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INSTRUMENTATION (Needle Holders uploaded image (Parts (Ring handle,…

- - - - Increases strength
    - - Corrosion-resistant
- - - - wear-resistant
      - can be replaced when worn out
      - gripping and cutting surfaces
      - long-lasting
  - - - highest quality
      - most expensive
      - very sharp edges
      - specialist surgery
- - - - dagger point
    - - Small patients
  - - - Long incision
      - Curved portion cuts
    - - Short incision
      - Stab incision in hollow organs
- - - - Inadvertent suture cutting
      - No box-lock
  - - - Difficult to hold needle securely
      - Reduce accuracy of placement
- - - - Connective Tissue
      - Fascia
      - Suture Material
  - - - Blunt dissections
      - Sharp dissections
- - - - must apply a lot of pressure
      - major crushing injury
    - - Delicate tissue grip
        
        skin, fascia, connective tissue
        
        Preferred skin thumb forceps
    - - Skin, thick fascia
      - Minimal crush
      - Puncture hollow organs
    - - Minimal tissue damage
      - Do not puncture tissues
      - Fine soft tissue, gut, bladder
    - - needle-gripping surface
        
        retrieve needle
      - Debakey tip
        
        grasp tissue
  - - - ridges halfway
      - general haemostasis
        
        small to medium vessels
        
        small vascular pedicles
    - - ridges all way
    - - similar to Crile but finer jaws
      - general haemostasis
        
        small vessels
        
        pinpoint haemostasis
    - - longitudinal striation along blade
      - cross hatched striations at end
      - general haemostasis
        
        arteries
        
        large pedicles
    - - longitudinal, low profile serrations
      - no penetrating teeth
      - less tissue crushing
      - appropriate for holding stomach
    - - massive crush and puncture injury
      - secure drapes and cables
      - use on tissues being removed
    - - occlude bowel
- - - - abdominal wall retractor
      - self-retaining
      - no spoon
      - small dogs, cats
    - - self-retaining
      - spoon - sternum
      - medium to alrge dogs
      - abdominal wall retractor
  - - - soft tissue retraction
    - - parts
        
        beak
        
        expose bone shaft/ fragment
        
        blade
        
        retract soft tissue
      - adopted use
        
        joint exposure
    - - retracting soft tissue
      - used in pairs
- - - - prevents omental plugging
      - decompression hole varies suction