{"id":751,"date":"2010-12-02T16:43:45","date_gmt":"2010-12-02T16:43:45","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/instruments\/"},"modified":"2024-06-27T16:29:25","modified_gmt":"2024-06-27T15:29:25","slug":"instruments","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/minor-surgery\/set-up-and-equipment\/instruments\/","title":{"rendered":"Instruments"},"content":{"rendered":"<hr \/>\n<p><span style=\"color: #003366;\">Based on the experience of some colleagues and personal preference, we have compiled a basic package with which one will be sufficiently prepared to perform <span style=\"color: #33cccc;\"><strong>minor surgical interventions<\/strong><\/span><em><strong> [Figure 1]<\/strong><\/em>.<\/span><\/p>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-750\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/MinorSurgery_ms-fig-1.jpg\" alt=\"\" width=\"400\" height=\"295\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/MinorSurgery_ms-fig-1.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/MinorSurgery_ms-fig-1-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><strong><span style=\"width: 400px; display: block;\">Figure 1<\/span><\/strong><\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\">Two complete sets of this basic package should be procured.<\/span><\/p>\n<ul>\n<li><span style=\"color: #003366;\">1 blade handle no. 3.<\/span><\/li>\n<li><span style=\"color: #003366;\">1 blade no. 10 or 15 (<em>rounded form to allow good incisions<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\">1 needle holder.<\/span><\/li>\n<li><span style=\"color: #003366;\">1 pair of fine surgical tweezers (<em>with sharp teeth<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\">1 pair of fine anatomical tweezers (<em>without teeth<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\">1 pair of splinter tweezers.<\/span><\/li>\n<li><span style=\"color: #003366;\">1 pair of surgical scissors.<\/span><\/li>\n<li><span style=\"color: #003366;\">1 pair of bent dissecting scissors.<\/span><\/li>\n<li><span style=\"color: #003366;\">2 mosquito forceps.<\/span><\/li>\n<li><span style=\"color: #003366;\">1 pair of Kocher forceps.<\/span><\/li>\n<li><span style=\"color: #003366;\">2 three-pronged retractors.<\/span><\/li>\n<li><span style=\"color: #003366;\">1 curette (<em>sharp surgical spoon<\/em>) with an oval bowl (<em>00, 0, or 1<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\">1 suture-removing knife.<\/span><\/li>\n<li><span style=\"color: #003366;\">Atraumatic suture material.<\/span><\/li>\n<li><span style=\"color: #003366;\">Gauze.<\/span><\/li>\n<li><span style=\"color: #003366;\">Sterile tray in which NaCl can be poured to cleanse the wound.<\/span><\/li>\n<\/ul>\n<p><span style=\"color: #003366;\">Some of these instruments are discussed below.<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\"><em><strong>Blade Handle<\/strong><\/em><\/span><\/p>\n<p><span style=\"color: #003366;\">Number 3 has a small connecting piece that is suitable for blade numbers 10 and 15.<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\"><em><strong>Needle Holder<\/strong><\/em><\/span><\/p>\n<p><span style=\"color: #003366;\">The needle holder should have a lock that keeps the needle firmly in place. Some prefer the Gillies needle holder, which can also act as scissors. The disadvantage of this instrument is the lack of a lock, which makes the needle unstable. For all types of needle holder, the construction of the jaws is very important. Some jaws will not hold thin needles and sutures (<em>5 x 0<\/em>) firmly. This function should be tested when purchasing a needle holder.<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\"><em><strong>Tweezers<\/strong><\/em><\/span><\/p>\n<p><span style=\"color: #003366;\">Surgical tweezers are the tool most often used in minor surgery. They can be used to clasp the sides of a wound or skin lesions that will be removed. Anatomical tweezers can be used to grasp sutures when removing stitches.<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\"><em><strong>Scissors<\/strong><\/em><\/span><\/p>\n<p><span style=\"color: #003366;\">Surgical scissors are used to cut coarse materials (<em>sutures, gauze, bandages<\/em>). Dissecting scissors, due to their bent shape, are primarily suitable for removing a tumour, whereby the tissue surrounding the tumour must be excised. Because dissecting scissors have blunt ends, they can be used for gross dissection by inserting the closed scissors into tissue and then opening them.<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\"><em><strong>Mosquito Forceps<\/strong><\/em><\/span><\/p>\n<p><span style=\"color: #003366;\">Mosquito forceps are small clamps with a clasp and small teeth. They are used primarily to clamp blood vessels or to grasp material that will be removed (<em>e.g. an keratinous cyst<\/em>).<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\"><em><strong>Kocher Forceps<\/strong><\/em><\/span><\/p>\n<p><span style=\"color: #003366;\">These pointed forceps are used to handle coarse materials (<em>preferably not tissue, which can be damaged by the sharp points<\/em>). They are sometimes useful when removing a foreign object or holding a gauze swab in place.<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\"><em><strong>Retractors<\/strong><\/em><\/span><\/p>\n<p><span style=\"color: #003366;\">Of the diverse types and sizes of retractors available, the most practical and least damaging to tissue are small retractors with two teeth. Use of retractors requires assistance; in the absence of assistance, good results can be achieved with a wound spreader.<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\"><em><strong>Curette<\/strong><\/em><\/span><\/p>\n<p><span style=\"color: #003366;\">For wart removal, a curette with an oval bowl has the advantage of allowing for working on multiple planes. The bowl of the curette should not be greater than the skin lesion to be removed. A curette must be sharpened routinely by the instrument dealer.<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\">When procuring your surgical instruments, you should not hesitate to buy high quality instruments. When purchasing, it is important to select the correct size with regard to length and, for example, the openings for scissors and forceps.<\/span><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Based on the experience of some colleagues and personal preference, we have compiled a basic package with which one will be sufficiently prepared to perform minor surgical interventions [Figure 1]. Figure 1 Two complete sets of this basic package should be procured. 1 blade handle no. 3. 1 blade no. 10 or 15 (rounded form [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[73],"tags":[146],"class_list":["post-751","post","type-post","status-publish","format-standard","hentry","category-set-up-and-equipment","tag-minor-surgery"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Instruments - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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