#surgical forceps

[azeemed]

Uterine Tenaculum: A Crucial Tool in Gynecological Procedures

A uterine tenaculum is a specialized surgical instrument used in gynecology for grasping and stabilizing the cervix or uterus during various medical procedures. It plays a vital role in procedures such as intrauterine device (IUD) insertion, dilation and curettage (D&C), hysteroscopy, and other gynecological surgeries. Its uterine tenaculum ability to provide a firm grip on delicate tissues makes it an essential tool in women’s healthcare.

Design and Structure

The uterine tenaculum features a long, slender handle with a locking mechanism that allows the surgeon to maintain a steady grip. The working end of the instrument consists of sharp, hook-like tips designed to securely grasp the cervix without excessive pressure. These hooks allow the tenaculum to hold the uterus in place while minimizing slippage, which is especially important for procedures requiring precision and stability.

Tenacula are typically made of high-quality stainless steel to ensure durability, resistance to corrosion, and ease of sterilization. Some modern versions are available in disposable forms, providing convenience and reducing the risk of cross-contamination.

Common Medical Applications

One of the most frequent uses of a uterine tenaculum is during intrauterine device (IUD) insertion. The instrument is used to gently grasp the cervix and stabilize it, making it easier for the healthcare provider to insert the IUD correctly. This ensures accurate placement and reduces the risk of complications.

In dilation and curettage (D&C) procedures, the tenaculum is essential for holding the cervix steady while the uterus is gently dilated. This stability allows for safe and effective removal of uterine lining in cases of miscarriage, heavy menstrual bleeding, or diagnostic testing.

The instrument is also used in hysteroscopy, where a thin camera is inserted into the uterus to examine the lining. By stabilizing the cervix, the tenaculum aids in smooth insertion of the hysteroscope, ensuring a clear view for the physician. Additionally, in certain types of gynecological surgeries, such as fibroid removal or cervical biopsies, the tenaculum provides the necessary traction to facilitate precise surgical movements.

Benefits of Using a Uterine Tenaculum

The primary advantage of the uterine tenaculum is its ability to provide a secure hold on the cervix or uterus, allowing for controlled and efficient medical procedures. This reduces the risk of complications and ensures that instruments can be used with precision.

Another benefit is its role in minimizing patient discomfort by making procedures quicker and more accurate. While the sharp hooks of the tenaculum may cause slight discomfort, the stability it provides ultimately contributes to a smoother experience for both the patient and the healthcare provider.

Furthermore, the tenaculum’s design ensures minimal tissue damage. Although small puncture marks may be left on the cervix, these typically heal quickly without complications.

Proper Handling and Sterilization

To ensure patient safety, proper sterilization of reusable uterine tenacula is essential. The instrument must be thoroughly cleaned and sterilized using autoclaving or chemical disinfection methods. Disposable versions offer a sterile, single-use alternative, reducing the risk of infection and cross-contamination.

Healthcare providers must also use the instrument with care, applying gentle but firm pressure to avoid unnecessary trauma to cervical tissue. Proper training in its use helps minimize patient discomfort and enhances procedural success.

Conclusion

The uterine tenaculum is an indispensable tool in gynecological and obstetric procedures, offering stability, precision, and ease of use. Whether in routine procedures like IUD insertion or more complex surgical interventions, this instrument plays a crucial role in ensuring effective and safe medical care for women. With careful handling and proper sterilization, the uterine tenaculum remains a vital component of modern gynecological practice.

[triptychofvoids]

SHOW BONESAW PLEEAAASE 🥺🥺🥺

one (1) pretty thing for your viewing pleasure

[surgicalrepublic12]

Forceps: An Essential Surgical Instrument

Forceps are versatile hand-held, tweezer-like surgical instruments used primarily to grasp, hold, or manipulate tissues, organs, or other structures during medical procedures. Their design, which resembles a pair of pincers, allows surgeons, dentists, and other medical professionals to secure delicate tissues or objects without the need for direct contact with their hands, reducing the risk of contamination or injury.

We here in Surgical republic offer surgical tools, surgery products, and other specific medical equipment for all types of surgeries whether these are dental surgical equipment, neurosurgical instruments, surgical instruments for obstetrics and gynaecol, spine surgery instruments or ophthalmic surgery instruments, etc.

[miraedoraa]

How to Properly Use Bronchial & Esophageal Forceps

Bronchial and esophageal forceps are versatile instruments designed for accessing and manipulating tissues within the respiratory and gastrointestinal systems. These forceps come in various shapes and sizes, each tailored to specific procedures. Common types include biopsy forceps, foreign body forceps, and grasping forceps. Their designs prioritize maneuverability and precision, allowing surgeons to navigate intricate anatomical structures with ease.

Selecting the Right Forceps for the Procedure

The choice of bronchial & esophageal forceps depends on the nature of the procedure and the anatomical site involved. Biopsy forceps are ideal for obtaining tissue samples for pathological examination, while foreign body forceps excel in retrieving obstructive objects. Grasping forceps, on the other hand, offer a firm grip for tissue manipulation and retraction. Surgeons must assess the requirements of the intervention and select the appropriate forceps accordingly.

Preoperative Preparation

Before utilizing bronchial and esophageal forceps, thorough preoperative preparation is essential. This includes verifying the functionality of the instruments, ensuring proper sterilization, and confirming compatibility with other equipment. Additionally, familiarizing oneself with the patient's medical history and the specifics of the procedure aids in anticipating potential challenges and optimizing outcomes.

Techniques for Effective Utilization

Mastering the techniques for using bronchial and esophageal forceps is paramount for procedural success. Proper positioning of the forceps ensures optimal access to the target area while minimizing trauma to surrounding tissues. Gentle manipulation and controlled movements prevent inadvertent injury and facilitate precise tissue handling. Maintaining adequate visualization throughout the procedure is crucial for accurate instrument placement and optimal outcomes.

Addressing Common Challenges

Despite meticulous planning and execution, surgeons may encounter challenges during bronchial and esophageal procedures. Tissue friability and bleeding can complicate biopsy and manipulation, requiring careful management and possibly adjunctive measures such as hemostatic agents. Additionally, navigating through narrow or tortuous anatomical passages may necessitate the use of specialized accessories or alternative approaches to ensure procedural success.

Postoperative Care and Follow-up

Postoperative care plays a pivotal role in ensuring patient recovery and monitoring for potential complications. Close observation for signs of bleeding, infection, or respiratory distress is imperative, warranting prompt intervention if warranted. Moreover, providing clear instructions to patients regarding dietary restrictions or activity limitations contributes to optimal healing and reduces the risk of postoperative complications.

FAQs

Q1: Can bronchial and esophageal forceps be reused? A1: Yes, bronchial and esophageal forceps are reusable surgical instruments company. However, they must undergo thorough sterilization between uses to prevent cross-contamination and ensure patient safety.

Q2: What are the potential risks associated with using bronchial and esophageal forceps? A2: Risks include tissue trauma, bleeding, perforation, and infection. Adhering to proper technique, utilizing appropriate forceps, and exercising caution can mitigate these risks.

Q3: Are there any contraindications to using bronchial and esophageal forceps? A3: Contraindications may include uncontrolled bleeding, severe anatomical abnormalities, or patient factors that increase the risk of complications. Surgeons must carefully evaluate each case to determine the suitability of using these instruments.

Conclusion

Bronchial and esophageal forceps are invaluable tools in the armamentarium of surgical instruments, facilitating a myriad of procedures with precision and efficacy. By understanding their capabilities, mastering proper techniques, and addressing potential challenges, surgeons can harness the full potential of these instruments to optimize patient outcomes. Through diligent preoperative preparation, meticulous execution, and comprehensive postoperative care, bronchial and esophageal procedures can be conducted safely and effectively, ensuring the best possible results for patients.

[surgicazal]

Growth and Insights: US Cardiac Surgery Instruments Market Analysis (2024-2030)

[medicalsupplyg]

What are podiatry scissors being used for?

The podiatry scissors are widely used in medical institutions and dispensaries for ankle-related surgeries and procedures. These scissors are used during podiatry practices and are highly effective and easy to use. These scissors are multipurpose, and below mentioned are some of their uses:

- They are used to cut ingrown nails without causing any injury.

- They are also used for cutting wires and tapes during surgical procedures.

- The scissors are very compact and can be held for a long time without causing any discomfort.

- They are very effective and can cut the wires and tapes in the right shape and a perfect manner.

At Medical Supply Group, we have the best quality and functional medical equipment available. Our podiatry scissors are of the best quality and offer convenience during dressings and surgical procedures. The scissors are made up of the best quality material and have a long lifespan and durability, making them the best surgical use. Hurry up, place your orders now, and get the best quality equipment for your clinic/hospital in minimum time.

[azeemed]

Forceps: A Vital Tool in Surgical Precision

Forceps are one of the most essential surgical instruments, widely used across various medical fields for grasping, holding, and manipulating tissues and objects. These forceps precision tools enhance a surgeon's ability to perform delicate procedures with accuracy and control. From general surgery to specialized disciplines such as ENT, plastic surgery, and dentistry, forceps play a crucial role in ensuring patient safety and procedural success.

