Tools of the Trade: Retractors, Scopes, Probes, and More



Tools of the Trade: Retractors, Scopes, Probes, and More


David Liska





Outpatient Office Equipment


General Equipment (Fig. 2-1)






FIGURE 2-1 ▪ Examination room.



  • Desk and computer with access to electronic medical record and imaging studies


  • Chairs for patient and companion


  • Curtain for privacy during examination


  • Poster with illustration of gastrointestinal anatomy


  • Sink


  • Sharps container



  • Used instrument containers


  • Examination light


  • Examination table with ability to examine patient in different positions (Fig. 2-2)



    • Seated


    • Supine


    • Sims


    • Knee-chest (ie, Kraske)


    • Lithotomy






FIGURE 2-2 ▪ Colorectal tables.



Office Procedures



  • Anoscopy and proctoscopy (Figs. 2-3 and 2-4)



    • Light source


    • Reusable anoscopes (eg, Hirschman) of different lengths and diameters


    • Reusable proctoscopes (different sizes) with insufflator






      FIGURE 2-3 ▪ Light, anoscopes, and proctoscopes.






      FIGURE 2-4 ▪ Anoscopes and rigid proctoscopes.



  • Hemorrhoid rubber band ligation



    • Suction ligator or McGivney ligator with atraumatic hemorrhoid grasping forceps (Fig. 2-5)


  • Instruments for simple incision and drainage procedures and assessment of anal fistula (Fig. 2-6)






    FIGURE 2-5 ▪ Hemorrhoid banding equipment.






    FIGURE 2-6 ▪ Anorectal abscess and fistula set.



    • Sterile prep packs (iodine based)


    • Local anesthetic (eg, lidocaine, bupivacaine)


    • Syringes and needles


    • Scalpels


    • Scissors


    • Forceps


    • Fistula probes


    • Culture swabs


    • Suction


    • Mushroom catheters


    • Silastic setons


    • Sutures


  • Flexible endoscopy



    • Endoscopy tower (Fig. 2-7)


    • Flexible sigmoidoscopes (Fig. 2-8)


    • Ileoscopes for endoscopic assessment of ileostomy or continent ileal pouch


    • Biopsy forceps and snares


    • Electrosurgical generator for cautery


    • Specimen cups


    • Suction


    • Syringes for irrigation







FIGURE 2-7 ▪ Flexible endoscopy equipment and tower.






FIGURE 2-8 ▪ Flexible endoscopes.


Pelvic Floor Evaluation



  • Endorectal and endoanal ultrasonography system (Fig. 2-9)


  • Anorectal manometry system (Fig. 2-10)






FIGURE 2-9 ▪ Endorectal ultrasound.






FIGURE 2-10 ▪ Anorectal manometry equipment.




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Apr 13, 2020 | Posted by in GASTOINESTINAL SURGERY | Comments Off on Tools of the Trade: Retractors, Scopes, Probes, and More

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