Which type of surgical instrument is used to grasp tissue or control bleeding?

Surgical Grasping Instruments can be broadly divided into two categories:

• Ring Forceps (also called hemostat clamp, arterial forceps, hemostatic forceps and locking forceps).
• Thumb Forceps (frequently called tweezers or pinning forceps).

Ring Forceps:Ring forceps also called hemostats or locking forceps, are an instrument for grasping, holding firmly, or exerting traction upon objects especially for delicate operations. Usually, hemostatic forceps have a locking mechanism called a ratchet, which is used for clamping. The jaws of the locking forceps gradually come together as each increment of the ratchet is employed. Locking hemostatic forceps can be known as clamps and are used to soundly maintain tissue. When they’re used to govern blood glide, they’re known as hemostats. Hemostats are normally used to compress blood vessels or different tubular systems to hinder the flow of blood or fluids.  

Types of Ring Forceps:

• Crile Forceps: Hemostatic Crile Forceps, also known as Crile hemostats, are amazing surgical Instruments. They have a razor-sharp blade with horizontal serrations, making them great instruments. They are available in a variety of patterns, including Curved and Straight forceps. They are used to clamp tissue or blood arteries before ligation or cauterization. They’re also employed during laparotomy procedures to dissect tissues.
• Rochester-Pean: These hemostatic surgical forcep comes with fully serrated jaws. This instrument is commonly referred to as a “Big Kelly. The peans are commonly used to clamp vessels to control bleeding during surgical procedures..
• Allis Tissue Forceps: These forceps are used in many surgical procedures. The Allis Tissue Forcep is a surgical instrument with sharp teeth that is used to grab and hold heavy tissues. Because Allis tissue Forceps can damage soft tissues, they are only used to remove tissue.
• Rochester-Oschner Forceps: These Hemostats are used for clamping off blood vessels to prevent bleeding during procedures like orthopedic surgery. These heavy forceps designed for clamping large vessels or grasping dense tissue. These ring-handled forceps come in a variety of lengths to help with a variety of cases.
• Rochester-Carmalt Forceps: these forceps are designed with jaws that have longitudinal serrations and cross-serrated tips. These hemostatic ring-handled forceps are designed to grasp major blood vessels in order to stop them from bleeding. They come with straight or curved jaws and can be utilised for a variety of procedures, including gripping an ovarian pedicle.
• Kelly Forceps: These hemostats can be used to hold tissue or clamp bigger vessels. Rochester forceps and Kelly hemostats have a similar appearance. Kelly hemostats, on the other hand, have shorter serrations. Hemostats from Rochester can go a little deeper.
• Hartman Mosquito Forceps: The fine, short tips of the Hartman Mosquito forceps are complemented by a serrated jaw. When the incision is shallow, Hartman Mosquito hemostats are used as hemostats for clamping small blood vessels and fine tissue dissection. They can be used to clamp small blood vessels or to hold fine sutures. The Halsted Mosquito Forceps are a lighter and longer hemostat.

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• Surgical Grasping Instruments can be broadly divided into two categories:
• Types of Ring Forceps:
• Thumb Forceps
• Types of Thumb Forceps:
• Which surgical instrument is used for grasping blood vessels to control bleeding?
• Which of the following instruments is used to grasp blood vessels?
• What instruments are used for grasping and clamping?
• Which instrument is used for tissue cutting?

Thumb Forceps

Thumb forceps used for compressing holding, grasping or manipulating body tissue in surgical procedures and handling sterile dressings. Thumb forceps are classified into two types:

• Dressing Forceps
• Tissue Forceps

Tissue forceps typically have teeth that provide a better grip on tissues while causing less tissue damage.  

Types of Thumb Forceps:

• Adson Tissue Forceps: Forceps with teeth at the tip that are used to handle dense tissue, such as skin closures. These ratcheted instruments, also known as locking forceps, are used to hold tissue or objects.
• Bonn Tissue Forceps: These forceps are designed for delicate work, commonly used during ophthalmic surgery to maintain or grip certain tissues.
• Iris Forceps: Just like Bonn tissue forceps, Iris forceps are also use in ophthalmologic work.
• Foerster Tissue Forceps: The Foerster forceps are an excellent choice when a firm grip and minimal tissue trauma are required. The unique octagonal keyhole in the handle of these serrated forceps provides positional control.