The Purpose and Function of Forceps

Forceps act as an extension of the surgeon’s hand, allowing for movements that would otherwise be difficult to achieve with fingers alone. Whether used for holding delicate tissues, handling sutures, or extracting foreign objects, these instruments provide the necessary grip and stability for precision-driven procedures. Their design ensures minimal trauma to surrounding tissues while maintaining a secure hold on surgical materials.

Varieties of Forceps in Surgical Applications

Different types of forceps serve distinct surgical purposes. Locking forceps, such as hemostats, are designed to clamp blood vessels and control bleeding, while non-locking forceps, resembling tweezers, allow for intricate tissue manipulation. The selection of forceps depends on the surgical field and the nature of the procedure.

In plastic and reconstructive surgery, Adson Tissue Forceps with tungsten carbide serrations offer superior grip for handling delicate and tough tissues. For vascular procedures, fine-jawed needle holders ensure precision in suturing small vessels. ENT specialists utilize specialized forceps like nasal cupped forceps with a 90° upward Luer Lock for enhanced access and precision in nasal surgeries.

Material and Ergonomic Design

The durability and efficiency of forceps are significantly influenced by their material composition. Surgical-grade stainless steel is the most commonly used material due to its resistance to corrosion, strength, and ease of sterilization. Many high-performance forceps are reinforced with tungsten carbide inserts, which improve grip strength and longevity, making them ideal for repeated use in complex procedures.

Ergonomics also play a crucial role in the design of forceps. Non-slip handles and lightweight structures minimize hand fatigue, ensuring that surgeons can maintain precision even during prolonged operations. Forceps with curved or angled tips enhance accessibility to hard-to-reach areas, improving procedural accuracy and patient outcomes.

Specialized Forceps for Different Surgical Fields

In dentistry, extraction forceps are tailored to remove teeth efficiently while minimizing damage to surrounding tissues. Ophthalmic surgeons rely on fine micro-forceps for handling delicate eye structures, ensuring minimal disruption to fragile tissues. In orthopedic and neurosurgical procedures, specialized forceps provide the necessary control for handling small bone fragments and delicate nerve tissues.

Innovations in Forceps Technology

Advancements in medical instrument technology have led to the development of more refined and efficient forceps. Features such as rotatable mechanisms, precision-milled serrations, and lightweight, high-strength materials have revolutionized surgical performance. These innovations contribute to better patient safety, reduced procedure times, and improved overall surgical outcomes.

Conclusion

Forceps are a cornerstone of modern surgical practice, offering precision, control, and reliability in various medical fields. Their specialized designs, superior materials, and ergonomic features make them indispensable for surgeons worldwide. As technology continues to evolve, forceps will remain at the forefront of surgical excellence, ensuring optimal patient care and procedural success.

[peachglazewrites]

𝚍𝚛𝚎𝚊𝚖 𝚘𝚏 𝚞𝚜 𝚒𝚗 𝚊 𝚢𝚎𝚊𝚛 ⸙ 𝚌𝚑𝚊𝚙𝚝𝚎𝚛 𝚘𝚗𝚎

𝚙𝚊𝚒𝚛𝚒𝚗𝚐: abby anderson x f!reader 𝚠𝚊𝚛𝚗𝚒𝚗𝚐𝚜: medical procedures, tlou typical violence, PTSD 𝚝𝚊𝚐𝚜: literal sleeping together, friends to lovers, slow burn 𝚊𝚍𝚍𝚒𝚝𝚒𝚘𝚗𝚊𝚕 𝚒𝚗𝚏𝚘: no use of y/n or any reader descriptions 𝚠𝚘𝚛𝚍 𝚌𝚘𝚞𝚗𝚝: 6475k

𝚜𝚞𝚖𝚖𝚊𝚛𝚢: Eight months ago, you sustained a life-altering injury while on patrol. Five months ago, you were officially dismissed from your unit and, after a tense meeting with Isaac, were transferred to the medical centre to train under your friend/roommate, Mel. Four months ago, you offered your couch to Abby to sleep on whenever she got kicked from her apartment for Manny's ‘sleepovers’. Two months ago, you started sleeping in the same bed. It works, this arrangement you have. She just doesn’t know that just over twelve months ago, you started to fall in love with her.

̗̀➛ master post

. ݁₊ ⊹ . ݁˖ . ݁ save/read the fic on ao3 . ݁₊ ⊹ . ݁˖ . ݁

𝙿𝚊𝚛𝚝 𝙸: 𝙸

“You good to stitch this while I wash up?”

Mel wipes at her sweaty forehead with the back of her arm, slippery blood coating her hands. The procedure got messier than expected, and with gloves being stretched thin across the different bases, you had to get real comfortable with blood on your bare skin.

“Yeah, of course. Need to practice my knots anyway.”

Malcom, the older WLF soldier, lays back on the bed, shirt cut away and blood coating his abdomen. A bullet caught him in the side, going right through his front and leaving out his back. If he got medical attention right away it would have been fine, but his thinner skin and continued combat just made the wound deeper, ripping right through his side. The two holes he would have had were now one big gash that needed to be stitched.

“Be sure you make all them bows pretty, doc.” Malcom grins at you, his chuckles stuttering into a nasty cough.

Your eyes roll as you turn to the surgical cart next to you, setting up the sutures. “Sure thing, Malcom.”

Wheeling the table over to the bedside, you grab the curved needle and sterile thread, sitting on a stool next to his bedside to get a good angle on him. You grunt and stretch your left leg out stiffly under the cot, trying to release some of the tension in the muscle.

“You know, they should give you one of those punch cards for coming in so often. Visit us five times and you get a treat on the sixth.”

He squints at you, wincing and cursing when you push the needle through his swollen skin.

“Yeah? And when’s that lesson on bedside manner comin’?”

Mel laughs from the back room, washing and disinfecting her hands. “Oh, this is as good as it gets.”

Flashing a grumbling Malcom a smile, you continue your stitching, doing a row of smaller ones that you need to cut off and tie after each knot.

You’re getting the hang of it, though tying all the small knots with the forceps was your weakest point. You were much better at doing running stitches, but for a wound like Malcom’s on such a mobile part of his body, these were the best option.  You’d obviously improved enough though, or else Mel wouldn’t have let you do them mostly unsupervised.

She’s a good teacher, Mel. You were hoping when Isaac approved your request to move to the medical centre that he would assign you to her. It only made sense. Not only was she one of the best here at the Stadium, but the two of you were already familiar with each other.

You share one of the Stadium apartments, have done for just over a year and a half. As far as roommates went, Mel was amazing. She’s friendly, respectful of your space, quiet. It was hard not to become friends with her. You spent late nights talking, would join her and her group of friends for meals. It was nice.

And then you got injured. Well, a bit more than injured—you fucked up your leg pretty bad. Mel was on call when you were dragged in and helped you as much as she could. She’s incredibly talented. Quick hands and quicker thinking. She had your broken leg splinted up and healing in no time.

Until you fucked it up again, leaving your leg to fuse itself in a weird spot. You can walk, sometimes even run for a bit if it’s a good day, but you’d be biting back the pain and severely regretting it afterwards. On a bad day? It’s a struggle to even stand for more than a couple of hours.

Now you have a limp that won’t go away, and your position as one of WLF’s many grunts taken away from you.

“We need soldiers, not bait. Next time you come asking me for your rank back, make sure you’re not shaking from your walk down the hall.”

Yeah.

Mel was the one to suggest becoming a medic. You’d spent enough time around Mel to pick up a thing or two, and those ten weeks in and out of the medical tent made you pretty familiar with the goings on. She even offered to be your supervisor, taking you under her wing to teach you all she knew.

You clip the final suture, placing the forceps and scissors back onto the metal tray next to you.

“Okay, I think we’re done. Mel,” you call over your shoulder, “Can you check this for me?”

Mel looks up from the chart she’s scribbling on, tucking it under her arm to come and lean over your shoulder.

“Nice work. You lost a bit of tension in the middle, but not too much that it wont hold.” She reaches over, ghosting over the segment in question. She brings her hand to rest on your shoulder. “Otherwise, they’re perfect. I think you’ve officially gotten the hang of it.”

You beam up at her, chest puffing in pride. It’s been good knowing that you’re good at more than combat. A relief. You don’t know what you would have done if this didn’t work out.

You’d rather not think about it.

Malcom shifts on the cot, twisting his body to look down at his stitches. He reaches a hand down to touch them, but you slap them away before he can.

“Touch them and I’ll put a cone on you like a dog.”

Malcom grins, laughing and rubbing at the red slap mark on his hand.

“You flirtin’ with me, doc?”

“Gross. Get out of here, Mal.”

His laughs once again devolve into gargling coughs, levering himself up off the bed with a hand from Mel.

