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Urological tools

  • Sterilization urological Toolkit
  • Modified needle type Deschamps also apply to the imposition of ligatures in the depth of the wound (Fig. 21). Special they (Fig. 22) is used in renal operations. For discharge of the kidney during the operation is a mirror that has a bend at an obtuse angle (Fig. 24). Clip Fedorov (Fig. 23) clamping for renal legs by nephrectomy has a powerful curved angles sponge with cross-notch, which prevents the clip from sliding off; clips Fedorova with removable handles (Fig. 25). If pallidotomy for cultivation edges of the renal pelvis is used mirrors with long handles and miniature working parts (Fig. 26).
    Percutaneous needle biopsy is done either pinch-induced needle Silverman modification Franklin (Fig. 27)or needle Amburgo.
    The latest cuts material sharp edge of her semi-cylindrical mandrel. Special trocar (Fig. 28), which is a stiletto with the notch at the top of the tip, which falls in a piece of cloth, cut a movable cover, apply for a biopsy of the prostate gland or through the crotch, or through the rectum. To overlay suprapubic fistula use special trocar (Fig. 29).

    resectoscope
    Fig. 38. Cystoscope.
    apparatus
    Fig. 39. Apparatus "Lithate-1".

    When determining the tone of the detrusor and sphincter of the bladder using machines - customer and custominstaller. The conditioned-reflex therapy bedwetting (see urinary Incontinence) produced by using the apparatus of Tender (Fig. 30): the device wakes the patient when the first drops of urine from the urinary canal. Kamnedrobilniy (see), based on the principle of electrohydraulic effect, carried out by the "Lithate-1" (Fig. 39). For fixation of the ureter when retrieving the stone is used holder with polyolefine grips on the lips forming the gnashing of two rings with distance between them of 50 mm (Fig. 31). Stones in ureter and renal pelvis extract forceps with different curvature of the curve sponges (Fig. 32). The crushing of stones in the bladder (the lithotripter or apparatus "Lithate-1") to remove small pieces used tow - metal catheter with large side Windows (Fig. 34). The tow truck, you can attach a pear-pump (Fig. 33). The removal of small stones from the ureter can be done with the help of loops of different structures; stone capture entered in the ureter loop and careful traction remove it from the ureter. Use the loop zassa (picture.35), a wire basket (Fig. 36), the catheter balloon Durmashkin (Fig. 37), which allows you to extend the ureter below stone. Device "Lithate-1" crushed only bladder stones. Resectoscope (Fig. 38) apply to transurethral resection of adenoma prostate gland. Excision of tissue hypertrophy is produced by the high temperature which occurs in cutting the loop in contact with her fabrics, when applying for a loop thermal currents.urological the Toolkit

    Urological tools. Fig. 21-37. Fig. 21. Needles for sutures in the depth of the wound. Fig. 22. The allow for operations on the kidneys (right - removable mirrors). Fig. 23. Clip Fedorov. Fig. 24. Mirror, bent at a sharp angle, for operations on the kidneys. Fig. 25. Clip Fedorova with removable handles (right). Fig. 26. Mirrors used for cultivation edges of the renal pelvis if pielokamie. Fig. 27. Plucked needle Silverman - Franklin to puncture biopsy of the kidneys. Fig. 28. Trocars for needle biopsy of the prostate. Fig. 29. Trocar for imposing suprapubic fistula. Fig. 30. The Apparatus Of The Tender. Fig. 31. The holder of the ureter. Fig. 32. Pliers to remove the stones from the ureter and renal pelvis. Fig. 33. A tow truck with a pear-pump removal of small stones from the bladder after kamnedrobilniy Fig. 34. Catheter-tow truck to remove fragments of stones in the bladder after kamnedrobilniy. Fig. 35. Loop to remove the stones from the ureters. Fig. 36. Wire basket for the removal of stones from the ureter. Fig. 37. Catheter-cylinder removal of stones from the ureter.