Thoracotomy (AGA UMAR TARIQ)

THORACOTOMY
Lecturer: umar tariq
Msc anaesthesia /ott

Thoracotomy tray contains
 General set.
 Rib raspatory(both right & left)
 Bone holding forceps (fergusson`s).
 Bone nibbler.
 Rib spreader (Finochietto retractor)
 Rib shear.
 Rib approximator
 Lung hemostat

 Lung retractor
 Bickford`s bronchial clamp.
 Hemostat curved forceps 20-30
 Hemostat straight forceps.
 Bulldog clamps
 Debakey vascular tissue forceps
 Debakey satinsky vascular forceps
 Lung holding forceps.

BONE NIBBLER or
RONGEURS
 It is used to nibble bone.
 Used in variety of procedures like debridement
in chronic osteomyelitis, spine surgeries,
tumor excisions and biopsy.
 Used to remove tough soft tissue like fibrous
tissue.

RIB Shear
 It is an instrument with large handles which
are made rough to give a good grip.
 This instrument has one cutting blade, the
other blade has serrations and deep groove
instead of cutting edge.
 It is used to rib resection as in cases of
empyema thoracis, chondromas of rib

RIB APPROXIMATOR
 It is an instrument that brings together two ribs
to permit surgical closure of the intercostal
space (or)
 A strongly built device for pulling ribs together
following retraction for surgical access to the
thoracic cavity.

Allisons lung retractor
 It is a hand held non ratcheted retractor.
 Used to holding lung tissue.
 It has a solid handle with a finger rest at the
bottom and a flattened wire spatula shaped
working surface.
 The wires are flexible.
 Straight with a 65mm retracting surface.
 Commonly used in cardiothoracic surgery

BRONCHUS CLAMP
 Used to grip, hold and move parts of the
bronchus while suturing or stapling during
procedures involving the lung and trachea.
 Curved right and is 9 inches long
 This instrument has unique tips that have long
serrations on the jaws and sharp pins and
holes that will line up to provide a stable hold.

DeBakey vascular tissue
forceps
 Used for grasping fine issue and blood vessels
or soft tissue dissection.
 Narrow tips and atraumatic teeth cause little to
no demage to the tissues.
 Also called thumb forceps

DeBakes satinsky vascular
forceps
 Also called atraumatic vena cava clamp.
 Specially designed for total or partial occlusion
of either the superior vena cava or the inferior
vena cava, the two large veins that takes blood
to heart.
 Tip is blunt.
medium sized clamp

Lung holding forceps
 Duval lung forceps are light weighted.
 Used the grasping large tissue and organs.
 Mainly used to grasp the stomach and lungs.
 Triangular fenestrated tips are horizontally
serrated providing a large, secure grasping
surface

Thoracotomy (AGA UMAR TARIQ)

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