What surgical instrument is this?

[DylanAsdale]

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I got a surgical kit and this came in it. I have absolutely no clue what it is for or what it is called. Any help?

 

[butterfly0660]

Its called a grooved director.

 

[DylanAsdale]

Its called a grooved director.

How do you use it? Also, what are the needle things for?

 

[butterfly0660]

Not sure what all it can be used for. I've only used it with some of our peds surgeons to close either an umbilical hernia or the fascia at an umbilical trocar site. I have no idea what the other thing in the picture is.

 

[LucidSplash]

Unless I am mistaken, the grooved director is for reaching areas that are out of direct sight at some point. If you can place the grooved director at the area, you can then slide the suture along it to place them at the site without being able to see it. Obviously direct visualization while suturing is the ideal, but in some cases its not an option.

That said, I've seen it used maybe once and I don't think I really understood what was going on at the time so I can't be sure.

 

[Parmax]

the instruments you see in the picture are used mainly in anorectal surgery for the treatment of perianal fistullas. you simply try to figure out the fistulla tract and place a suture to perform the placement of a set-on suture.

 

[DylanAsdale]

the instruments you see in the picture are used mainly in anorectal surgery for the treatment of perianal fistullas. you simply try to figure out the fistulla tract and place a suture to perform the placement of a set-on suture.

How pleasant. 🤣

 

[Fah-Q]

In ENT, we call it the "Mickey Mouse" and use it for lingual frenulectomies.

I'm not surprised to hear, as noted above, that the general surgeons stick it in the butt.

 

[tkim]

Before you go off and buy more instruments you have no idea how to use, try getting a book:

http://www.amazon.com/gp/product/08...&pf_rd_t=101&pf_rd_p=470939031&pf_rd_i=507846

 

[Parmax]

In ENT, we call it the "Mickey Mouse" and use it for lingual frenulectomies.

I'm not surprised to hear, as noted above, that the general surgeons stick it in the butt.

anything that ENT guys place in the mouth can definitely be placed in the butt by general surgeons... 🙄

 

[Pir8DeacDoc]

In ENT, we call it the "Mickey Mouse" and use it for lingual frenulectomies.

I'm not surprised to hear, as noted above, that the general surgeons stick it in the butt.

Yeah, we use it for the same on occasion though it's not really necessary.

 

[SocialistMD]

the instruments you see in the picture are used mainly in anorectal surgery for the treatment of perianal fistullas. you simply try to figure out the fistulla tract and place a suture to perform the placement of a set-on suture.

While I can't speak for the hooks, I've never seen a groovie used to identify perianal fistulas. We usually use lacrimal probes, seen below.

We use the groove directors as mentioned above, in pediatric cases to close the fascia after umbilical hernia repairs or the umbilical laparoscopic port.

 

[Flank Pain]

In ENT, we call it the "Mickey Mouse" and use it for lingual frenulectomies.

I'm not surprised to hear, as noted above, that the general surgeons stick it in the butt.

Oh boy.

 

[Simppu]

I've seen and used that instrument in carpal tunnel release. Shove it in and protect the nerve while cutting the ligament above. Also ok when de-roofing stuff... 😀

J

 

[ESU_MD]

what a great instrument. I have only seen the pediatric general surgeons use it, but I would've liked to use it for some lap chole/appy port sites in fat people

 

[SLUser11]

In ENT, we call it the "Mickey Mouse" and use it for lingual frenulectomies.

I'm not surprised to hear, as noted above, that the general surgeons stick it in the butt.

I LOL'd.

what a great instrument. I have only seen the pediatric general surgeons use it, but I would've liked to use it for some lap chole/appy port sites in fat people

When they're that fat, I tend to just use the fascial closure device....easy and fast. I know some people argue that they cost money, but I typically ask for the metal, re-usable instruments.

I tried to find a pic to post, but all the google links show over-elaborate devices that are much different from the little cone and sharp-tipped grasper that I use.

 

[chrisisinnocent]

For some reason I have seen this instrument in our circumcision tray. I have done a ton with many different attendings and I have never seen it used.... Anyone have any idea how it would be used in a circ?

Edit: I found this link:
http://books.google.com/books?id=dt...nt circumcision&pg=PA211#v=onepage&q=&f=false

 

[SocialistMD]

For some reason I have seen this instrument in our circumcision tray. I have done a ton with many different attendings and I have never seen it used.... Anyone have any idea how it would be used in a circ?

Edit: I found this link:
http://books.google.com/books?id=dt...nt circumcision&pg=PA211#v=onepage&q=&f=false

It's a groove director. You can use the "groove" to "direct" something sharp away from something else that you don't want to get stuck/cut (i.e. bowel, penis, etc...). The picture you showed demonstrates its use nicely (directing the blade away from the penis).

 

[BlueAvenue]

what's the point of a pre-med buying surgical instruments? my niece has a doctor's handbag from toys r us that does me just fine, OP.