She wraps him up, bandaging the wound while giving him the rundown.

“No getting this wet for twenty-four hours. After that you can shower, but no soaking. You’ll need to come back in two weeks to get the sutures out, so until then I don’t want you touching it or picking at the scabs.” She gives him a pointed look, and he has enough in him to look away guiltily, scratching at his chin.

“Yeah, I know the drill. Any sign of infection I’ll come back.”

Mel nods, stepping away from his side to grab a small bottle of pills off the counter.

“Take two of these when you need them, but wait four to six hours in between.”

“Got anything stronger?” Malcom winks.

“Not for you.” Mel’s lips twitch in a smile and she presses the bottle to his chest. “Have a good one, Malcom.”

Malcom takes the bottle and grins, bringing a hand up to tip an imaginary hat on his head. “Appreciate all you do for us, doc.” He peers around Mel, calling out to you in the next room. “And always a pleasure seein’ you. Remind me to take you up on that treat next time.”

“Goodbye, Malcom.” You call from the sink, scrubbing down on your knuckles. You stare him down as he leaves, laughing the whole way.

You roll your eyes, turning back to washing the blood off your arms. It had started to dry, making your skin tacky and gross.

Mel wanders over, leaning to rest against the sink next to you as she finishes filling out Malcom’s chart. “He’s got a point. You’ve got to be nicer to patients.”

“Malcom’s a dirty old dog. He’s fine. If he wasn’t going to be okay, then I’d be nicer.”

“The severity of someone’s injury doesn’t factor into how nice you are to them.” She’s trying to tell you off, but you can see her smiling from behind her clipboard.

You just shrug, turning off the tap and shaking out your arms. “Seems fair to me.”

She breaks, snorting and poking you in the side with the board as she walks past, placing it on a hook on the wall. She grabs the metal tray and wheels it away to be sanitised.

“You’re done for the day. Go home and relax, your leg is shaking like crazy.”

You look down at your leg, sighing as you watch the muscle of your calf twitch from the strain. It wasn’t too crazy today, but there was a lot of sitting down and standing back up. You were starting to feel it.

“You sure? If I’m sitting, I can- “

Mel cuts you off with her signature ‘excuse me?’ look, her brow raised, and her lips curled downward. That shuts you up real quick, as it does most people. Poor Owen is on the other end of that look too often, and he pouts for ages afterwards every single time.

You grab your coat from a basket under the sink, where you all put your belongings when you clock in.

“I’ll see you for dinner?”

Mel shakes her head, gathering up all the dirty tools and putting them in a metal tub for sanitation.

“I’m going to Owen’s tonight. We have the morning off tomorrow, so I think we’re going to head to the aquarium with Alice.”

You smile, throwing your coat back on. “That’ll be nice. I know Alice was antsy about getting out of the kennel when I saw her yesterday.”

Mel chuckles, “That’s how she gets you. You know she has to go on a diet because people keep giving her treats?”

You laugh along with her, the zip lock bag of jerky you save just for Alice burning in your coat pocket.

Coming up behind her, you press a chaste kiss to the back of Mel’s head as you pass. “Well, have fun. Drink responsibly. Use protection- “

“Shut your mouth right now.“ She hisses, whipping her head around to see who’s around to hear. She’s in the middle of cleaning up, but you know you’d get a punch right across your shoulder if she had a hand free.

Pulling back the tent flap you wave goodbye to Mel, grinning at her flushed face.

“I’ll see you when you get back!”

Swinging by the front you sign out for the day, writing down your reasoning for clocking off early. You only had two hours left of your shift, and you really do think you could have lasted if you were allowed to sit the rest of the day. But what Mel says goes, as both your supervisor and your doctor.

The sun is setting when you leave the tent, the November air nipping at your skin. Winter is right around the corner, and you can already feel it. You’ll need to take up Mel’s offer of making some legwarmers to wear under your clothes, knowing that the freezing temperatures are going to be hell on your leg.

Wrapping your coat further around you, you shuffle inside the stadium as quickly as you can. The caf should just be starting to serve dinner now, and if you hurry you can beat the rush before everyone clocks off.

Just as you predicted, people are already lining up at the food stations when you reach the mess hall. Each of the stalls are serving something different, though it usually all boils down to a combination of rice, meat, soup, and stew. Today it looked like everyone was lining up by the old pretzel place, which usually meant it was burritos.

You do an awkward shuffle, a small circle as you try to decide what to eat. The burritos stall is always packed for a reason, but it looks like the butchers finally got some of those pigs in-

A sharp whistle from behind you cuts through the rumble of voices.

“Hey, doc!”

You turn, looking over at the old Noodle Bowl.

A woman a bit older than you stands behind the counter, her cropped hair hidden underneath a backwards cap. Her tank top is drenched in sweat from the hot kitchen, her deep skin flushed from the heat. She holds out an opaque container, though you can already smell the rich beef stew coming from the kitchen behind her.

“Skip the line! You know medics get priority.” She grins, waving the container at you.

You smile and limp over, your leg starting to throb. You meet the woman at the counter, gently taking the container from her. It’s nice and warm in your hands, feeling them tingle as they heat up.

“Thanks, Isabella. You’re a life saver.” You sigh appreciatively. You crack the container open to peek inside, your mouth watering at the dark broth and floating chunks of potato and beef.

“You know what would be perfect with this?” You begin, looking up at her. She smirks, reaching off to the side.

“Bread?” she asks, sliding over a small parcel of tinfoil.

You gasp, reaching for it. “A woman after my own heart.” You laugh, placing the foil of bread on top of the container. “Remind me again why we didn’t work out?”

“You were way too out of my league?” Isabella teases, leaning across the counter towards you.

“Good answer.” You grin back at her.

Isabella chuckles, taking off her cap to smooth out her hair again before putting it back on.

“You take care of yourself, yeah? Enjoy.” She winks, rapping the counter with her knuckles before turning back to the kitchen.

Stew in hand, and a light blush on the highs of your cheeks, you make the long trek back to the comfort of your room. Luckily yours is only on the second floor, as opposed to being on the third or fourth, but with the escalators out of order it’s still a huge hike for you and your leg.

You end up taking your coat off to make a temporary bag for your stew, folding it up and using the arms as handles. It gives you more room to grip the rails as you need them, which becomes more and more often the higher you climb.

You’re slightly out of breath and coated in a fine layer of sweat by the time you reach your room, taking a second to catch your breath before stepping in. Maybe you couldn’t have done those last two hours. Dammit Mel for always being right.

The stew is still hot when you unwrap it from your coat, moving to hang it up on a peg near the door. If you were quick about getting changed, you could probably get away with not having to heat it back up.

Depositing the container on the dining table as you pass, you make your way over to your side of the room, having to pivot and turn back when you automatically start going down the steps.

You and Mel split the room pretty evenly, her having the slightly raised segment to herself, and you having the area in front of the window. You liked being so close to the giant windows, peeking through the curtains you both strung up when you couldn’t sleep and pressing your cheek to the cold glass on warm nights. But ever since your injury, Mel suggested the two of you swap.

It made sense, taking away as many unnecessary obstacles as possible, but you still kind of missed your old spot. Maybe if you asked ever so nicely you could swap again.

You strip in front of your wardrobe, quickly hopping into comfier clothing. It was by no means anything close to proper pyjamas, a pair of slightly more worn in cargo pants and a long sleeve henley. Something that you could feasibly run around and fight in if you needed to.

Your days as a solider are over, but old habits die hard.

The rest of your night is simple. It always is when you have the room to yourself. Having Mel around is always fun and you love staying up and talking to her, but it is nice to just be alone sometimes. It feels different, not like how it used to when you were fighting for your life before you joined WLF. You can choose to be alone now, knowing that you’re safe and warm and that your friends are just around the corner. You can enjoy it.

Setting up a CD to play some soft music in the background, you eat your dinner. Isabella had served you up richly, enough chunks of beef in your single serving to split across two. She’s always been like that, giving special treatment to those she likes and admires. Your brief but very intense history got you onto that list, and you’re thankful for every day you’re still on it.

Using the bread to soak up the last of the broth, you savour the final bite of your food. If Mel was here, you’d get to have her broth too (she only likes the chunks, apparently), but tonight you miss out.

With dinner done and nothing else to do, you decide to curl up in bed for the rest of the night, give your leg a much-needed rest. You keep the CD playing quietly and grab one of Mel’s textbooks, tossing it onto the bed.

You run through your stretches for the night, positioning yourself on the floor to bend and stretch your leg just as Pierre-- the closest thing to a physiotherapist you have around here-- showed you. It hurts like a bitch, so you give yourself some leeway tonight and stop when it gets too much.

Peeling yourself up off the floor, you practically crawl under your covers, dragging the book under with you. The book is heavy, one that would be used during school, but you’re finding it somewhat useful. A lot of what they’re talking about goes over your head, but there’s enough diagrams and things you recognise to somewhat keep up. A lot of what Mel teaches you is done through the real thing, so you don’t have a lot of time to learn the name of every single bone or nerve in the nervous system. It’s a lot more… ‘Don’t cut here’ and ‘If you don’t put pressure there, he’s going to bleed out and die’.

