surgery instuments by prof.dr.r.r.deshpande

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7/9/2015 Prof.Dr.R.R.Deshpande 1 Surgery Instruments Presented By Prof.Dr.R.R.Deshpande (M.D in Ayurvdic Medicine & M.D. in Ayurvedic Physiology) www.ayurvedicfriend.com Mobile 922 68 10 6301 [email protected]

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7/9/2015 Prof.Dr.R.R.Deshpande 1

Surgery Instruments

• Presented By –

• Prof.Dr.R.R.Deshpande (M.D in Ayurvdic

Medicine & M.D. in Ayurvedic Physiology)

• www.ayurvedicfriend.com

• Mobile – 922 68 10 6301

[email protected]

Special Thanks

• Ayurved College ,Nigdi ,Pune 44

• Dr.Rohini Bhadane ,Past student & Topper

7/9/2015 Prof.Dr.R.R.Deshpande 2

Utility of this PPT

• Final Year BAMS students can make

many time revisions ,if they download this

PPT & save in their Smart Phone

• This is very useful for spotting & oral of

University Examination

• Teachers can get helping hand of this PPT

for teaching with LCD projector

7/9/2015 Prof.Dr.R.R.Deshpande 3

7/9/2015 Prof.Dr.R.R.Deshpande 4

Ayurved for General Practioner

• Very very popular

Book in Medical

Practioners

• 100 common

symptoms of General

Practice with

causes,Investigations

& Ayurvedic

Treatments

7/9/2015 Prof.Dr.R.R.Deshpande 5

Clinical Examination

• Systemic Examination

of 8 systems

• Ayurvedic Srotas

Examination

• Clinical significance of

Lab Tests &

Radiology,USG,2D

Echo

7/9/2015 Prof.Dr.R.R.Deshpande 6

Notes on Medicine Part 1

• Very very useful Book

for all Medical

Practioners

• Guidelines with

causes,symptoms,Ay

urvedic & Modern

Treatments to treat

Fever,Pain in

Abdomen & Arthritis

7/9/2015 Prof.Dr.R.R.Deshpande 7

Best Book for

Medical Students & Practioners

Pathology Hand Book

• Very Good Book for

ready reference to

Medical Students &

Practioners

• Costs only Rs.70/-

• For Home Delivery

call Mr.Shantanu on

• 98 22 08 55 06

Concept of Prakruti & Life Style

• How to Diagnose

Prakruti ?

• Detailed advice for

each Prakruti about

Diet, Daily regimen,

Exercise,Occuption

• Menu for

Breakfast,Lunch,Dinn

er

• Chaukhamba

Publication

Doyen’s retractor

7/9/2015 10 Prof.Dr.R.R.Deshpande

Doyen’s Retractor

• Heavy.

• Uses –

• To retract organs in abdominal surgery &

Pelvic surgery

7/9/2015 Prof.Dr.R.R.Deshpande 11

Sim’s speculum

7/9/2015 12 Prof.Dr.R.R.Deshpande

Sim’s Speculum

• It has 2 limbs .

• Uses –

• Used in vaginal hysterectomy & during

cervical curettage

7/9/2015 Prof.Dr.R.R.Deshpande 13

Sponge holder

7/9/2015 14 Prof.Dr.R.R.Deshpande

Sponge holder

• It has a ratchet & 2 long blades .

• Operating end is rounded with serrations

• .Uses –

• used during painting of operative area.

• Used to hold swab with anti septic agents

at the time of surgery.

• Used as blunt dissector

7/9/2015 Prof.Dr.R.R.Deshpande 15

Trokar & canula

7/9/2015 16 Prof.Dr.R.R.Deshpande

Trochar Canula

• It has 2 parts ,a hollow metallic tube with a

solid metallic pointed rod in it.

• Uses – For Therapeutic tapping of Tense

Ascites,For relieving acute Urinary

retension,when all attempt to catheterize

fail like in stricture urethra

7/9/2015 Prof.Dr.R.R.Deshpande 17

Tooth forcep

7/9/2015 18 Prof.Dr.R.R.Deshpande

Tooth Forcep

• Same as plain forcep .

• Only difference is having tooth at tip of

both limbs .

• Uses – Used to hold tough structure like

fascia, skin,rectus sheath

7/9/2015 Prof.Dr.R.R.Deshpande 19

Allie’s forcep

7/9/2015 20 Prof.Dr.R.R.Deshpande

Alli’s Tissue holding forceps

• Blades are straight along it’s long axis &

are separated by a space ,except at it’s

tip. Tip has sharp teeth ,which can be

interlocked

• Uses – Used to hold thin but tough

structures like skin, deep fascia etc.

• Also used to hold tissues like Fibrous

capsule of a structure of dissection

7/9/2015 Prof.Dr.R.R.Deshpande 21

Plain forcep

7/9/2015 22 Prof.Dr.R.R.Deshpande

Plain Forcep

• It has 2 limbs.

• Outer surface of forcep is made rough by

groove & ridges which helps giving a firm

grip.

• Uses – Used for holding delicate

structures like Peritonium,vessels,bowel

wall etc.

• Used to dissect soft friable tissues.

7/9/2015 Prof.Dr.R.R.Deshpande 23

Towel clip

7/9/2015 24 Prof.Dr.R.R.Deshpande

Towel clip

• Light but strong .

• Blades are small & curved. It has catch

lock mechanism. Tips are sharply pointed

for better grasping .

• Uses – To fix drapes. Also can be used in

place of tongue holding forcep but it may

cause injury to tongue

7/9/2015 Prof.Dr.R.R.Deshpande 25

Koacher’s forcep

7/9/2015 26 Prof.Dr.R.R.Deshpande

Kocher’s Forcep

• It has tooth ,single & sharp.

