Surgical Instrumentation 2nd Edition

by Nancymarie Phillips (Author)

This text, Surgical Instrumentation, Second Edition, is designed for perioperative personnel in all surgical disciplines. Surgeons, nurses, technologists, and technicians will find the design and collections in this book informative and user friendly. Books about surgical instrumentation have been in print for more than 100 years. 

However, none have offered comprehensive collections of instruments used with foundation sets for multiple specialties. They feature individual instruments without providing guidance for establishing or streamlining the set creation process.

The four foundation sets described in this text are designed to be base units for use during procedures that meet the needed instrument weight, length, gauge, shape, and material necessary for a safe, efficient surgical procedure. The additional instrument groupings, such as those specific to a particular organ or region of the body, can be established as “add-on” sets to be used in combination with the appropriate foundation set.

Every perioperative nurse or surgical technologist who scrubs has encountered sets with instruments that have not been used for many years, yet the items continue to be packed into the tray for no apparent reason. This book may serve as a guide for establishing standardized instrument sets that will facilitate the count process and ease the burden of inventory control.

This text is divided into 16 chapters. Images of the surgical instrumentation are displayed in table form with descriptions and sizes listed.

• History of Surgical Instrumentation. The first chapter describes the history of surgical viii

instrumentation and provides background information about the philosophy and contributions of different cultures to the discipline of surgery.

•      Anatomy and Physiology of Surgical Instrumentation. The materials and characteristics of surgical instruments are explored, as well as the design from handle to tip.

•      Categories of Surgical Instrumentation. Surgical instruments are designed for specific functions and are grouped into functional categories that define the purpose for each instrument.

Specific groupings make it easier to learn the instruments.

•      Considerations for Instrument Set Assembly. Trays and containers for packaging instruments are described in this chapter. Accountability is a team effort that begins with the construction and assembly of each set.

•      Soft Tissue Foundation Sets. The foundation sets are designed to meet specific needs for a procedure at a basic level by grouping instruments by category and function.

•      Plastic Surgery Instrumentation. Instruments specific to the type of plastic surgery procedure are described in combination with foundation sets.

•      General Surgery Instrumentation. Functional instruments that are added to foundation sets for general surgery are described by organ system and body location.

•      Gynecologic Instrumentation. Specialty instrumentation specific to the needs for surgery of the female reproductive tract is described.

•      Urologic Instrumentation. Instrumentation specific to genitourinary procedures of the urethra and kidney is included in this chapter.

•     Basic Bone and Joint Instrumentation. Many specialties utilize instrumentation to debulk, dissect, or repair bony tissue throughout the body. The bone instruments are used in combination with soft tissue foundation sets according to the location on the body.

•     Head and Neck Procedure Instrumentation. Upper airway and otorhinolaryngology procedures require specialty instrumentation designed for narrow passages and the soft tissues of the anterior neck and throat.

•     Neurosurgery Instrumentation. Procedures of the brain and spinal cord use a unique blend of soft tissue sets, compact tissue sets, and micro- surgical sets. Instrumentation for procedures of the cranium and spine is described.

•     Cardiothoracic and Vascular Instrumentation. Instrumentation used for surgical procedures
of the lungs, heart, and vascular system is described.

•     Microsurgery Instrumentation. Microsurgery is usually performed on soft tissues. These sets can be used in combination with foundation sets or as stand-alone sets.

•     Endoscopic Instrumentation. The application of endoscopic techniques to multiple specialties is described. Percutaneous and natural orifice endoscopy is described in functional terms.

•     Decontamination and Sterilization. A critical component in a complete understanding of surgical instrumentation is understanding decontamination and sterilization of the instruments. This new chapter includes information on cleaning (manual and mechanical), inspection, disinfection, sterilization, and packaging.

Product details

• Publisher : Cengage Learning; 2nd edition (January 1, 2018)
• Language : English
• Spiral-bound : 528 pages
• ISBN-10 : 1285182537
• ISBN-13 : 978-1285182537
• Item Weight : 2 pounds
• Dimensions : 8.8 x 0.9 x 10.7 inches