instrumentarul chirurgical (1)
DESCRIPTION
instrumentarul chirurgical (1).pptTRANSCRIPT
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Instrumentarul chirurgicalInstrumentarul chirurgical
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Generalitati 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
• 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 Clasificare
• Instrumente taietoare• Instrumente de apucat si
fixat• Instrumente de sutura• Departatoare• Instrumente pentru chirurgia
osoasa• Instrumentar laparoscopic
• Instrumente taietoare• Instrumente de apucat si
fixat• Instrumente de sutura• Departatoare• Instrumente pentru chirurgia
osoasa• Instrumentar laparoscopic
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Instrumentele taietoare
Instrumentele taietoare
• Bisturiul “rece”• Bisturiul electric• Foarfecele
• Bisturiul “rece”• Bisturiul electric• Foarfecele
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BisturiulBisturiul
• Simbol al actului chirurgical si al chirurgului, insa paradoxal, cel mai putin utilizat
• Priza• Tipuri1. Monobloc2. Lama interschimbabila3. Dispozabil• Tipul adaptat nevoilor
• Simbol al actului chirurgical si al chirurgului, insa paradoxal, cel mai putin utilizat
• Priza• Tipuri1. Monobloc2. Lama interschimbabila3. Dispozabil• Tipul adaptat nevoilor
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FoarfeceleFoarfecele
• Principalul instrument taietor in chirurgie
• Clasificare1. De pansament Liston2. De ata3. De disectie: dreapta sau
curba• Priza: degete 1 si 4
• Principalul instrument taietor in chirurgie
• Clasificare1. De pansament Liston2. De ata3. De disectie: dreapta sau
curba• Priza: degete 1 si 4
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Foarfeca Liston de pansament
Foarfeca Liston de pansament
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Foarfeci de disectieFoarfeci de disectie
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Foarfeca dura, “de ata”
Foarfeca dura, “de ata”
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Foarfeca de microchirurgie
Foarfeca de microchirurgie
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Bisturiul electricBisturiul electric
• Mod de functionare: taiere/coagulare
• Pe cale clasica sau laparoscopica
• Mod de functionare: taiere/coagulare
• Pe cale clasica sau laparoscopica
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Pensa anatomicaPensa anatomica
• Prehensiune fina, in profunzime, lungimi diferite, fara dinti
• Mana stanga apuca, mana dreapta sectioneaza
• Particular in microchirurgie
• Prehensiune fina, in profunzime, lungimi diferite, fara dinti
• Mana stanga apuca, mana dreapta sectioneaza
• Particular in microchirurgie
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Pensa chirurgicalaPensa chirurgicala
• Dura, cu dinti, lungimi diferite
• Piele, aponevroza, musculatura, bont vaginal
• Dura, cu dinti, lungimi diferite
• Piele, aponevroza, musculatura, bont vaginal
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Pense hemostaticePense hemostatice
• Pean• Kocher• Mosquito• Halstedt
• Pean• Kocher• Mosquito• Halstedt
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Pensa PeanPensa Pean
• Cea mai folosita in chirurgie
• Cremaliera autostatica
• Zimti transversali pe toata lungimea, FARA DINTI LA CAPAT- caracter atraumatic
• Drept sau curb
• Cea mai folosita in chirurgie
• Cremaliera autostatica
• Zimti transversali pe toata lungimea, FARA DINTI LA CAPAT- caracter atraumatic
• Drept sau curb
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Pensa MosquitoPensa Mosquito
• Pensa Pean mica-10cm, fina
• Chirurgia vasculara si tiroidiana
• Pensa Pean mica-10cm, fina
• Chirurgia vasculara si tiroidiana
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Pensa KocherPensa Kocher
• Pensa hemostatica dura, grosiera• Zimti pe toata lungimea+2 dinti la
capat-traumatica• Hemostaza pe structuri ferme: uter,
muschi
• Pensa hemostatica dura, grosiera• Zimti pe toata lungimea+2 dinti la
capat-traumatica• Hemostaza pe structuri ferme: uter,
muschi
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Pensa HalstedtPensa Halstedt
• Kocher mic• Kocher mic
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Pensa porttamponPensa porttampon
• Toaleta plagilor
• Asepsia campului operator
• Toaleta plagilor
• Asepsia campului operator
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Pensa Museux, “de uter”
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
• 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
Pense pentru fixarea campurilor
• Carabus-delimiteaza campul operator
• Bachaus-izolarea tegumentului
• Doyen-izolare tegumentara la gusa
• Mikulicz-izolare peritoneu-diferentierea de Kocher
• Carabus-delimiteaza campul operator
• Bachaus-izolarea tegumentului
• Doyen-izolare tegumentara la gusa
• Mikulicz-izolare peritoneu-diferentierea de Kocher
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Bachaus Bachaus
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Mikulicz Mikulicz
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Pense speciale atraumatice
Pense speciale atraumatice
• En coeur-de limba sau de colecist
• Klammer intestinala• Duodenala• “in L”-de rect
• En coeur-de limba sau de colecist
• Klammer intestinala• Duodenala• “in L”-de rect
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En coeurEn coeur
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Klammer –nu pe mezou!