• It has catch clamp .

• Uses – To hold retracting ,cut ends of

vessels in tough fibrous tissue, To hold

gauze – pellets for blunt dissection

7/9/2015 Prof.Dr.R.R.Deshpande 27

Babcock’s forcep

7/9/2015 28 Prof.Dr.R.R.Deshpande

Babcock’s Tissue Forcep

• Non Traumatizing type of Tissue Forcep

.Blades are curved & fenestrated.

• Uses – Used to hold soft & delicate tissues

like Fallopian tubes, ureter like tubular

structures .

• Also can be used to hold gut wall in

Colostomy or Gastrostomy

7/9/2015 Prof.Dr.R.R.Deshpande 29

Needle holder

7/9/2015 30 Prof.Dr.R.R.Deshpande

Needle holder

• Blades are much smaller as compared to

handles.

• Blades have criss cross serrations or is

pocked on it’s surface ,have a groove for

needle .

• Uses – To hold needle while suturing

7/9/2015 Prof.Dr.R.R.Deshpande 31

7/9/2015 32 Prof.Dr.R.R.Deshpande

Curved Artery forcep

7/9/2015 33 Prof.Dr.R.R.Deshpande

Artery Forcep ( Haemostat)

• It has ratchet & 2 blades .

• There are 3 types –

• Mosquito AF,

• Straight AF,

• Curved AF.

• Uses – As Haemostat.To hold needles for

suturing as a substitute for needle holder

7/9/2015 Prof.Dr.R.R.Deshpande 34

Straight artery forcep

7/9/2015 35 Prof.Dr.R.R.Deshpande

Curved Artery forcep

7/9/2015 36 Prof.Dr.R.R.Deshpande

Right --- retractor

7/9/2015 37 Prof.Dr.R.R.Deshpande

Right angle retractor

• Large ,strong retractor with antero

posteriorly curved blades.

• Uses –

• Used to retract strong structures like

abdominal wall & musculature

7/9/2015 Prof.Dr.R.R.Deshpande 38

B.P.handle

7/9/2015 39 Prof.Dr.R.R.Deshpande

B.P. Handle

( Bard Parter Knife Handle) • BP Handle with blade = Scalpel .

• Uses – To take incision .

• Other blunt end is used for Blunt

dissection.

7/9/2015 Prof.Dr.R.R.Deshpande 40

Scoap bilateral

7/9/2015 41 Prof.Dr.R.R.Deshpande

Bilateral Scoop

• It has circular depression on both ends.

• Uses – For debridement .

• Used in draining abscess cavity

7/9/2015 Prof.Dr.R.R.Deshpande 42

Scoap bilateral

7/9/2015 43 Prof.Dr.R.R.Deshpande

Mosquito Artery forcep

7/9/2015 44 Prof.Dr.R.R.Deshpande

Mosquito Artery forcep

• This instrument is used to catch small

bleeders to stop bleeding

7/9/2015 Prof.Dr.R.R.Deshpande 45

Boyle’s Apparatus

7/9/2015 46 Prof.Dr.R.R.Deshpande

Boyle’s Apparatus

• This is used to maintain Anaesthesia &

Ventilation

7/9/2015 Prof.Dr.R.R.Deshpande 47

Air way

7/9/2015 48 Prof.Dr.R.R.Deshpande

Air way

• Air way or sometimes called as Mouth

Gag is used to prevent tongue fall &

Kinking of ET ( Endotracheal Tube)

7/9/2015 Prof.Dr.R.R.Deshpande 49

Direct Laryngoscope

7/9/2015 50 Prof.Dr.R.R.Deshpande

Direct Laryngoscope

• Used for direct Laryngoscopy

• Used during Endotracheal Intubation

7/9/2015 Prof.Dr.R.R.Deshpande 51

ET = Endo Tracheal Tube

7/9/2015 52 Prof.Dr.R.R.Deshpande

ET = Endo Tracheal Tube

• It is used to maintain airway & ventilation

for GA ( General Anaesthesia)

7/9/2015 Prof.Dr.R.R.Deshpande 53

Ambu Bag

7/9/2015 54 Prof.Dr.R.R.Deshpande

Ambu Bag

• This is used as Artificial Manual Breathing

Unit

7/9/2015 Prof.Dr.R.R.Deshpande 55

Mask

7/9/2015 56 Prof.Dr.R.R.Deshpande

Mask

• Mask or ET ( Endotracheal Tube) is

attached to Ambu Bag ,for giving Artificial

Respiration

7/9/2015 Prof.Dr.R.R.Deshpande 57

Prof.Dr.Deshpande’s

Popular Links on Internet

• Just Start Internet on Desk top or Lap top

or on your mobile . Copy Following Link &

Paste as Web address –URL

• http://www.youtube.com/user/deshpande1

959

• http://www.slideshare.net/rajendra9a/

• http://www.mixcloud.com/jamdadey/

7/9/2015 Prof.Dr.R.R.Deshpande 58

Prof.Dr.Deshpande’s

Popular Links on Internet

• Just Start Internet on Desk top or Lap top or on your mobile . Copy Following Link & Paste as Web address –URL

• http://professordeshpande.blogspot.in

• http://professordrdeshpande.blogspot.in/

• http://www.mixcloud.com/rajendra-deshpande

• https://soundcloud.com/professor-deshpande

7/9/2015 Prof.Dr.R.R.Deshpande 59

Prof.Dr.R.R.Deshpande

• Sharing of Knowledge

• FOR

• Propagating Ayurved