You fall asleep around eleven, the textbook flopping to the floor when your arms couldn’t hold it up anymore. You’ve shifted in your sleep, back facing the rest of the room and limbs tucked in. You should start looking for a thicker blanket now that it’s getting colder.

The corner of your bed dips under their weight as someone sits, trying not to squish your feet under the covers. The thumping of boots being kicked off their feet and to the floor is just enough to pull you back to consciousness, though it’s the rush of cold air under the blanket as they pull it back that wakes you up entirely.

“Abby… Cold.” You hiss, turning and trying to tug the blanket from her.

You can practically hear her eyes roll as she crawls under with you, shifting onto her side so she can press her back up against yours. It makes up for the biting cold she let in, her back strong and warm, heating you up more than your blankets ever could.

“How was patrol?” you mumble, brain still catching up.

Abby hums. “Fine. Normal.”

You nod, or think that you do. You’re so tired.

“S’good.” You yawn, burying your face into your pillow more. “Sorry Manny kicked you out.”

She shifts, her rolling muscles move against your back.

“Yeah,” she sighs, sinking into your mattress, “It’s whatever. He uh, got to the room while I was eating dinner.”

“Should talk to him. Tell him to keep it in his pants when you get home from patrols.”

You hear a ghost of a laugh, your music quiet enough for you to pick it up. It puts a sleepy smile on your face.

“I should, huh? Maybe tomorrow.”

“Mmhm.” You yawn, stretching out your legs before relaxing back into your mattress with a hum. “I’ll be your back up.”

Ever since you found Abby passed out in the library, an open copy of Lord of the Flies laid across her chest, she’s been sleeping in your room.

She rejected your offer initially, looking at you like you’d grown a second head before rolling back over to keep sleeping. Which was fair, you guessed. You weren’t exactly friends, just two people that hung out in the same group.

Not that you didn’t try to be. You knew from the moment Mel introduced you to everyone that you wanted to know more about Abby. She was intimidating, a bit rough around the edges, and more than a little cold during your first interaction. It should have been a sign to stay out of her way, to leave her alone. But unfortunately, it just made her incredibly attractive.

No matter what you did, nothing seemed to favour you to her. You eventually found out it was because of Mel, and while no one could tell you exactly what happened, you figured it was bad enough for her to dislike you through pure association.

Something must have stuck with her though, because soon after rejecting your offer she was knocking on your door, pillow tucked under her arm, ready to take over your couch.

And she did. Anytime she needed a place to sleep, and Mel wasn’t home, she would come over. You started leaving out nicer blankets, draping them over the back of the couch, switching out the throw pillows for softer, less scratchy ones. She never said anything, but you knew she appreciated it.

It wasn’t until two months ago, drunkenly collapsing on your bunk together after Manny’s birthday party, that you started sharing your bed. The nightmares you would have, that the both of you shared in common, seemed to fade away when you weren’t alone.

A silent agreement passed between the two of you then, an unspoken arrangement to slide in next to each other. Backs pressed together, sharing your warmth, getting hours of blissful sleep.

You feel a nudge to your calf.

“Go back to sleep. Didn’t mean to wake you up.” She whispers, drawing her foot back to curl into herself. The movement presses her back more firmly into yours. A contented sigh tumbles from your lips.

“You’re fine. G’night, Abby.”

“… Night.”

You both fall into comfortable silence, the soft music still playing from the corner of your room. The CD will finish soon, but you should hopefully be asleep by then. You wait for the telltale signs of a sleeping Abby before you let yourself fall back under.

While the nightmares aren’t as intense when you share the bed, all it takes is a particularly bad day for them to rear their ugly head. And while you have your own long list of issues, you’re not the one still in active duty, so you like to make sure that Abby falls asleep. That she isn’t left to stare into the dark until the sun begins to rise, or gets dragged into whatever hell her brain has fixed up for her.

Her breathing eventually slows, and while she doesn’t snore, her deep breaths are interrupted with the occasional huff and groan. The pressure of her warm back on yours builds as her muscles relax and she shifts into the divot in the mattress between you. Her foot twitches and she shuffles her legs, unconsciously nudging you to entangle your legs with her own.

Only when you are certain she’s out and her sleep is peaceful do you let yourself go back to bed.

⸙

She’s gone in the morning when you start awake, the sound of a door down the hall slamming closed making your heart leap into your throat. Shooting upright in bed, the blanket tucked gently around you falling to your lap, you reach out for your firearm. It takes feeling the lumpy, cold mattress beneath your fingers to bring you back to yourself.

You’re in your room. Not outside hidden amongst the trees.

There are no Scars here.

Knees come up to meet your forehead as you curl in on yourself, shutting your eyes and forcing deep, shaky breaths.

It’s been months since you were on any kind of active duty, yet your body wouldn’t let you forget a second of it. Once a soldier always a soldier, you guess.

Once your heartrate slows back down, the sweat that was beading along your temples cooling, you lift your head up from your knees, peaking at the curtains. The morning sun is breaking through, sending slivers of light over Mel’s bed and the couch. If you strain your ears, you can hear people shuffling in the hallway, tired grumblings as they make their way into work.

Without checking a watch you’d say it was around eight in the morning.

Mel wasn’t scheduled for work until tonight, which means that you too got to have the morning off too. Though you were really getting somewhere with your training, Isaac didn’t want you working solo until Mel had signed off on you. So, unless they were absolutely swamped or it was an emergency, you worked the same shifts as Mel.

Flopping back on the mattress you shut your eyes once more, stretching out your limbs across the entire expanse of the bed. You had absolutely no issues with sharing your bed with Abby, but this mattress wasn’t exactly a king, and often find yourself tucked right up against the wall.

You doze on and off for a few more hours, taking advantage of the free day to catch up on all the sleep you’d been neglecting. It feels like you and Mel have been working around the clock lately, being assigned long shifts at odd hours. Ideally, you’d nap until your shift tonight, but your body refuses to let you sleep peacefully after 10am.

You putter around the room for a bit after dragging yourself out of bed, getting changed into your clothes for the day and drawing open the large curtains to let the sunlight into your room. The rays warm you as you do your morning stretches, flexing and pulling your leg into repetitive positions.

You so desperately want to just laze on the couch, curl up with a book or a magazine and rest your leg, but looking around the room you spot multiple piles of belongings neither your nor Mel have bothered to tidy up. Knowing the two of you, they’ll never get done if you don’t tackle them now. And who knows, maybe Mel will be so impressed that she really will swap spots with you.

You stomach begins to rumble around lunch time, just as you’re standing up from the CD rack you spontaneously decided to reorganise. Sure, there was probably something more important to do, but now your CDs are back to being in alphabetical order. For now, atleast.

Checking the fridge, you grimace at the lack of edible food left on the shelves. A withering carrot, some marmalade, and leftover rice and beans from a few nights ago make up its contents.

Sighing, you shut the door and grab your jacket. You’ll just get something from the cafeteria. Maybe when Mel comes home you can figure out her schedule, see if she’ll be willing to split some groceries with you.

⸙

“Hey, doc! Come sit with us, huh?” A voice calls out to you as you walk past their table, a container of stir fry hot in your hands.

You swivel around, eyes roaming the few tables in front of you when you spot Manny, waving you over. He’s seated with a few other soldiers, some you recognise from prior hangouts, others that must be part of his unit.

You hesitate, chewing on your bottom lip as you toss up between sitting in the cafeteria with company or scampering off to your room to eat in private. Not that you don’t like sitting with Manny and his friends. They can just get real rowdy sometimes without Mel or Nora around to talk to.

You open your mouth to politely decline, wanting to chill as much as you can before your shift tonight, when the person opposite Manny turns around to look at you.

Abby.

She looks good this morning. Her usual braid is draped over her shoulder, getting long enough now to do so. It brushes the collar of her t-shirt, the sleeves of which she’s rolled up to the seam to fit her arms. She’s holding a bowl of rice up to her chest, spoon hanging out of her mouth as she looks at you.

Unable to hide the small smile that twitches your lips, you give Manny a nod and head over, weaving back through the crowded hall. Manny grins and shuffles along the bench, pushing against Jordan to make room for you next to him.

“There she is! How’s it going? Seen anything gross lately?”

You laugh, pushing yourself into your spot between him and Jordan, having to climb over the seat to get there. “Unless you count touching Malcom, then no. Not lately.”

Abby huffs a laugh around her spoon, twisting back around to face the table. You look to her as you set your container down on the table, smiling when you see she’s already looking. Her eyes flick down to your food and back to you, brows raised slightly in question.

Tilting your container you show her your lunch, the stir fry still steaming and warming your hands.

“Malcom isn’t that bad,” Manny laughs, diving back into his own food. Some sort of sandwich from the looks of it. “He’s a good shot.” He muffles through a mouthful of food.

