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Introduction to Basic Surgical Instruments

Surgical instruments have prehistoric roots in Indian, Chinese, Babylonian, Egyptian, and Roman civilizations. Today, hundreds of surgical instruments are used for specific functions or are designed to serve a common task.

The aim of this content is to introduce basic surgical instruments that are used for common surgical procedures.

  • Scalpel
  • Scissors
  • Sutures
  • Needles
  • Needle Holders
  • Forceps
  • Retractors

A scalpel is used for the division of tissue and consists of a blade and handle. Although some scalpels are made of one solid piece of steel that includes both the handle and blade, the majority of scalpels have a separate handle and a removable blade. Blades are available in a variety of shapes, each designed for a specific purpose. The most common blades have a straight back and an oval-shaped sharp cutting front.

The most commonly used blade sizes are #10, #20, and #22 (Figure 1.2). Figure 1.3 demonstrates other designs of scalpel blades which include a bayonet tip blade #11(a), a bistoury blade #12(b), and a small blade #15(c). Handle #4 fits into larger blades (#’s 20, 21, 22, 25) (Figure 1.2) and handles #3, 7, and 9 fit into smaller blades (#’s 10, 11, 12, 15) (Figure 1.3).