Klammer –nu pe mezou!
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Alte penseAlte pense
• Dejardin-de calculi• De cistic-ca un pean fin
• Dejardin-de calculi• De cistic-ca un pean fin
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Instrumente se suturaInstrumente se sutura
• Portac Mathieu• Portac Hegar• Ac Reverdin• Ac Deschamp• Ac Hagedorn• Ac Bassini• Stapler
• Portac Mathieu• Portac Hegar• Ac Reverdin• Ac Deschamp• Ac Hagedorn• Ac Bassini• Stapler
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Portac MathieuPortac Mathieu
• Grosier, sutura superficiala: piele musculatura, aponevroza
• Priza
• Grosier, sutura superficiala: piele musculatura, aponevroza
• Priza
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Portac HegarPortac Hegar
• Suplu, sutura fina, in profunzime
• Priza
• Suplu, sutura fina, in profunzime
• Priza
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Ac ReverdinAc Reverdin
• Grosier, 2 treceri prin tesut
• Chirurgia laparoscopica peretelui abdominal
• Buton si clapeta ce culiseaza
• Grosier, 2 treceri prin tesut
• Chirurgia laparoscopica peretelui abdominal
• Buton si clapeta ce culiseaza
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Ac Deschamp-urechea la varf
Ac Deschamp-urechea la varf
• Grosier, 2 traversari
• De dreapta si de stanga
• In combinatie cu sonda Payr
• Grosier, 2 traversari
• De dreapta si de stanga
• In combinatie cu sonda Payr
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Staplere Staplere
• Linear/circular• Dimensiuni variabile• Clasic/laparoscopic• Agrafe diferite• Scurteaza durata, creste
acuratetea• Scoate factorul eroare
umana din rata de fistule
• 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 Departatoare
• Farabeuff-2 lame• Kocher-1 lama + maner• Volkmann –cu dinti• Valve abdominale• Autostatice vasculare• Autostatic Gosset• Autostatic Finochetto
• Farabeuff-2 lame• Kocher-1 lama + maner• Volkmann –cu dinti• Valve abdominale• Autostatice vasculare• Autostatic Gosset• Autostatic Finochetto
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Farabeuff Farabeuff
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Kocher Kocher
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Volkmann Volkmann
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Valva abdominalaValva abdominala
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Autostatic vascularAutostatic vascular
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Gosset Gosset
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Finochetto Finochetto
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Chirurgia laparoscopica
Chirurgia laparoscopica
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Pense atraumatice pentru chirurgia
vasculara-clampuri
Pense atraumatice pentru chirurgia
vasculara-clampuri• Dieffenbach-
buldog, vase mici
• Satinski-clam puternic, vase mari
• Dieffenbach-buldog, vase mici
• Satinski-clam puternic, vase mari
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Chirurgia osoasa 1Chirurgia osoasa 1 Luer
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Chirurgia osoasa 2Chirurgia osoasa 2
Gigli
Volkmann
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Sonde Sonde
• Nelaton• Pezzer• Thiemann• Foley
• Nelaton• Pezzer• Thiemann• Foley
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Dren KehrDren Kehr
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Ati inceput chirurgia cu dreptul !!!