.
Scissors
The choice of surgical scissors is
large. They can be long or short, strong or fine blunt or sharp pointed,
straight or curved either on the flat side or on the edge.
More
expensive scissors have tungsten edges which are sharp, tough and long lasting.
The
choice will depend on many factors and the surgeon’s preference is perhaps of
most importance.
• For
surgical cutting, short scissors are appropriate, and long scissors are used in
deep dissection as in thoracic and pelvic surgery.
• Curved
scissors are more popular for dissection because, with the convexity of blades
pointing away from the surgeon, structures being cut on both sides of the tip
are visible.
It
should be realized that the longer the instruments the more pronounced is the
tremor transmitted. The varieties of scissors in use are:
• Mayo
(Fig. 8.32)
• McIndoe
(Fig. 8.33)
• Nelson
(Figs 8.34A and B)
• Metzenbaum
(Figs 8.35A and B)
• Lloyd
Davies (Fig. 8.36)
• Abel
(Fig. 8.37)
• Potts
(Fig. 8.38)
• DeBakey
(Fig. 8.39)
• Microvascular
(Fig. 8.40)
• Satinsky
(Fig. 8.41)
Potts,
DeBakey and Microvascular are the scissors used in vascular surgery.
Guys
plaster scissors are used to cut plaster of Paris at the time of removal of the
plaster or to loosen a tight plaster
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