You roll your eyes, picking up your fork and stabbing at a few vegetables, “Yeah, and a bad dodge. He keeps coming in to get stitched up, but I’m convinced it’s because he gets his chest felt up.”

“Can’t blame a man for trying his best. Not all of us are as lucky.” Manny snickers, elbowing the man beside him. The rest of the boys laugh back, the noise at the table picking up.

Abby just shakes her head, slouching over her bowl of rice to continue eating. From where you’re sitting it looks like plain brown rice. Knowing her, it probably came with a side that she’s already eaten all of, not planning out her bites ahead of time and just going right for the tasty part.

You twist to the side to face Manny, reaching up for his ear.

“Speaking of--” You pinch the top, yanking on it to bring his head down to your level. He yelps, grabbing at your wrist and swearing. “You need to stop having your play dates the same day Abby gets back from missions.”

Manny eyes you as he curses, briefly looking over at Abby before turning his attention back to you. Across from you Abby tenses, spoon pausing halfway to her mouth. She looks like a deer caught in the headlights.

“How’d you know I had someone over?”

You sniff, letting go of his ear and turning back to your food, getting a bite in before answering. “Caught her in the library again.” You lie, hopefully smoothly.

The two of you never agreed to keep her sleeping habits a secret, but you knew enough about her to know that she liked to keep her business to herself.

Manny grins, throwing his hands up guiltily. “What can I say? I have poor timing. Well, not all of the time...” He winks.

You fake a gag, grimacing as you pick up your food container.

“And with that, I need to go get ready for work tonight. I’ll catch you all around.”

Manny laughs, his voice booming through the hall. He playfully grabs at your sleeve, tugging it as you stand up to leave.

“Baby, don’t go! Please, I can change!” He pleads, gently trying to pull you back down to the table.

You stumble and laugh, batting his grabby hands off your clothes as you squirm away. Nearly tripping on the seat, you pry yourself free, stepping out of Manny’s range and across the table.

“Bye, Abby.”

You slide your container of food next to hers as you pass, having eaten all the vegetables and leaving her the beef. Her head whips up to yours, eyes questioning and mouth full of food. A piece of rice is stuck to her bottom lip.

Cute.

She tries to swallow her mouthful to say something, but inhales wrong in her haste, choking on rice. Manny, observing the interaction, bursts out in a fit of laughter as he slides over his canteen of water, watching Abby gulp it down to clear her throat. Some of the guys sitting next to her lean over to slap at her back, chuckling along with Manny. He’s calling her something in Spanish as she pushes all the hands away, the tips of her ears reddening as he jeers at her.

The last thing you see before the crowd shuffles and blocks your view is Abby, leaning over the table to punch Manny in the arm.

⸙

“He even said that we could decorate for Christmas. Apparently, he knows some department store that has trees and everything.” Mel gushes, setting up the surgical cart for the night.

“You two are so fucking cute.” You smile, spinning yourself in the office chair they have back here.

Mel flushes, feeling the heat of her cheeks with the back of her palms, “I just… I don’t know. I feel stupid for getting so giddy about it all but he’s just sweet, you know? Thoughtful.” She smiles softly to herself, reaching up in a cupboard for some gauze. “We haven’t even been dating a year and he’s already talking about getting new room assignments.”

“And you want that? He’s not like, pressuring you to go too fast or anything?” You slow your spin, digging your heels into the tent floor to stop to face her.

She shakes her head, laying out a handful of freshly bleached bandages and some scissors. “No, he’s been really good about it. I said that I’d like to wait until the New Year at least. Start fresh.

You nod, looking at her. Mel is a kind person, though she can be very outspoken and tough when needed -- you’ve seen this enough times when dealing with Abby or an unruly patient. But you’ve never seen her so happy. So flustered.

She giggles sometimes. Mel has never been a giggler.

Owen has been good for her. She needed someone to stop her from overworking herself, to make her feel appreciated and special, and if Owen is anything, he’s a hopeless romantic and a great distraction.

You let out a sigh, dramatically throwing you hand up to your forehead, pushing with your feet to spin on the chair.

“I can’t believe my wife is taking our child and leaving me for another! Leaving me to wallow in our shared home all alone.”

She snorts, throwing you a look over her shoulder, “Our child?”

“Alice, obviously.” You peek at her from behind your hand. “I expect visitation.”

Mel laughs, throwing her head back, “Of course. Wouldn’t dream of keeping her from seeing you.”

The room falls into a comfortable silence, Mel double checking the contents of her cart.

“Maybe when I move out you can see about getting someone else to move in so you’re not as lonely.”

You shrug, leaning your head all the way back on the headrest so it hangs over. You feel something shift and pop in your neck, a pressure fizzling away.

“Yeah, no. I’ll just live it bachelor style until someone needs the space.”

Mel hums, “So you wouldn’t even offer it to your mystery woman?”

You try so hard to school your reaction, to not make it so obvious how right she is, but it’s difficult when she gets you like that out of nowhere. You tilt your head up to look at the back of her head.

“My who?”

Mel turns around, a smirk playing at her lips. She knows she’s caught you out. “Don’t play dumb with me. I know you’ve been having someone over while I’m gone.”

Your cheeks pink as you go to defend yourself, but for the life of you, you can’t find a non-damning answer. You’re left stuttering, gaping like a fish.

“I- Who- You don’t know that.”

“Oh? Then why do you always ask if I plan to be home or not?”

“Can’t I be invested in your safety? As your friend- “

“And, “ she cuts you off, crossing her arms over her chest as she leans against the sanitation sink, “We both know you have trouble sleeping alone. But suddenly on the nights I’m gone, you come into work having slept like a baby? Nuh-uh.” She points an accusing finger your way. “You’ve got someone you’re bringing home that you’re not telling me about.”

She looks triumphant. Victorious in having called you out on your sneaking around.

Your hands come up to cover your face, hiding from her gaze.

“Mel, it’s not like that,” you groan, sliding down in your chair.

“Seems like that to me.”

“No, it’s just… we’re just friends. I’m just hanging out with a friend.”

She doesn’t believe you. You don’t have to be looking at her to know that for a fact. “And you’d be content to just… stay friends?”

“Obviously I’d be fine with whatever she wants,” you rush out, getting overwhelmed with the intimate questions.

Theres a beat of silence.

“But…” she prompts.

You throw you hands up, looking up at her, “Yes, Mel. Fine. If she was interested, I would take her up on it. Happy?”

Mel nods, pleased as punch at getting you to admit this out loud. She has a bad habit of doing that.

“So,” she breaks the silence, kicking off the bench, “Are you going to tell me who it is?”

You cringe. Seeing as they aren’t exactly on speaking terms, you doubt that she’s going to be super thrilled about Abby hanging out in her home while she’s gone.

“I… I don’t know, Mel. Sorry, I just- “

“Hey, it’s fine. I get it.” She says softly, walking over and placing a warm hand on your arm. “No hard feelings. I’m not going to be mad because you don’t want to tell me who you’re crushing on.”

You breathe out a sigh of relief, sagging against the backrest of the chair. “Thanks, Mel.”

“But if you ever wanted to talk about it- “

“Yes, yes,” you wave her off, unable to help yourself from smiling, “I’ll come to you about it.”

Mel smiles, pushing you on the shoulder so that you spin around in your chair.

“Come on, time for work.”

«« masterpost ꩜ next »»

[girlsdads]

neurosurgery resident max the night before he’s scheduled to fly solo for the first time (he’s gonna be performing an awake craniotomy i decided), he can’t sleep bc he’s so anxious about doing everything right, normally he would jerk off to fall asleep but he’s like what if i accidentally jerk off too hard and my wrist is sore tomorrow and i fuck up someone’s actual brain

i lost the plot completely after this but lfg

he texts daniel who is also a surgical resident (he’s in trauma surgery so it’s still a precise field but more bloody and hectic and nobody he operates on is ever awake during it at least) and is like this sucks i need rest but i can’t sleep and i can’t jerk off bc i might sprain my wrist and then it will cramp tomorrow and i will stab my forceps into someone’s good brain tissue and daniel is like jeez max how hard do you jerk off lol. max is like *pouts, kicks his feet and pulls pillow over his face in frustration* dont make fun of me daniel this is very serious what do i do. daniel is like okay i’ll be there soon, be hard when i get there.

max is like what. but he’s honestly already at half mast from mentioning to daniel about jerking off and daniel is always taking care of him and max trusts him that he will actually help even if he has no idea what’s in store. there’s a little kernel of hope that maybe daniel means to get him off himself, but as max lays there hard and leaking as he waits for daniel to come over he tries not to get his hopes up even if what the fuck else would daniel say to be hard for.

daniel takes longer than expected to get to max’s apartment and by the time he finally arrives max is sweating and panting and about ready to tear his hair out if he doesn’t get to come or sleep or both. daniel approaches max’s bed (he has a key of course) and is stripping off his pants and underwear as he does (he keeps on his oversized hoodie from med school bc cozy), his cock is big and also getting hard and max hopes so much that daniel will wrap one of his lovely hands around max or maybe he will even grind his cock up against max’s and max can come that way.

