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INSTRUMENTARUL CHIRURGICAL
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Clasificare:
* Pentru tăiat;
* Pentru hemostază;
* Pentru prehensiune;* Depărtătoare;
* Pentru sutură;
* Alte instrumente;
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1.Bisturiul
• Destinat SECŢIONĂRII ţesuturilor
• Alcătuit din: MÂNER LAMĂ
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Tipuri de mâner:• Nr 7 – ptr. ţesut profund
• Nr 4 – ptr. tegument
• Nr 3 – ptr. ţesut
superficial
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Tipuri de lamă: • Nr 10 - cea mai utilizată; • Nr 15 - varianta mai mică a #10,
folosită în incizii mai delicate; • Nr 12 - ptr indepărtarea suturilor; • Nr 11 - în proceduri artroscopice;
• Nr 23 şi 24 - mari,rar folosite.
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Montarea/demontarea lamei
• Cu pensa Pean
• NU SE FOLOSEŞTE MÂNA !!!
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Manipularea corectă
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vIncizia
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2. FOARFECA• Destinaţie multiplă: disecţie, secţionarea
unor structuri, a firelor de sutură, apansamentului etc.
• Didactic: -ptr. ţesuturi moi (disecţie) -ptr. ţesuturi dure
SE TAIE CU VÂRFUL LAMELOR
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Manipularea corectă
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Pentru fire De disecţie
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3.Pensa PEAN
• Prezintă trei elemente:
-partea activă
-articulaţia -braţele
• Manipulare
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4.Pensa KOCHER• Diferită faţa de PEAN
• Manipulare
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( )
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5.Pensa ANATOMICĂ-de disecţie
• Destinata prinderii si prezentarii
structurilor fine (seroase, vase, tesuturi
usor lezabile)
• Manipulare :- cu degetele I si II
-pivoteaza in jurul degetului III
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6.Pensa CHIRURGICALĂ • Destinata prinderii si prezentarii
structurilor mai rezistente (piele,
aponevroze)
• Difetita de pensa ANATOMICA
• Manipulare
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Manipulare corectă
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7.Depărtătoarele
• Destinate indepărtarii marginilor plăgii,ţesuturilor, organelor etc. pentru a facilitaactul operator
• Clasificare:-mobile
-autostatice
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• Mobile – le manevrază ajutorul
-modele: Farabeuf, Wolkmann
• Autostatice
-modele: Abdominal,Finochietto
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8.Portacul
• Destinat trecerii acului curb prin diferiteţesuturi, in timpul suturării
• Se alege in funcţie de tipul suturii simarimea acului
• Manipulare
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9. Acul
• Folosit pentru suturarea ţesuturilor
• Poate fi: - traumatic - triunghiular- rotund
- atraumatic = “sertizat”
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Manipulare corectă
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Alte instrumente:
Fierăstrău Gigli (mâner şi sârmă)
Overholt-Barrayapensă de pedicul renal (Guyon)
pensă Mickulicz (de histerectomie) pensa de coprostază Peyer
(clampa intestinală) pensă Satinski(clampă vasculară)
ac Reverdin
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Vă mulțumesc!