Obstetric - gynecological tools

The instruments used in obstetrics and gynaecology.
Vaginal mirrors used for inspection of the vaginal walls, vaults, vaginal portion of the cervix, as well as the production of certain medical manipulations and vaginal operations. The device is vaginal mirrors are divided into spoonlike (globularia) and sash. Both of them come in different sizes (length and width). Vaginal mirrors globularia bilateral (mirrors Sims, Fig. 1) apply with gynaecological examination; unilateral (mirror of the Dean, Fig. 2) - during examination and vaginal operations. In these cases, use and vaginal mirrors-lifts (Fig. 3). Sash vaginal mirrors consist of two wings connected by a castle. The most widely sash vaginal speculum Cuzco (Fig. 4). Folding mirrors are intended for exposure and examination of the cervix. Enter them in the vagina with spasimira shutters, and then fold push when needed and record locking. When you use these mirrors is possible to do without assistance. Vaginal mirrors luminous and butterfly (Fig. 5 and 6)are used for the same purpose as other globularia and wing mirrors.
Probe uterine with divisions (Fig. 7) is designed to study the cervix and the uterus (the definition length); the distance between tick marks - 1 see the Probe uterine with thread (Fig. 8) is designed for cleaning and lubrication of the walls of the cervical canal and lost of the uterus.
Syringe brown (Fig. 9 is designed for intra-uterine injections; available capacity in 2 and 5 ml
Spoon ginekologicheskie (unilateral or bilateral) (Fig. 1 is designed to take from urinogenital bodies of women.
Bullet forceps dnsupdate (Fig. 11 and dusuncesi (Fig. 12), usually used for gripping and holding of the cervix. Curling polirinia fenestrated (aborting is designed for gripping polyps, extraction of uterine fetal membranes and parts of the ovum. The inner surface of such fenestrated kolets smooth (aborting Mathieu, figure 13).
Dilators of Aegery (Fig. 14) are for a gradual expansion of the cervical canal in the production of diagnostic or therapeutic curettage and other operations. On one end of the extender there as if cut space to hold the other end, which is injected into the cervical canal, somewhat pointed. Produce a set of dilators of different diameters. Each expander has a sequence number (with intermediate polinomami corresponding to its diameter (from 3 to 24 mm; diameter of each expander more diameter prior to 1 or 0.5 mm
Tools for removal of the uterus ovum or its parts and curettage of the uterine lining. Curettes sharp - consists of a handle, which can be hexagon, flat solid (Fig. 16) and fenestrated, rod and loops with sharp edges. Depending on the size of a loop and its bending produced acute curettes four rooms(№№ 1, 2, 4, 6); at their core features cutting indicating in which direction facing the loop is entered into the uterine cavity. The most common is curette Recamier. Curettes blunt also produced four rooms depending on the length and diameter of the loop. Intended for removal of the ovum and remnants of placental tissue. Serves the same purposes sharply curved massive curette (spoon) winter and aborting.
The instruments used only in obstetric practice
Stethoscope obstetric - wooden with a wide mouth (Fig. 15) is designed for listening to the heartbeat of the fetus.
Cutomer - to define the external dimensions of the pelvis, the quantities of fruit, its head has the shape of a compass (Fig. 17). Consists of two curved metal industry, which is movable bonded to one another, allowing you to pull them apart. The free end of their ends Pugovkina thickening. With one of the branches tightly connected rounded metal ruler printed every 5 mm divisions and every 50 mm digital signs.
Scissors for crossing the umbilical cord with a wide curved branches (Fig. 18).
Curling craniotomy on the umbilical cord are hooked ends with slots for brackets (Fig. 19).
Obstetric forceps are used to extract (by indications) living donoshenna or nearly donoshenna) of fruit per head. Most often use tongs Simpson - Fenomenov (Fig. 20). Are forceps two branches (branches), each of which has fenestrated spoon, the castle and the handle. Spoons have curves, respectively head and pelvic curvature.
Castle in Siptah Simpson consists of two plates, so that put together spoons, crossing, densely adjoin to each other. On the outer surface of arms are the side hooks that create support for fingers when removing the fetus.
Tools used in plodorozsadnyk operations and subsequent extraction of a fetus. Perforator spear (Fig. 21) is intended for the perforation of the head of the fruit (usually dead). Consists of two connecting branches: one of them has hollow handle, other (curved) - flat. When open arms punch the branches are in the form of a spear, and in this form are used to perforation of the head of the fruit. Clenching arms sharp ends Branche apart, leading to the increase of the size of the perforations. Perforator monicajody used for the same purpose, as lanceolated. Kranichrast brown (Fig. 22) is intended for the removal of the fruit after perforation head. Consists of two intersecting branches and has three parts: the spoon, lock part and handle. Branches have a curve corresponding to the pelvic curvature. Outer branch fenestrated, internal - solid, with uneven convex side. Screw constipation provides a tight closure of spoons. Scissors for cutting fruit is used to reduce the amount of dead fetus. The scissors sibolga (Fig. 23) branches bent, with rounded ends. Can also be used scissors Fenomenov (Fig. 24). Decapitazioni hook brown (Fig. 25) is designed to fracture of the cervical parts of the spine of the fetus with the purpose of branch of the head from the body. Consists of heavy metal rod, bent on one end in the form of hook ending Pugovkina thickening; the other end terminates the cross-arm. All obstetric metal tools are made of stainless steel and covered with Nickel. The rules of care, storage and sterilization - see Sterilization surgery, Surgical instruments.



obstetric-gynecological tool

Obstetric-gynecological tools. The instruments used in obstetric-gynecological practice for therapeutic procedures and operational interventions, can be divided into three groups: 1) used in obstetric and gynaecological practice, 2) apply only in obstetric practice , and (3) apply only in gynecological practice.