissection.

15. Heath’s Suture Cutting scissors
⚫Used tocut sutures on
skin and mucous
membrane.

16. Langenbach’s Retractor
⚫They are used to help
better visualization of
theoperative
field, tissue handling
is minimized and
bleeding betterseen
and controlled.

17. Morris Retractor
⚫Used while making
and closing abdominal
incisions foreaseof
working in the deeper
layers.
⚫Used to retract
Pectoralis major in
MRM for better
visualizationduring
axillary dissection.

18. Deaver’s Retractor
⚫Used in
Cholecystectomy for
retractionof right lobe
of liver.
⚫Used in Truncal
vagotomy for
retractionof left lobe
of liver.
⚫Used in kidney
operations to retract
the anterior
abdominal wall.

19. Joll’s Thyroid Retractor
⚫It is a self retaining
retractor used in
thyroid surgeries to
retract the skin.

20. Metallic Probe
⚫Used in fistulectomies.
⚫Used to assess the
depth of penetrating
injuries.
⚫Used toassess the
length of sinus.

21. Lahey’s Right Angled Forceps
⚫ Used todissect thecystic
duct and artery in
cholecystectomy.
⚫ Used in Vagotomies to
dissect thevagus nerveand
pass ligaturesaround them
beforedivision.
⚫ Used in thyroid surgeries to
dissect and ligate middle
thyroid vein,superiorthyroid
pedicle,etc.

22. Desjardin’s Choledocholithotomy
Forceps
⚫Used to removestones
from common bile
duct.
⚫Used to remove stone
from kidney, bladder
stone.

23. Metallic Bougie
⚫Used todilate urethra
in urethral strictures.
⚫Used todilate urethra
beforecystoscopy
.
⚫Used to repair
ruptured urethra by
railroad technique.

24. Bakes’ Dilator
⚫ Used in
Choledocholithotomy, after
removing the stones from
the bile duct, it is used to
sound the bileduct forany
retained stones.
⚫ The patencyof theampulla
can checked, In impacted
stones or ampullary
stenosis,it is not possible to
pass the dilator in to the
duodenum

25. Doyen’s Intestinal Clamps
⚫Used in gut resection
and anastomosis.

26. Suprapubic Cystolithotomy Forceps
⚫Used in suprapubic
cystolithotomy to
extract the stone from
the bladder.

27. Red Rubber Catheter
⚫ Itcomes in sizesof
6,8,10etc.the size of the
catheter isexpressed in mm
as numberof size/2 +1.
⚫ Used todrain urine.
⚫ Used to measureamountof
residual volumeof urine.
⚫ Used toadminister
chemotherapydrugs for Ca
bladder.

28. Foley’s Self Retaining Catheter
⚫ Diameterof thecatheter in
mm is calculated by no. of
catheter in frenchscale/3.
⚫ Used todrain urine.
⚫ Used in suprapubic
cystostomy.
⚫ Used for urethral
catheterization following
prostatectomy.

29. Malaecot’s Catheter
⚫Used in suprapubic
cystostomy.
⚫Used todrain abscess
cavities.
⚫Used as intercostal
tubedrain.

30. Kelly’s rectal Speculum
⚫Used todiagnose
haemorroids,anal
polyps, internal
opening of the
perianal fistula.
⚫Used to take biopsy
from anal, rectal
growth.
⚫Used in polypectomy.

31. Flatus tube
⚫Used to relieve
gaseous distension of
large gut due to
paralytic ileus.
⚫Used todecompress
sigmoid volvulus non
operatively.

32. Fuller’s Metallic Tracheaostomy tube
⚫ Indications:
⚫ FB impacted in larynx.
⚫ B/L recurrent nervepalsy.
⚫ Acute laryngeal edema.
⚫ In respiratory paralysis
requiring mechanical
ventilation for longer
periods.

33. Disposable Corrugated Drain
⚫Used as a drain to
drain pus ,blood,etc

34. Mayo’s Vein stripper
⚫Used todo stripping of
varicoseveins.

35. Giglie’s Saw
⚫Used tocut bones in
amputations.
⚫Used to do
craniotomies.

36. Bladder wash Syringe
⚫Used to give bladder
wash with antiseptic
solution.
⚫Used to clear blocked
foley’scatheter.

37. Suprapubic Cystostomy Trocar and
Cannula
⚫Used to perform
suprapubic cystostomy
secondary urethral
rupture to relieve
urinary retention.
⚫Used to perform
suprapubic cystostomy
secondary to distal
urethral obstruction.

38. Disposable Core Biopsy Trocar and
Needle
⚫Used to takecore
biopsy from
breast, liver fortissue
diagnosis.

39. Vim Silverman’s Liver biopsy Trocar and
Needle
⚫Used to take liver
biopsy.

40. Bone cutter and Bone Nibbler
⚫Used to reshape the
bone during
osteotomies, amputati
ons.

41. Bone Chisel and Osteotome
⚫Used tochipout bone.
⚫Used toperform
osteotomies.

42. Rib Cutter
⚫Used tocut ribs in case
of draining empyema
thoracis.
⚫Use to resecta partof
the rib.

43. Bone Saw
⚫Used tocut bone in
caseamputation.
⚫Tocutcasts.

44. Periosteum Elevator
⚫Used to elevate the
periosteum during
amputations.

45. Kidney Tray
⚫Used tocollect
specimens.
⚫Used tosafely transfer
sharp instruments.