FACULTAD DE CIENCIAS DE LA SALUD

ESCUELA DE MEDICINA HUMANA

Guía Práctica #02

“ESTUCHE DE CIRUGÍA
MENOR”

DOCENTE:

Dr. SERQUÉN RIVADENEYRA EMILIO

ALUMNO:

MONTENEGRO CHICOMA JUAN EDEMIR

https://youtu.be/2uOf4xRTjE4.
 CIRUGÍA MENOR :

 procedimientos quirúrgicos sencillos y generalmente de corta duración, realizados sobre

tejidos superficiales y/o estructuras fácilmente accesibles.
 bajo anestesia local, que tienen bajo riesgo y sin complicaciones post quirúrgicas significativas.

SET DE CIRUGÍA MENOR:

• Debe seguir los mismos principios de calidad y de funcionalidad que cualquier

 Material de corte. Bisturí
otro instrumental quirúrgico usado en cirugía mayor y tijeras.
 Pinzas de disección.
 Material de hemostasia.
 Material de tracción.
 Separadores.
 Material para el cierre.
9 piezas
 PORTA-
BISTURÍ TIJERAS PINZAS
AGUJA

 Escalpelo : latín scalpere que se refiere a  corte preciso sobre la

cortar o incidir. piel y otros tejidos
BISTURÍ  Escalpelo o lanceta
2 elementos:  N°15: + empleada para disecar tejidos
 N°11: para drenar absceso y retirar
HOJAS DEL BISTURÍ: puntos.
 N°10: incisiones en piel gruesa

MANGO DE FIJACIÓN:  N°3: hojas del10 al 15 (estándar en cirugía menor)

 N°4 con hojas del 18 al 24 (cirugía mayor)

IMPORTANTE:
 MONTAJE DESMONTAJE

 Ayuda del portagujas

 Tomar por su parte mas ancha y hacia abajo.  Levantar la hoja en extremo proximal
 Mano izquierda toma el mango del bisturí.  Fijar con portagujas
 Deslizar la hoja de arriba hacia abajo, ensamblando  Empujar en sentido distal ( hacia el suelo)

con la base del tercio superior del mango

Preferible: cortar de una sola pasada

todo el espesor de la piel . No mellada
 CM ( cortes pequeños) ( retrasa cicatrización)
TIJERAS  Es el instrumento empleado para disecar y cortar tejidos; así como
suturas y otros materiales
Clasificación:
 Según su Hojas: hojas pueden ser rectas o curvas ( función)
 Según su remate: Romas o Punta

Mas utilizadas:

Tijeras de material: para cortar hilos, apósitos,

vendas... las de uso más generalizado son las tijeras
de Mayo Rectas.
Tijeras de disección: de hojas mas afiladas, son para
cortar tejidos y efectuar disecciones romas , Mayo
Curvas. + son las tijeras de Metzembaum curvas de 14 cm
MANEJO:
 Introducir las falanges dístales de 4º y 1º dedo en las
anillas
 apoyando el pulpejo del segundo dedo sobre las ramas
Porta-agujas

 Permiten manipular cómodamente las agujas curvas, fijándolas

mediante un mecanismo de cremallera
 En CM se recomienda el porta agujas tipo estándar de 10 o 12 cm
 Que permite utilizar agujas de hasta 4/0.
 Importante: no manipular otros materiales.

 falanges dístales de 1º y 4º dedos

USO (dominante)
 el 2º dedo extendido hacia la punta

 porta agujas en la unión de su 1/3 medio con el

posterior
 formando un ángulo recto respecto al porta.
Pinzas de disección

 Instrumentos quirúrgicos que permiten sujetar tejidos y

materiales mediante la fuerza ejercida por la presión de las
ramas.

Se clasifican:

Pinzas de disección sin dientes (Atraumatica)

 retirar puntos
 hacer hemostasia conjuntamente con el bisturí eléctrico

Pinzas de disección con dientes (traumática)

 separa piel del tejido con más firmeza
 utilizan cuando se resbalan las pinzas de disección a traumáticas

 Estándar: Tamaño 13-14 cm

 De Adson: 12 cm ( + precisión en Mas Utilizado en
campos pequeños) CM

USO
Se sujetan como un lápiz Mano no dominante
Separadores

 Utilidad: mejorar la exposición del campo quirúrgico

traccionando o retrayendo tejido.
 Ayuda visualización del campo opera-torio
 En cirugía menor : importante del tipo de doble uso o Senn-Mueller

Se puede utilizar ambos extremos:

 Pose 3 dientes curvos y una hoja curva plana
 Tamaño 165 mm FARABEUF (Uso de ambos
lados Superficial)

ESTILETE
Instrumento que permite explorar una herida a profundidad y
observar su dirección gracias a su terminación puntiaguda.

