SURGICAL INSTRUMENTS More special nstruments

         The other special instruments in use are:

         •       Thompson lithotrite (Fig. 8.117)

         •       Turner Warwick calculus foreceps (Fig. 8.118)

         •       Rendal renal calculus forceps (Figs 8.119A to C)

         •       Millins boomrang needle (Fig. 8.120)

         •       Dupuytren’s aneurysm needle (Fig. 8.121)

         •       Joll aneurysm needle (Fig. 8.122)

         •       Syme aneurysm needle (Fig. 8.123)

         •       Satinsky clamp (Fig. 8.124)

         •       DeBakey aortic clamp (Fig. 8.125)

         •       Mini bulldog clamp (Fig. 8.126)

         •       Varicose stripper (Fig. 8.127)

         •       Dissectors (Mac Donald/Durham/Watson-Cheyne) (Fig. 8.128).

         Thompson lithotrie is used for crushing stones inside the urinary bladder the stone pieces are then sucked out under negative pressure this avoids opening the bladder.

         Turner-Warwick calculus forceps and Rendal renal calculus forceps are used to hold stones within the upper urinary tracts after exposing the kidney and ureter by surgery.

         Millins boombrang needle is an instrument used to stitch the capsule of the prostate after a retropubic prostectomy.

         Dupuytren’s aneurysm needle, Joll’s aneurysm needle, Syme’s aneurysm needle are blunt needles with handles for passing behind vascular pedicles after they have been cleanly dissected the eye with the thread helps to deliver it behind the pedicle which can thus be ligated

         Satinsky’s vena cava clamp is for holding the side of a vein opening it or repairing it.

         DeBakey’s aortic clamp is for holding the aorta or a part of it is closed during vascular operations.

         Mini bulldog clamp serves a similar purpose for smaller arteries.

         Varicose stripper used for stripping varicose veins. Dissectors are used to separate structures along tissue planes.

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