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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