SONDA ACANALADA 140 mm

 permite el drenaje de líquidos, heridas o abscesos,
evidenciando el trazado de las fístulas.
 Guía el recorrido del bisturí
PINZAS DE HEMOSTASIA
• Se emplean para :
- traccionar tejidos,
- clampar vasos sanguíneos
-manejar drenajes
-disección roma de tejidos ( no tijeras)

puntas finas, curvas y sin

dientes se necesitan para Ramas más largas y fuertes
vasos y estructuras son para tejidos gruesos
pequeñas

Halstead: (2 ó 3 )
Comúnmente llamadas Mosquito.
+ usadas CM.
Terminación curva y sin dientes.
Tamaño 12 cm.
MUCHAS GRACIAS
…
REFERENCIAS BIBLIOGRAFICAS

Romero, A. Fernández, I. Manual de Cirugía Menor en Atención Primaria.[Online].2020,

[citado13 junio l2021].Disponible en https://
cursocirugiamenor.es/wp-content/uploads/2020/04/Manual-de-Cirugía-Menor-Antonio-Ro
mero.pdf
.
Gonzales, J, Sellés,R. et-al. Cirugía menor. Guía de Actuación clínica en A.P.[Online],2020,
[citado13 junio 2021].Disponible en: https://
cursocirugiamenor.es/wp-content/uploads/2020/04/Manual-Cirugía-Menor-Atención-Primaria.
pdf
. atalla M, Beneyto F, Ortíz F. Manual Practico de Cirugía Menor. Societat Valenciana de
B
Medicina familiar y comunitaria. .[Online],2012,[citado13 junio 2021].Disponible en: https://
www.chospab.es/biblioteca/DOCUMENTOS/MANUAL_PRACTICO_CIRUGIA_MENOR.pd
f
.
Maestro F, Mendez J, Lopez R, et-al. Curso de Cirugí Menor.AGAMFEC. Disponible en: https://
www.agamfec.com/pdf/Grupos/Ciruxia_menor/Curso_Cirugia_menor.pdf.
Identifying the Information

Venus has a beautiful name Mercury is the closest planet Despite being red, Mars is a
and is the second planet from to the Sun and also the cold place full of iron oxide
the Sun. It’s terribly hot smallest one in the Solar dust, which gives the planet its
System reddish cast
 Patient Medical
History

2019 Despite being red, Mars is

actually a cold place full of iron
oxide dust

2020 Venus has a beautiful name and is

the second planet from the Sun
Age: 25
Gender: Male
Allergies: None 2021 Mercury is the closest planet to
the Sun and the smallest one in
Location: Madrid, Spain the Solar System
 Mercury

It’s the closest planet to the

01 Sun
Review of Systems
It’s the smallest one in the
Despite being red, Mars is actually a cold 02 Solar System
place. The planet is full of iron oxide dust
It’s only a bit larger than our
03 Moon

It was named after the Roman

04 messenger god
Physical
Examination

Venus Mars
Venus has a beautiful Mars is actually a cold
name, but is terribly place full of iron oxide
hot dust

Mercury Jupiter
Mercury is the Jupiter is the biggest
smallest planet in the planet in the Solar
Solar System System
Findings

Venus
Venus has a beautiful name,
but is terribly hot and its
atmosphere is extremely
poisonous

Mercury
Mercury is the closest planet
to the Sun and also the
smallest one in the Solar
To modify this graph, click on it, follow the link, change the data and paste the System
resulting graph here
Discussion

“Jupiter is the biggest “Mercury is the

“Saturn is a gas giant
planet in the Solar smallest planet in the
and has several rings”
System” Solar System”

Dr. Helena Stone Dr. John Smith Dr. Jenna Doe

Discussion
Summary
Mercury is only a bit larger than our
Moon. The planet’s name has
nothing to do with the liquid metal

01 It’s the closest planet to

the Sun

It’s the smallest one in

02
the Solar System
Comparison

Jupiter Mercury Venus Mars

It’s the closest planet to

the Sun

It’s the smallest one in the

Solar System

It’s only a bit larger than

the Moon

It was named after the

Roman messenger god
Diagnosis

Mars Saturn
Despite being red, Mars is Saturn is composed mostly of
actually a cold place hydrogen and helium

Venus Earth
Venus is the second planet from Earth is the third planet from
the Sun the Sun

Jupiter Neptune
Jupiter is the biggest planet in Neptune is the farthest planet
the Solar System from the Sun
Treatment

Venus Mercury
Venus has a beautiful name and is the second Mercury is the smallest planet in the Solar
planet from the Sun System and the closest one to the Sun
Patient Week 01 Week 02

Monitoring Venus Venus

Mercury Mercury

Week 03 Week 04

Venus Venus

Mercury Mercury
Venus is the second planet
from the Sun
Contraindications &
Indications

Contraindications

Despite being red, Saturn is composed

Mars is actually a cold mostly of hydrogen
place and helium

Indications

Neptune is the farthest Jupiter is the biggest

planet from the Sun planet in the Solar
System
Post-prevention

Venus Mars
Venus has a beautiful name Despite being red, Mars is
and is the second planet from actually a cold place full of
the Sun iron oxide dust

Mercury Jupiter
Mercury is the smallest planet Jupiter is a gas giant and the
in the Solar System and the biggest planet in the Solar
closest to the Sun System
This Is a Map

Main office Europe branch

Asia branch

S. America branch
Africa branch

Mercury is the smallest planet in the Solar System and also the
closest one to the Sun
 Infographics Make Your Idea
Understandable
Venus Mars
Venus is named after the Mars is a cold place full of
Roman goddess of love iron oxide dust

Mercury Jupiter
Mercury is the closest planet Jupiter is the biggest
to the Sun planet of them all
Case Timeline

Day 01 Day 02 Day 03 Day 04

Venus Mercury Mars Jupiter

Venus is the second Mercury is the Mars is actually a Jupiter is the
planet from the Sun closest planet to the cold place full of biggest planet in the
Sun iron oxide dust Solar System
Conclusions
Mercury is the closest planet to the
Sun and the smallest one in the
Solar System—it’s only a bit larger
than our Moon
References

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher
● AUTHOR (YEAR). Title of the publication. Publisher
● AUTHOR (YEAR). Title of the publication. Publisher
● AUTHOR (YEAR). Title of the publication. Publisher
● AUTHOR (YEAR). Title of the publication. Publisher
Our Team

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