6.Instrumentarul chirurgical
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Transcript of 6.Instrumentarul chirurgical
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Instrumentarul
chirurgical
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Generalitati
Totalitatea instrumentelor si
dispozitivelor ce servesc la bunul
mers al unei interventii chirurgicale
Permit accesul in zone profunde,inaccesibile mainii chirurgului
Au contribuit la scaderea
traumatismului tisular si la
miniinvazivitate: jackoscopie,
laparoscopie
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Clasificare
Instrumente taietoare
Instrumente de apucat si fixat
Instrumente de sutura Departatoare
Instrumente pentru chirurgia
osoasa Instrumentar laparoscopic
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Instrumentele taietoare
Bisturiul rece
Bisturiul electric
Foarfecele
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Bisturiul
Simbol al actului chirurgical si al
chirurgului, insa paradoxal, cel mai
putin utilizat
Priza Tipuri
1. Monobloc
2. Lama interschimbabila3. Dispozabil
Tipul adaptat nevoilor
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Foarfecele
Principalul instrument taietor
in chirurgie
Clasificare
1. De pansament Liston
2. De ata
3. De disectie: dreapta sau curba Priza: degete 1 si 4
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Foarfeca Liston de
pansament
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Foarfeci de disectie
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Foarfeca dura, de ata
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Foarfeca de microchirurgie
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Bisturiul electric
Mod de functionare:
taiere/coagulare
Pe cale clasica sau
laparoscopica
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Pensa anatomica
Prehensiune fina, in
profunzime, lungimi
diferite, fara dinti
Mana stanga apuca,mana dreapta
sectioneaza
Particular in
microchirurgie
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Pensa chirurgicala
Dura, cu dinti, lungimi
diferite
Piele, aponevroza,
musculatura, bontvaginal
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Pense hemostatice
Pean
Kocher
Mosquito Halstedt
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Pensa Pean
Cea mai folosita inchirurgie
Cremaliera
autostatica Zimti transversali petoata lungimea,FARA DINTI LA
CAPAT- caracteratraumatic
Drept sau curb
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Pensa Mosquito
Pensa Pean mica-
10cm, fina
Chirurgia vasculara
si tiroidiana
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Pensa Kocher
Pensa hemostatica dura, grosiera
Zimti pe toata lungimea+2 dinti la capat-
traumatica
Hemostaza pe structuri ferme: uter, muschi
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Pensa Halstedt
Kocher mic
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Pensa porttampon
Toaleta plagilor
Asepsia
campului
operator
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Pensa Museux, de uter
Puternica, lunga,
prevazuta cu dinti la
capat+ cremaliera
Pensa Chaput-identica dar mai
mica, la excizia tu.
Mici
Pensa de plaman-
atraumatica
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Pense pentru fixarea
campurilor
Carabus-delimiteaza campul
operator
Bachaus-izolarea tegumentului
Doyen-izolare tegumentara la
gusa
Mikulicz-izolare peritoneu-
diferentierea de Kocher
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Bachaus
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Mikulicz
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Pense speciale atraumatice
En coeur-de limba sau de
colecist
Klammer intestinala
Duodenala
in L-de rect
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En coeur
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Klammer nu pe mezou!
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Alte pense
Dejardin-de calculi
De cistic-ca un pean fin
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Instrumente se sutura
Portac Mathieu
Portac Hegar
Ac Reverdin Ac Deschamp
Ac Hagedorn
Ac Bassini Stapler
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Portac Mathieu
Grosier, sutura
superficiala: piele
musculatura, aponevroza
Priza
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Portac Hegar
Suplu, sutura
fina, in
profunzime
Priza
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Ac Reverdin
Grosier, 2
treceri prin
tesut
Chirurgialaparoscopica
peretelui
abdominal
Buton si clapeta
ce culiseaza
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Ac Deschamp-urechea la
varf
Grosier, 2
traversari
De dreapta si de
stanga In combinatie cu
sonda Payr
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Staplere
Linear/circular
Dimensiuni variabile
Clasic/laparoscopic Agrafe diferite
Scurteaza durata, creste
acuratetea Scoate factorul eroare umana
din rata de fistule
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Departatoare
Farabeuff-2 lame
Kocher-1 lama + maner
Volkmann cu dinti Valve abdominale
Autostatice vasculare
Autostatic Gosset Autostatic Finochetto
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Farabeuff
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Kocher
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Volkmann
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Valva abdominala
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Autostatic vascular
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Gosset
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Finochetto
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Chirurgia laparoscopica
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Pense atraumatice pentru
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Pense atraumatice pentruchirurgia vasculara-
clampuri Dieffenbach-buldog, vase
mici
Satinski-clamputernic, vase
mari
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Chirurgia osoasa 1 Luer
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Chirurgia osoasa 2
Gigli
Volkmann
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Sonde
Nelaton
Pezzer
Thiemann
Foley
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Dren Kehr
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Ati inceput chirurgia cu dreptul !!!