In gynecology, many tools are used to perform manipulations during surgical interventions. Among them, you can also find bullet forceps, which serve to fix tissues. Previously, lead bullets and shrapnel were taken out of the human body with this surgical instrument, at present it is widely used in gynecology and obstetrics.
Description
Bullet forceps in gynecology are a surgical instrument in the form of a cremal clamp with pointed hooks that converge in a straight line, or with a sharp tooth. They come in lengths from eighteen to twenty-five centimeters and are used in exposure and fixation of tissues, capture and retention of the uterus during surgery. Pozzi, Barrett and Schroeder offered their modifications of this instrument. The first bullet tongs served as an object with which lead bullets were pulled out of the body of soldiers, later they began to be used in gynecology.
Appearance
This surgic althe tool has a long working part and powerful handles. This is done so that the surgeon can firmly hold it in his hands during operations. Single-tooth bullet tongs are made of carbon steel with a chrome or nickel coating. They can also be made of stainless steel, brass or titanium alloy. Usually in modern medicine, forceps are used 24 or 25 centimeters long.
Use
Bullet forceps, along with mirrors and a lift, are used if it is necessary to determine the connection between the peritoneal tumor and the genitals. First, the cervix is exposed using mirrors, it is disinfected with alcohol, forceps are applied to the lips (front and back), after which the mirrors are removed. Further into the vagina or rectum, the doctor gently inserts the index finger, with his free left hand moves the lower part of the tumor. At this time, the assistant should pull on the bullet forceps to move the uterus down. In this case, the tumor is stretched enough to become accessible for palpation.
Method 2
In some cases, doctors use a different method. For this, the handles of the tongs are not touched, they remain in a calm state. With the help of external manipulations, the neoplasm is shifted up, to the left and to the right. If it is connected with the genitals, then the handles of the forceps will be drawn into the vagina at this moment. If the patient has a tumor of the uterus, the forceps will move more pronounced, much more than with neoplasms of the appendages. When the tumor is located in the abdominal organscavities, such as in the kidneys or intestines, the uterine retractor bullet forceps will not change their original position.
Stop bleeding
In gynecology, the uterine tamponade technique is often used to stop bleeding. Carrying out such a procedure, the doctor uses dilators, several bullet forceps, mirrors, forceps, tweezers and curettes. First, the physician disinfects the genitals. Then he exposes the cervix, fixes it with bullet forceps. Next, he disinfects the cervical canal, inserts a gauze swab into the entire vaginal cavity for twelve hours. So the bleeding should stop.
There is another way to stop blood loss - the metreyris technique. First, the genitals are disinfected, the cervix is exposed and fixed with bullet forceps. The cervix and cervical canal are also disinfected very carefully. Then, a folded rubber balloon is inserted behind the internal pharynx with the help of a forceps, after which it is filled with a sterile liquid, for example, saline, through the tube of the printer. After that, the rubber tube is clamped with a pean, and a weight is attached to the bottom, which has a mass of three hundred grams.
Thus, bullet forceps are an essential surgical tool in gynecology and obstetrics. They help to fix the uterus so that the physician has access to the cervical canal, cervix, etc. At different times, various physicians have proposed their modifications of this tool,in modern medicine, a simpler and more convenient option is used. These are forceps that have curved jaws that end in a sharp tooth. They belong to clamping tools that are intended for fixing tissues. Made from safe and non-allergic material.
