Genitourinary Instrumentation Review the following: 1. ST for the ST Textbook pp.487-490 2. Rutherford Instrument textbook Chapter 2 Chapter 3 Note: If we have these items in lab you need to know them! Know cystoscope components: Missing from below is the bridge (triagular piece for irrigation and other items such as guidewires) pictured on page 57 with cystoscopy system bottom of that picture

Know Resectoscope components: Frey 820 Resectoscope cutting loops (come in various shapes and sizes depending on use and are disposable)

Resectoscope Loop Disposable Various tip types obturator Resectoscope sheath cystoscope Post-resectoscope sheath Iglesias Working Element

GYN GU The Resectoscope Surgical uses include: Endometrial bleeding, polypectomy, intrauterine adhesions & GU transurethral prostatectomy (TURP)

Barret-Allen uterine aka fork and spoon forceps

Hulka manipulator or….

Micro Vas clips

Ripstien forceps

Simms retractor (this one is double ended)

GYNECOLOGICAL INSTRUMENTATION

Instruments found on a D & C Tray “Dilation and Currettage”

Cutting instrument for scraping Endometrial or endocervical lining Not pictured: A dull currette called the Thomas Sims are sharp Heaney UTERINE CURRETTES Cutting instrument for scraping Endometrial or endocervical lining

Uterine Dilators Align on Back table smallest to largest Pratt dilator Tip: Note flattened center section and think “flat Pratt” Hegar dilator Tip: Note is rounded like a cigar and think “hegar-cigar” Another uterine dilator not pictured is the Hanks dilator The Hanks have rings on either end See this on page 41 of your instrument book

Single ended and double ended GYN SPECULA Graves speculum Auvard speculum Sims specula Single ended and double ended

Auvard with large glove on handle to catch blood Placed in vagina and left to hang inferiorly During vaginal access procedures such as vaginal hysterectomies

For grasping polyps or stones See in gallbladder, GU, GYN surgeries RANDALL STONE FORCEPS For grasping polyps or stones See in gallbladder, GU, GYN surgeries BRAUN SINGLE TOOTH TENACULUM For grasping the cervix UTERINE SOUND Measures uterine depth Prior to instrument insertion such as a scope to prevent perforation of uterus

Straight and curved sponge stick Note no ratchets and are huge Note ratchets on both Placenta forceps Note no ratchets and are huge

Bozeman uterine packing forceps Note jaw serrations are short and like a dressing forceps

Jaws are cross-hatched ## for ultimate gripping of suture needle Tips are curved May see used in other surgical specialties