What is a Lebsche knife and mallet?
The Lebsche knife has a sharp edge to divide the bone, a broad surface to allow striking with a mallet, and a footplate to allow some control over the depth of division of the sternum. To use the Lebsche knife, the footplate is inserted under the sternal notch and the tip angled upward toward the back of the sternum.
What is a Lebsche knife used for?
It pulls open the ribs and locks them into place so the surgeons can reach the inner organs. Every so often, she may also have to break the patient’s sternum—a bilateral thoracotomy. This is done with a tool called a Lebsche knife. It’s a metal rod with a sharp blade on one end that hooks under the breastbone.
How do you do a clamshell thoracotomy?
- Using heavy scissors, cut through the intercostal muscles towards the sternum.
- The sternum is the next structure to get through – you can use heavy scissors, trauma shears, a Lebsche knife, or a Gigli saw.
- Now that you are through the sternum, lift up the chest wall (clamshell) and expose the thoracic organs.
What is a doyen clamp?
The Surtex® Doyen Intestinal Clamp is a multipurpose surgical instrument commonly used to grasp internal organs as well as secure bleeders during surgeries. It is often used to grip intestinal walls during complex general surgical procedures, as well as gynecological and cardiovascular surgeries.
What is the difference between a thoracotomy and a Thoracostomy?
Thoracotomy is surgery that makes an incision to access the chest. It’s often done to remove part or all of a lung in people with lung cancer. Thoracostomy is a procedure that places a tube in the space between your lungs and chest wall (pleural space).
What does the manubrium look like?
The manubrium (manubrium sterni) is quadrangular shaped with four borders. The suprasternal notch (jugular notch) is at the superior segment of the manubrium sterni. On either side, the left and right clavicular notches are present.
What is Balfour retractor?
The Balfour retractor is a famous self-retaining retractor that has been used over the years during laparotomy procedures (Figure). This retractor was developed by Dr. Donald Balfour (1882-1963), who was born in Toronto. He attended the University of Toronto Medical School and graduated in 1906.
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