max almost blacks out as daniel knee walks on the bed to straddle his hips and says softly tell me to stop if this isn’t ok, reaches back to spread himself open and lowers down to tease his hole over the soaked head of max’s cock. max is struck completely dumb as he feels daniel start to open around him, feels him already soft and wet and hot like he got himself ready beforehand because he was planning to do this for max.

daniel has barely sat all the way down on max’s dick before max can’t help but come right into daniel, bare and sloppy and perfect. when he’s done he makes grabby hands to daniel to get him to shimmy forward so he’s straddling max’s face, max is trying to hold his thighs and his hips and just grab him everywhere but daniel is like shhh baby you need these hands to be rested and gently holds max’s wrists and presses his hands down against the mattress by his sides, says be a good boy and keep them there for me, max nods because anything daniel, anything. daniel sits right down on max’s face and grinds on his tongue and his chin and his perfect nose until he comes all over max’s forehead and hair and a little on the pillows. daniel licks the come off max’s face then goes to the bathroom to clean himself out and comes back with a damp cloth to get the sticky remnants off max’s skin. daniel cuddles up to max after and max is asleep almost instantly, feeling safe and relaxed and happy.

the next day max nails his procedure, the patient does great and is recovering well in the PACU when his attending comes over and compliments the impeccable steadiness of his hands. max hopes the sickly fluorescent lighting overhead washes him out enough to hide his immediate flush.

max goes on to become one of the world’s leading neurosurgeons and daniel still sits on his cock whenever he can before max has a scheduled surgery the end.

[inky-duchess]

WIP Hospital: Surgery

*Meredith Grey monologue voice* Writers really batter their characters and sometimes the damage is so great that they have to be seen to by the professionals and if you've really messed them up, they may need surgery.

Before Surgery

Before any surgery, the patient must be prepared for the procedure. They will be prepped by nurses and doctors but there are things every patient must go through before the surgery especially if they undergo general anesthesia.

No drink/food for a set period of time before the surgery.

Removal of necessary hair

Possible enema but not always necessary

Thoroughly bathed and cleansed, the patient should not use any makeup, nail varnish or perfume

Tests maybe run prior to surgery such as blood tests

All piercings, protesthetics

The preparation of advance directives such as DNRs and wills etc

What is in an OR?

OR or operating room is where operations take place - or would be if your character was having surgery at hospital (they aren't, are they?)

Surgical Lights: Surgeons have to see why they are doing so high powered lighting is used to illuminate the patient and cavity.

Operating Tables: Operating tables are where the patient lies while the surgeons are trying to save their life. also known as surgical tables, are essential to any operating room.

Surgical Displays: These are screens that magnify the cavity for the OR, sort of like tvs that allow everyone a view of what's going on.

Blanket Warmers: Or warming cabinets. These are where the IV fluids, linens, and blankets are kept.

Scrub Sinks: This is where the surgeons abd nurses and technicians get washed up, sterilised and gowned.

Vital Signs Monitor: This is a machine that tracks the patient's heart rate, oxygen saturation, breathing rate and blood pressure.

Ventilator: A ventilator helps the patient breathe while on anesthesia.

Anesthesia Machine: This machine delivers anesthesia to the patient and monitors the level.

Diathermy or Electrocautery Machine: This is used to cut tissue and control bleeding

The Surgical Team

These are the people present in the OR besides the patient. It is up to them to keep the patient alive of course but to also ensure that safety and cleanliness are upheld.

Surgeon: Is the lead of the team and responsible for the planning and cutting of the patient. Most surgeons are specialists.

Surgical Assistant: They work alongside the surgeon, helping the surgeon.

Scrub Nurse: Scrub nurses are in charge of making sure everything stays sterile. They sterilise the surgical instruments and are in charge of minimalising contamination.

Anesthesiologist: The doctor who specialises in anesthesia who monitors the use of anaesthesia.

Circulating Nurse: Circulating nurses manage supplies, equipment and may run messages if needed outside the OR.

Observer: Sometimes med students or other surgeons will observe the surgery. They aren't essential.

General Surgerical Tools

These are just a few tools used with surgeries.

Scalpel – These are the blades used to cut into tissue.

#10: Scalpel with a large curved edge used for making large incisions.

#11: Scalpel with a triangular blade used to make short, shallow cuts.

#12: A small, crescent-shaped blade used to cut sutures

#15: used for short, precise cuts because of its small blade. Ideal for making short, precise incisions because of its small, curved cutting edge. Mostly used in cardiac surgery.

#17: Flat, chisel-like blade for narrow cuts

#18: Narrow, chisel blade for deep cuts and scraping

#20: Large curved blade, used when making a puncture or cut.

#21: Large curved blade, for slicing tissue and puncturing. commonly used for cutting tissue and other procedures that require a puncture or cut.

#22: Like the #10, it is flat and curved cutting edge, used on thick skin.

#23: Large blade that is slightly narrower but pointier

#24: Wide, flat blade with an angle used to make cuts at the corner, used to trim and strip

Forceps - are a gripping tool. Not to be confused with hemostats.

Allis Forceps: Have little teeth running along in them and are for firm tissue such as fascia.

Babcock Forceps: Smooth ended jawed forceps that are used for delicate tissue.

Dunhill Forceps: Small curved, serrated forceps used to hold vessels before ligation.

Lane Tissue Forceps: Forceps with interlocking teeth used to hold tough tissue

Littlewood Forceps: These forceps have blunt teeth, used for tough tissue as well as gaining entry through the umbilicus in laparoscopic surgery.

Sawtell Forceps: curved serrated forceps with a serrated end used to grip vessels

Spencer Wells: Can be curved or straight. They are used to clamp medium/large vessels before ligation

Debakey Forceps: Smooth forceps used for many things but used to grip tissue

Lanes Forceps: Toothed forceps used to grasp most tissues but not the bowel.

Gillies Forceps: Narrow forceps with teeth used on skin.

Scissors - are used to cut sutures and snip things during surgery.

Mayo Scissors: Heavy scissors with blunt ends, either curved or straight, used to cut thick tissue and sutures.

McIndoe Scissors: Curved scissors used to cut/dissect tissue

Hemostats - these are used to clamp vessels to prevent blood flow into the cavity the the surgeons are working in.

Adson Forceps: Can be straight or curved, with either semi-serrated tips or toothed tips, used to clamp vessels and tissues.

Artery Undermining Forceps: Toothed forceps, with ratchetted ringlets. Can be straight or angled, used to hold thick tissues during cardiothoracic surgeries

Bainbridge Forceps: Forceps with long jaws with serrated tips, used to clamp the bowel.

Crile Forceps: A clamp with horizontal, serrated jaws, that can be curved or straight. These are used in laparoscopical practices, for clamping tissue and vessels for cauterization and ligation.

Dandy Forceps: These forces are curved, with half-serrated jaws. Used to control the flow of blood.

Ferguson Angiotribe Forceps: Interlocking blades, curved or straight, used to clamp vessels to control blood flow.

Gemini Mixter Forceps: Curved and serrated, used to hold damaged and delicate vessels during cardiothoracic surgery.

Hartman Forceps: These are narrow, serrated, straight or curved but used primarily for left-handed surgeons. They are used to clamp small vessels.

Jacobson Forceps: Forceps with serrated curved jaws. Used for closing a wound or in tonsillectomies.

Kelly Forceps: Forceps with half-serrated jaws, either curved and straight. They are used for clamp

Kocher Hemostatic Forceps: Has serrated jaws and toothed tips. Used for grasping large blood vessels to control blood flow and holding dense tissue.

Lovelace Forceps: Forceps with fully serrated jaws, used for clamping vessels in gynecologic procedures.

Mikulicz Forceps: Half-serrated jaws with curved tips. Used for clamping the peritoneal sac during abdominal wall closure and the peritoneal tissues in the pelvic cavity.

Mixter Forceps: Right-angled jaws with longitudinal serrations, straight, curved patterns which can be half and fully-serrated. These are used for hard to reach places, used to hold tissue, blood vessels and stitches.

Mosquito Forceps: Short, serrated jaws used for incisions and thin tissues, usually before cauterization.

Rochester Carmalt Forceps: Long, wide serrated jaws. Used for grasping blood vessels.

Rochester Ochsner Forceps: These are used to objects and blood vessels during orthopedic procedures.

Retractors - used to pull back the flesh so the surgeon has better view

Langenbeck Retractor: Hook-shaped retractor, used to separate the edges of wounds. They can come in different sizes depending how deep you want the wound tract.

Norfolk and Norwich Retractor: This retractor is self-retaining, used to keep deep wounds open.

Travers Retractor: Also a self-retaining retractor, but used for much shallower wounds

Other Tools

Cauterization device: used to cauterizate blood vessels to prevent bleeding.