Instruments for Cutting

Scalpels: commonest blades 10, 11, 15Blade No. 10: one of the more traditional blade shapes, this is generally used for making small incisions in skin and muscles.
Blade No. 11: this design is ideal for stab incisions. Used in procedures such as creating incisions for chest drains, opening coronary arteries, opening the aorta and removing calcifications in the aortic or mitral valves.
Blade No. 15: the most popular blade shape, ideal for making short and precise incisions. Utilised in a variety of surgical procedures including excision of a skin lesion or recurrent sebaceous cyst and for opening coronary arteries.Mayo scissors (‘suture scissors’)To cut, suture, etcMützenbaum scissors (‘Metz’)To dissect soft tissue, etc.

 

Forceps

DeBakey forcepsNon-toothed dissecting forceps designed for use on blood vesselsAdsons forcepsToothed tissue forceps for holding and manipulating delicate tissuesAllis forcepsUsed to hold or grasp heavy tissue. Also used to grasp fascia and soft tissues such as breast or bowel tissue. Due to the sharp teeth they can cause damage, so are mainly used in tissue about to be removed.Babcock forcepsSimilar to Allis but cause less trauma. Non-perforating forceps used to grasp delicate tissue in laser procedures. Frequently used in intestinal and laparotomy procedures.Kelly forcepsPrimarily used for clamping large blood vessels or manipulating heavy tissue. May also be used for soft tissue dissection. Available curved or straight. The jaws are 1/3 the length of the shanks and serrations are 1/2 the length of the jaws.Mosquito forcepsUsed in multiple procedures as a hemostat for small blood vessels. Toothed variation available for grasping delicate tissue in skin grafting, biopsies, or ophthalmologic procedures. Known for their fine tips, and short, fully serrated jaws. Available curved or straight.Right angle forcepsCommonly used for working in obscured surgical sites. Most frequently used for clamping, dissection, or grasping tissue.Kocher forcepsHeavy instrument designed to aggressively grasp medium to heavy tissue or occlude heavy, dense vessels. Horizontal serrations the entire length of the jaw as well as 1 X 2 teeth at the tip.

 

Suction

Yankauer suctionPoole SuctionRemove large quantities of fluid from surgical sites, often during abdominal procedures. The Poole suction tube has multiple holes to prevent blockages caused by fat or tissue suctioned during a procedure. Available in a variety of sizes.

 

Retractors

Deaver retractorLarge, handheld retractor commonly used to hold back the abdominal wall during abdominal or thoracic procedures. It may also be used to move or hold organs away from the surgical site.Langenbeck retractorArmy-Navy retractorAlso known as Parker Langenbeck, or retractor double end. Used to expose surface layers of skin, commonly in plastic surgery procedures. It is a double-ended retractor with a fenestrated handle. The blades at each end are angled at 90 degrees and also have a slightly curved, rounded lip. The blades also face in the same direction.Richardson retractorHandheld, single end, right angle retractor used for holding back multiple layers of deep tissue. Often used in appendicectomy, Caesarean sections and laparotomy. The blade is right angled, concave, and has a slight lip at the tip. The handle is hollow and features finger ridges for improved grip. The Richardson retractor is often mistaken for a Kelly retractor; however, the Richardson retractor has a smaller blade.Weitlaner retractorSelf-retaining, finger ring retractor with a cam ratchet lock used for holding back tissue and exposing a surgical site. The Weitlaner retractor is a popular instrument, most commonly used in basic plastic surgery, large bone and joint procedures, and mastoid surgeries. It is also useful with small, deep incisions and soft tissue dissection at a superficial level.

 

Electrosurgical Instruments

LigasureVessel sealer and divider, designed to be used in confined surgical spaces where access and visibility are a necessity. The instrument has a low temperature profile and seals effectively at a cooler temperature compared to Harmonic FOCUS™*1.
Designed for use in open procedures. Procedural applications include: ENT, general, plastic/reconstructive, urologic, thoracic.DiathermyCan be monopolar or bipolar. High frequency A.C. electric current either as a cutting modality or else to cauterize small blood vessels to stop bleeding. This technique induces localised tissue burning and damage, the zone of which is controlled by the frequency and power of the device.

 

Which surgical instrument is used for grasping blood vessels to control bleeding?

Which of the following instruments is used to grasp blood vessels?

What instruments are used for grasping and clamping?

Which instrument is used for tissue cutting?