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Showing posts from August, 2022

Trolly layout for cervical spine surgery and a view from assistant perspective.

 While spine surgery is one of the major critical surgery according to surgical aspect .  Patient position  Patient will be position at porne ( face down ) provided diathermy plate .  C arm would be position like  the x-ray tube under the patient/table and not over it.  Under couch systems provide better protection from scattered dose  .  Trolly for surgery  Drapping part  Swab holding forcep  Gauze  and small bowl .  Firstly use spirit and then after bitadine to properly disinfect the surgical fracture area .  Afterthat we use rubber sheet and laterly green sheet to properly  cover the area  .  And use disposable ioban to cover that portion  Fix it properly with towel clip and fixing a diathermy cable and and suction pipe for further loss blood suction.   Surgical part  We need kidney tray to provide B.P handle(4) and proper size blade (24 )  Austriotam and retractor ( lagenback small blade ) or self retaning retractor according to doctors need.  And a mop to Swab blood and and artery

Dynamic Hip Screw or DHS ACCOURDING TO ORTHO SURGICAL ASSISTANT PERSPECTIVE

 AT FIRST WE NEED A SCRUB TROLLY , AND THEN WE COVER THE UPPER PART WITH STERILE RUBBER SHEET , THEN AGAIN WE WOULD LIKE TO COVER IT WITH STERILE SHEET PROPERLY ,  AFTER FIXING IT PROPERLY , BELOW MENTION INSTRUMENT  PROVIDED  INSTRUMENT DRAPPING PART  BOWL + SWAB HOLDING FORCEP  + GAUZE  FOR PROPER DISINFECTENT THE AREA  THEN STERILE RUBBER SHEET AND THEN STERILE NORMAL COTTON SHEET  FOR PROPER COVERING THE OTHER BODY PART RATHER THAN THE DRAPPING SITE ONE  SURGICAL PART  AT FIRST WE NEED USUALLY 4 NO BARD PARKER HANDLE AND 24 NO BLADE FOR INCISION AND THEN WE NEED A ARTERY FORCEP , A RETRACTOR AND ALSO A DIATHERMY TO COAGULATE THE ARTERY AND VEIN ONE OF THE PARTICULAR OPERATION SITE  AND THEN WE WOULD LIKE TO USE HOMANS FORCEP AND BONE LIVER TO EXPOSE THE BONE AND THEN WE TAKE THE C- ARM SHOT TO SEE THE POSITION OF THE FRACTURE SITE AND THE DISPLACED BONE WE WOULD LIKE TO USE A STAINMANN PIN TO RELOCATE THE FRACTURE SITE BONE .  AND FIX THE GUIDE WIRE TO LOCATE THE FRACTURE DIRECTION