Needle Holder: Used for holding needles while suturing, it looks like a pair of scissors

Rampley Sponge Holding: used to store sponges and gauze

Towel clips: Used to keep towels and drapes in the place

Suction: This machine is sort of like a hose that sucks up blood and other fluids.

Surgical Stapler: Sort of what it says on the tin, a device that staples wounds together quickly.

Laparotomy Sponge/Lap Pad: Is an absorbent pad used to keep the cavity free of excess blood and fluid or to prevent too much bleeding.

Drapes: This is the cloth used to cover the patient and the operating table.

What to Wear to Surgery?

In surgery, contamination is always a fear so the surgeons and their team must dress accordingly in the OR. Most times the patient is draped or wearing a hospital gown.

Protective Cap: This is a cap that covers the hair. Worn by everyone.

Surgical Masks: Worn over the mouth and nose. Usually worn just by the surgical team.

Protective Eyewear: To shield the eyes from blood and debris. Usually worn just by the surgical team.

Gloves: Worn by the surgical team.

Gowns: These are long gowns worn over the scrubs. Worn by the surgical team.

Protective Shoe Covers: Worn over shoes of the surgical team.

Phrases used in the OR

Operations are high stress situations. Often communication is shortened to quick phrases.

Scalpel: Give me a scalpel

Clamp: Give me a clamp

Suction: Suck up this blood/liquid for me.

Retract: Hold back the tissue

Bovie: Give me the cautery equipment

Sponge count: Count the sponges and towels in case we left one in this here guy

Close: Stitch up the patient

Irrigation: Wash out the wound with water

Intubate: Insert a tube in the patient's throat to help them breath

Extubate: Remove the breathing tube

Airplane: Tilt the bed to expose a lateral portion or change the patient’s hemodynamics.

Donut: A support for the patient’s head after anesthesia.

Jump Room: Another OR prepped and waiting for the surgeon for another surgery

Types of Surgery

Surgeons don't just perform every kind of surgery. Most surgeons stick to a practicular specialty.

General Surgery: General surgery focuses on the abdominal organs.

Cardiothoracic Surgery: Deals with everything in the chest, eg. heart and lungs.

Orthopedic Surgery: Focuses on bones and muscle

Neurosurgery: This surgery focuses on the brain, spinal cord, and nervous system.

Plastic and Reconstructive Surgery: This surgery focuses on cosmetic surgery but also reconstructive procedures.

Pediatric Surgery: For babies, children and teenagers.

Vascular Surgery: Focuses on arteries and veins, everything on the vascular system.

Urology: Focuses on the urinary tract and male reproductive organs.

Otolaryngology (ENT): The ears, nose, and throat.

Gynecologic Surgery: Surgery focusing on the female reproductive system.

Examples of surgery

There are thousands of kinds of surgery but I've just listed a few well known ones here.

Appendectomy: Removal of the appendix

Cholecystectomy: Removal of the gallbladder

Coronary Artery Bypass Grafting (CABG): Bypass surgery performed to improve blood flow to the heart

Cesarean Section (C-section): The removal of a baby from the womb surgically.

Hysterectomy: Removal of the uterus.

Mastectomy: Removal of one or both breasts

Tonsillectomy: Removal of the tonsils.

Biopsy: Removal of tissue for examination.

Carotid Endarterectomy: Removal of blockages from in the arteries.

Debridement: Surgical removal of skin that is damaged or infected.

Dilation and Curettage (D&C): Removal of tissue from within the uterus.

Skin Graft: The planting of healthy skin over areas of damaged skin

Spinal Fusion: Joining two or more vertebrae

Rhinoplasty: Surgery to reconstruct or reshape the nose

Prostatectomy: Removal of the prostate gland

Hernia Repair: The repair of a hernia

Total Knee Replacement: The replacement of the knee with artificial components

Hip Replacement: Replacement of hip with artificial components.

Heart Valve Replacement and Repair: The repair of valves in the heart.

Aortic Aneurysm Repair: Repair of enlarged aorta to prevent rupture.

Pacemaker Installation: The installation of a pacemaker to regulate heartbeat.

Craniotomy: Opening up the skull to treat the brain for tumors, aneurysms or repairing damage.

Spinal Decompression: The relieving of pressure on the spinal cord.

Deep Brain Stimulation (DBS): This is the treatment of the brain with electrical pulses.

Breast Augmentation and Reconstruction: The implantion of artificial breasts for cosmetic reasons or to replace them after trauma or removal.

Liposuction: The removal of excess fat in the body.

Ovarian Cystectomy: Removal of ovarian cysts.

Endometriosis Surgery: Removal of endometrial tissue outside the uterus.

Nephrectomy: Removal of kidney

Ureteroscopy: Removal of obstruction in urinary tract

Vasectomy: The clipping of the male reproductive tracts to prevent fertility.

Colectomy: Partial or total removal of the colon.

Gastrectomy: Partial or total removal of the stomach.

Esophagectomy: Partial or total removal of the esophagus

Septoplasty: The correction of a deviated or damage septum.

Cochlear Implantation: Surgery to grant the hard of hearing or deaf to hear without hearing aids due to an implanted device.

The Winchester Method

Let's be honest your character is likely not going to hospital for their needed surgery. That bullet is going to be removed elsewhere and that appendix is coming out on the run. We're writers, we sort of use medicine like a fucking jump rope. THIS IS FOR FICTIONAL PURPOSES ONLY. The basic needs of make your own surgerical tools:

Sterilisation: You need something to sterilise your "tools". You can use alcoholic spirits or boiling water or open fire.

Needle and thread: You have to close yourself up, both need to be sterilised. See my post on stitches.

Cauterization: You need may need something to cauterise the wounds or stop bleeding. Something hot, sterile and metal like the flat of a knife can work short term.

Scalpel: You will need a sharp knife, sterilised and appropriately sized like a small paring knife or the blade of a Swiss army knife.

Bandages and towels: Something to soak up blood and cover. Torn up clothes or sheets can be used but most be sterilised.

Anesthesia/Pain Management: Something for the pain. Strong drink can be used to dull the pain but so can over the counter meds.

[longhardtransitionreturns]

Mpreg birth where bunny omega’s are the lowest class in society and have high fertility rates and so are forced to be surrogates and so their only purpose is to be bred and give birth.

***

The fucking had been brutal. He remembered how he had been bred by over 100 different Alpha’s in the course of 4 weeks. The intended parents had decided to stay for each and every time he was bred.

The breeding had been successful. And now 9 months later he’s in a similar position to when he was bred. Legs strapped wide in stirrups, naked except from the green hospital sheets covering his legs. The doctor geared up in surgical gear and scrubs ignoring him whimper as he gazes intensely between his legs, stretching his red burning hole wider. 2 nurses also geared up gripping his restrained legs on either side as three sets of eyes observe his hole as it stretches wider and wider.

The room is silent besides the beep of the heart monitor and his little whimpers.

“Please sir please let me push?” the question is asked meekly, as he squirm's trying to fight the burning sensation. The nurses both look to him and he gasps as one abandons holding his legs to pin his head to table before clamping an O2 mask to his face. Virtually stopping him from making any noise at all.

Or any protest.

He feels the doctor place his large gloved palm over his crowning hole before gently slapping his cock which had been taped back, causing him to flinch.

“Don’t Push.”

The command is simple, his voice cruel and cold as it tended to be. The only thing he could do is obey him- too weak and naturally obedient to resist.

“Nurse, get me the scissors and forceps.”

He gasped as he heard those words, eyes feeling with tears as he felt the nurse holding his mask push it tighter to him, to avoid him making unnecessary noise.

The doctor had always liked the omega’s to be nice and quiet. Either being fucked or giving birth it didn't matter.

He gasped lightly as he felt the cool sharp edge of the scissors run down his hot burning hole, teasing it over his taught skin stretching with the weight of his baby’s head as it sat heavy just outside his passage.

And thenthe doctor cut.

He let out a strangled scream, obscured by his mask as he felt warm red liquid run between his legs and into his ass crack, the uncomfortable sensation barely surpassing the cut of his skin the scissor shad made.

He was ignored as the doctor immediately forced the forceps into him causing him to cry out and shudder. The nurse holding onto his leg looking interestingly between his spread legs. And the nurse holding his head and his mask looking interestingly at the scene.

He felt himself sobbing at the sensation of it all. He really just was a breeding slave. That was the purpose he served.

He barely registered the distant cries of the infant as it passed through his hole, only whimpering as his hole contracted and burned, now cold and left open as the doctors and nurses attended to the baby, scrubbing it down and wheeling it off to give to the intended parents.

The rest was silent as the doctor stitched him up- his actions callous with no affection or praise, both the nurses cleaning him up.

In the end he was still strapped wide in stirrups, completely naked, the green sheets removed from his legs as the doctor discared his gloves and made his way to wash his hands at the sink.

“Wheel him up to the breeding room again.”

The nurses obeyed as they pushed his gurney into the hallway. His broken hole on display for all to see as he was wheeled to the breeding room- listening to the sounds echo off from that room from the slap of skin to moans, whimpers and screams.

