[1025] Instrument Exam #4

Army-Navy Retractor (U.S. Army Retractor)

Retracting/Viewing

Counted (Indiv)

Used in pairs for counter retraction, breast biopsy or appendectomy

Used in narrow incisions to retract wound edges and provide visibility for surgeon

Atraumatic

Gelpi Retractor

Retracting/Viewing

Counted (Indiv)

Self-retaining, used on tough tissues like fascia and periosteum, holds two edges of dense tissue apart while another pair of retractors holds edges in perpendicular direction

Traumatic

Variable Size

Goulet Retractor

Retracting/Viewing

Counted (Indiv)

Used in pairs for counter retraction in inguinal hernia and breast biopsy procedures

Used in mid-sized incisions to retract skin through fascia tissue by selecting the retracting end based on depth/width of incision

Atraumatic

Senn Retractor (Matthew [Mathieu] Senns)

Retracting/Viewing

Counted (Indiv)

Used in pairs for counter retraction in procedures such as carpal tunnel/podiatry cases

Used within small, superficial incisions to pull back skin edges of wound and provide visibility

Can be both traumatic and atraumatic

Abdominal Fisch (The Fish, Glassman Viscera Retainer)

Retracting/Viewing

Counted (Indiv)

Protects underlying visceral organs while abdominal wall is sutured closed, cord is left outside and pulled to retrieve fish, fish collapses and pulls out to allow wound to close fully

Variable Size

Balfour Retractor with the Bladder Blade

Retracting/Viewing

Counted (Each Part Indiv)

Self-retaining, frees team’s hands for other tasks, used for visualization in large abdominal incisions

Blades on balfour can be exchanged for shallower blades

Variable Blade Sizes/Blades

Deaver Retractor

Retracting/Viewing

Counted (Indiv)

Counter retraction or single sided retraction, major abdominal procedures

Majro abdominal or vaginal procedures to retract deep tissue, handheld

Variable Size/Width

Green Loop Retractor

Retracting/Viewing

Counted (Indiv)

Handheld, retract thyroid or subcutaneous tissue

Used to retract skin and fatty tissue in shallow incisions without brusing

Harrington Retractor (Sweetheart Retractor)

Retracting/Viewing

Counted (Indiv)

Retracts liver, gently holds it, top of heart straddles galbladder, atraumatic and smoothened surface to not puncture

Parker Retractor

Retracting/Viewing

Counted (Indiv)

Counter retraction for neck and pediatric procedures

Retracts the skin and fatty tissues of small, shallow incisions

Pratt Rectal Speculum (Bivalve Rectal Retractor)

Retracting/Viewing

Counted (Indiv)

Self-retaining, used in rectal procedures

Inserted into rectum for visualization deep into cavity

Variable Size

Rake Retractors (Volkmann Rake Retractor)

Retracting/Viewing

Counted (Indiv)

Counter retraction in mastectomy or orthopedics

Atraumatic and traumatic, retracts thick layers of skin/fatty/fascia

Variable Size/widths

Ribbon Retractor (Malleable Retractor)

Retracting/Viewing

Counted (Indiv)

Handheld, retract and protect delicate tissue such as brain and abdominal organs

Bent into any form necessary, sponge can soften b/w tissue and retractor to prevent bruising, used instead of abd fisch for closing abd incisions and protecting underlying viscera

Variable Length (6” - 12”) + Widths (1/2” - 3”)

Richardson Retractor (Kelly Retractor, Side-wall Retractor)

Retracting/Viewing

Counted (Indiv)

Counter retraction or single-sided retraction in most abdominal procedures

Match thickness of patient from skin to peritoneum

Vein Retractor

Retracting/Viewing

Counted (Indiv)

Single-sided retraction of small, delicate structures

Retracts veins or similar small quantities of tissue, atraumatic

O’Connor O’Sullivan Retractor

Retracting/Viewing

Counted (Each Part Indiv)

Self-retaining, frees up scrub team’s hands for other tasks, used for medium abdominal incisions (gyn procedures) to allow visualization

Passed with blades pointing down into abdomen, job as surgical technician to assemble

Variable Size (ring size/blades/blade sizes)

Weitlander Retractor (Wheaty, Weitlaner)

Retracting/Viewing

Counted (Indiv)

Self-retaining, retracts medium amts of tough tissue (muscle, bone) in shallow incisions

Sharp for fatty or dense, blunt for delicate

Variable Size

Right Angle Retractor (Heaney Retractor)

Retracting/Viewing

Counted (Indiv)

Single-sided retraction for deep tissue, retracts abdominal organs in laparotomies or vaginal walls to visualize cervix, handheld

Nathanson Liver Retractor

Retracting/Viewing

Counted (Indiv)

Self-retaining, used during laparoscopic liver retraction, provides atraumatic exposure/visualization, rotates liver

Langenbeck Retractor

Retracting/Viewing

Counted (Indiv)

Handheld, retracts tissues and organs, widening surgical field and improving visualization of surgical site

Useful in general, orthopedic, abdominal, and oral surgeries, retracts skin, muscle, and deep tissue

Variable Length + Width