Instruments used in general surgery

 There are many different surgical specialties, some of which require specific kinds of surgical instruments to perform.

General surgery is a specialty focused on the abdomen; the thyroid gland; diseases involving skin, breasts, and various soft tissuestraumaperipheral vascular disease; hernias; and endoscopic procedures.

Instruments can be classified in many ways, but, broadly speaking, there are five kinds of instruments.

  1. Cutting and dissecting instruments
  2. Grasping or holding instruments
  3. Hemostatic instruments
  4. Retractors
  5. Tissue unifying instruments and materials

Instruments used in surgery are:

Instrument NameImageBrief descriptionSpecific instruments
Electrical cauteryElectrical surgical cauterization utilizes electricity in either a monopolar or bipolar format to burn soft tissue and control bleeding
  • Bovie pencil
  • Monopolar hook
  • Monopolar spatula
  • Bipolar forceps
CuretteFor scraping or debriding biological tissue or debris in a biopsy, excision, or cleaning procedure
DermatomeRemoves epidermis to graft over another area
Dissecting forcepsGrasping and holding; usually used in skin closures or small woundsAdson
Tissue forcepsGrasping and holding tissueAllis
Penetrating towel clampUsed to secure towels or reduce bone fragmentsBackhaus penetrating towel clamp
Carmalt forcepsHemostatic forcepsKalabasa
Cushing forcepsGrasping and holdingNon-toothed dissecting forceps
Dandy forcepsHemostatic forceps
DeBakey forcepsGrasping and holdingNon-toothed dissecting forceps designed for use on blood vessels, organs, or delicate tissue
Doyen intestinal clampClamps and distractorsNon-crushing clamp designed for use on the intestines
Kelly forcepsHemostatic forceps
Kocher forcepsHemostatic forceps
Mosquito forcepsHemostatic forceps
HookRetractor
Nerve hookRetractor
Skin hookRetractor
Lancet (scalpel)Cutting
Mammotome
Needle holderGrasping and holding
  • Castroviejo
  • Crilewood
  • Mayo-Hegar
  • Olsen-Hegar
RetractorRetractorHandheld:
  • Deaver
  • Weitlander
  • Army-Navy
  • Richardson
  • Richardson-Eastman
  • Ribbon

Self-retaining:

  • O'Connor-O'Sullivan
  • Thompson
  • Omni-Tract
Ultrasonic scalpelCutting
Laser scalpelCutting
ScissorsCutting and spreadingMay be curved or straight
  • Iris
  • Metzenbaum's
  • Mayo
  • Tenotomy
SpeculumUsed to retract orifices
  • Graves'
  • Sim's
Suction tube and Yankeur suction tipAccessories and implants
Surgical elevator
Surgical hookRetractor
Surgical blade #15Used to cut vessels or make small incisions
Surgical meshAccessories and implants
Surgical needleAccessories and implants
Surgical sponge
GIA staplerUsed to make a gastrointestinal anastomosisLinear stapler
Surgical tray
Suture
Tongue depressor
Tonsillotome
Towel clampClamp
Towel forcepsClamp
Backhaus towel forceps
Lorna towel clampNon-penetrating towel clamp
Tracheotome
Tissue expanderAccessories and implant
Subcutaneous inflatable balloon expanderAccessories and implants
TrephineCutting instrument
TrocarAccess instrument. Used to create an opening into a space without opening the abdominal cavity. A camera is inserted through one to view the interior while instruments are inserted through the others to manipulate the organs.
Ultrasonic energy deviceThe surgical device typically used to dissect tissue, but also seals small vessels and tissue bundles

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