He had resigned himself to his fate.

Hope you enjoyed!!

Holy crap did I enjoy! 🤤 That was so unbelievably hot. What a gift! Thank you for writing and sharing!

[petitesmafia]

hc I just think little Chuuya used to like flipping through his father’s medical texts (pretending he understood them) and helping out at the clinic bc he liked watching his father work,,,

(years later, Doc notes how impressive it is that Chuuya’s able to pick up on medical terminology and information so quickly. as if he’s familiar. Chuuya just brushed it off; for the longest time, he couldn’t remember how he knew and just chalked it up to Doc’s influence.)

(like once, after Doc bandaged him up, he asked Chuuya to pass him a surgical tool without clarifying and Chuuya handed it over without hesitation.

“Can you pass me the Adson forceps? they’re the ones by the—,” Doc said, voice trailing off when he saw Chuuya handing him the correct pair.

“Are these not it?”

“No, they are…how did you know that?”

Chuuya blinked. “I don’t know,” he shrugged. “I must’ve heard you call them that before.”

“Hm,” Doc replied. “How interesting.”)

(a year after that, as Chuuya stands surveilling a quiet wooden building and its inhabitants— a physician and his wife— Chuuya wonders if that was the answer he was missing.)

[surgicazal]

The Future of 3D Printing Technology in Healthcare Industry

[witchdisk]

Skin Removal Sep 17 Postmortem

A few days ago I performed another skin removal procedure. (See #skin removal for more) Here's a writeup of some of the things we learned this time.

The #10 scalpel blade is useful for long+thin removals because the blade is longer. This lets us do the sort of "long, loving cuts" while pulling up the skin, under tension, using the full length of the blade. This is faster than the #15, but you still want that one for precision at the beginning and end.

For this design, there were certain cuts which we wanted to be along the same line, like the edges of the eyelashes:

When doing the procedure, I did each of the eyelashes separately, so I did these cuts at different times. I should have used the sterile ruler that comes packaged with the surgical skin pens and made these cuts all at the same time. This would have helped make sure they're in line.

This time I used sterile dermal curettes to even out the depth after removing the skin. This was a great idea and it made this step so much easier. I used the 4mm curette for this procedure, and I only needed one. I will be recommending this going forward. Here's the tool and me using it:

Have multiple sets of splinter forceps!! (Or whatever your main forceps are.) I had backup adson and hemostatic forceps, but I was acutely aware the procedure would get a lot harder if I dropped my tools. This isn't relevant if you have a flash sterilizer, but those are kind of expensive.

Ask your subject what kind of communication they want from you! This time, xe said "if you had told me [we're halfway done] I don't think I would have been able to finish." Good thing I didn't do that!

EMLA cream (lidocaine 2.5%/prilocaine 2.5%) is quite useful to help those with a lower pain tolerance. It pretty much eliminated the pain from the cutting, but not all the sensations (e.g. skin being pulled up, felt sense of something wrong ("felt like something i could not perceive but my body was reacting to"). I have some prescribed because I've been scared of needles, and the numbing helps with getting blood drawn.

We already know this, but just to reiterate: it's important to get the correct depth on the guiding lines. The skin should separate, like this:

Using sterile bordered gauze + hydrogel for the wound dressing did not work this time. It dried on the wound, and removing the bandage to clean resulted in mechanical debridement. This hurt a lot and irritated the wound in ways that we hadn't planned for. Using tegaderm initially, like we did two times ago, was also not ideal because it resulted in a big gross bubble of exudate. Something in-between these is required, but I'm not sure what. It should stay moist, but still be relatively absorbent. Tegaderm+pad, for the occlusiveness? Recs here appreciated. Pigeon reported it used a bunch of saline to soak the area to help with this, but there were still some issues.

The lines ended up thicker than in the design. We think this is mainly because skin tension pulled the cuts open. This may be mitigated by wound contraction during healing; we will measure how it ends up vs the desired width to determine that. See this video of me removing a full section to see what I mean.

The loupe glasses!! As seen below. These were some cheap ones I got off amazon, but were actually super helpful. They didn't really improve my posture, and my back still hurts >.< However, they did help me see details a lot better. If I keep doing this I will consider getting a better pair. They gave me a headache after about 30 minutes while practicing, but were totally fine during the procedure. Unsure why!

I need to work on my aseptic technique. I was not adequately monitoring for reaching over the sterile field. My gloves should have covered my sleeves, but there was bare skin exposed. My gown was not sterile (haven't found sterile ones for a reasonable price) and it probably touched the drape a few times. The sterilization pouches I used were difficult to use for the bowls I had - difficult to get them out easily, difficult to load in the pressure cooker. I should really look into getting a secondhand rigid sterilization container. Last I remember, the difficulty was finding filters for these. Maybe I wasn't looking in the right place, or maybe I could make my own (tyvek? like the mushroom growers use...).

My informed consent notes mention the risk of keloid scarring, with a note this is 15x more likely on darker skin. I don't have a source cited for this, and so I don't know how this applies to black vs brown skin. This would have been useful to know!

Needed to print/laminate the handwash/handrub posters.

Re-affirmed a lot of things we already learned. Full-depth removal is the way to go. Ensure guiding lines are deep enough. #11 blade for short/straight lines, #15 for removal, and having separate scalpel handles for each is good.

Dumb one, but having a bunch of tiny individually wrapped gauze pads is annoying as hell. I picked up some bigger ones, we will see if those are what is needed or if I need to find packs of multiple smaller ones.

I'm gonna give it one more go, but I don't actually think pig skin is ideal to practice on, mostly due to the lack of blood/lack of elasticity. Much more difficult to determine the appropriate layer to separate skin at, compared to live human skin. Would appreciate other recommendations here for practice materials...

Okay, I think that's about all the thoughts I want to write out now! I will meld these notes with my existing ones soon, and get those published. As always pls hmu if you want to talk about this, especially if you have experience.

[azeemed]

Understanding Different Types of Surgical Forceps

Surgical forceps are indispensable tools in the medical field, used for grasping, holding, and manipulating tissues or objects during surgical procedures. These instruments come in various designs, each tailored for specific surgical needs. Understanding the different types of surgical forceps is crucial for medical professionals to ensure precision and efficiency in their procedures.

Tissue Forceps

Tissue forceps are designed to hold and manipulate tissues without causing excessive trauma. They often feature fine serrations or teeth to provide a secure grip. Examples include Adson Tissue Forceps, which are commonly used in plastic surgery, and DeBakey Forceps, preferred for delicate vascular procedures.

Dressing Forceps

Dressing forceps are primarily used for handling dressings, packing wounds, or removing foreign objects. Unlike tissue forceps, they typically have smooth or serrated jaws without teeth to minimize tissue damage. Adson Dressing Forceps and Standard Dressing Forceps are commonly found in surgical settings.

Hemostatic Forceps

Hemostatic forceps, also known as hemostats, are vital for controlling bleeding during surgery. These forceps have a locking mechanism that allows surgeons to clamp blood vessels securely. Some of the most widely used hemostatic forceps include Kelly Forceps, Mosquito Forceps, and Crile Forceps, each varying in size and application.

Thumb Forceps

Thumb forceps, often referred to as "pick-ups," are non-locking forceps used for quick and precise tissue manipulation. These forceps rely on manual pressure for control, making them ideal for delicate procedures. Common types include Brown-Adson Forceps and Iris Forceps, both frequently used in ophthalmic and microsurgical procedures.

Splinter Forceps

Splinter forceps are specially designed for extracting small foreign objects, such as splinters or debris, from the skin or wounds. They feature fine, pointed tips for precision. Variants such as Cushing Splinter Forceps and Standard Splinter Forceps are often used in emergency rooms and minor surgical procedures.

Allis and Babcock Forceps

Allis and Babcock forceps are primarily used for grasping and holding tissues. Allis Forceps have interlocking teeth that provide a firm grip, making them ideal for handling dense tissues. In contrast, Babcock Forceps have a rounded, atraumatic design, making them suitable for grasping delicate structures like intestines and fallopian tubes.

Kocher Forceps

Kocher Forceps, also known as Ochsner Forceps, are designed for grasping tough tissues or clamping blood vessels. They feature strong, serrated jaws with a ratcheted locking mechanism, providing a secure grip on tissues that require firm handling, such as fascia or tendons.

Micro Forceps

Micro forceps are specialized instruments used in microsurgery, such as neurosurgery and ophthalmology. These forceps are designed for precise manipulation of delicate tissues under a microscope. Examples include Castroviejo Forceps and jeweler’s forceps, known for their fine tips and exceptional control.

Conclusion

Surgical forceps play a crucial role in ensuring precision and efficiency in various medical procedures. Each type of forceps is uniquely designed to cater to specific surgical needs, from grasping delicate tissues to clamping blood vessels. Understanding their differences helps medical professionals choose the right instrument for each procedure, ultimately enhancing patient outcomes.