instrumentar chirurgical -pt facultatea de medicina
DESCRIPTION
Informatii depre instrumentarul chirurgicalTRANSCRIPT
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Instrumentele chirurgicale
o Pentru hemostazao Pentru taiat si disectieo Pentru prehensiuneo Departatoareo De sutura
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Asezarea instrumentelor pe masa de operatie
o In ordinea pasilor operatorio In ordinea frecventei utilizariio In functie de preferintele echipei
operatorii
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Pensa Pean
o Este o pensa fara dinti, cu varful bonto Utilizata pentru hemostaza, manipularea
compreselor si a firelor de sutura etc.o Se manevreaza similar foarfeceloro Se inchide folosind “siguranta”
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Pensa Pean
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Pensa Kocher
o Se deosebeste de precedenta prin faptul ca la varf se termina cu dinti
o Poate fi curba sau dreaptao Se manevreaza similar pensei Pean
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Manipulare corecta
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Bisturiul
o Este un instrument destinat sectionarii tesuturilor
o Principii de manevrare:Lama se monteaza/demonteaza
folosind pensa PeanLama nu se manevreaza cu mana
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Bisturiul
Tipuri de manere:
#7 #3 #4
#7 – folosit pentru tesuturi profunde, delicate
#3 – folosit pentru tesuturi superficiale
#4 – folosit pentru tegument
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Bisturiul
Tipuri de lame:#10 este cea mai utilizata lama #15 este o versiune mai mica a lamei #10, se utilizeaza pentru incizii mai delicate#12 folosita pentru indepartarea suturilor#11 folosite in proceduri artroscopice #22 si #23 sunt lame mari putin folosite in chirurgie
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Montarea lamei
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Incizia
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Foarfeca
o 2 tipuri: pentru tesuturi moi (de disectie), respectiv dure
o Se manevreaza cu falangele distale ale degetelor I si IV
o Indexul fixeaza foarfeca la nivelul articulatiei
o Poate fi sprijinita pe mana opusa
o Se taie cu varful lamelor
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Foarfeca
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Manipulare corecta
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Pensele de disectie
o Se manevreaza cu degetele I si IIo Pensa pivoteaza in jurul degetului
IIIo 2 tipuri: chirurgicala (cu dinti):
o pentru tesuturi dure (piele, fascii, aponevroza, etc.)
o anatomica (fara dinti): o pentru tesuturi moi (intestine, vase, etc.)
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Pensele de disectie
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Manipulare corecta
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Portacul
Se manevreaza similar foarfecii
Portacul se alege in functie de tipul de sutura si de marimea acului:
Mayo – Hegar: Ace fine cu sectiune de forma rotunda, atraumatice Tesuturi fine (tub digestiv, ureter, vase, parenchime etc.) Suturi profunde Spatiu de acces ingust
Mathieu:
Folosit pentru manevrarea acelor curbe groase, cu sectiune de forma triunghiulara
Tesuturi mai rezistente si groase(aponevroze, tegumente etc.)
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Portacul
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Manipulare corecta