Description
Anterior vaginal wall retractor
Anterior vaginal wall retractors (often Sims type) are stainless steel, hand-held or self-retaining gynecological tools designed to hold back the anterior vaginal wall, exposing the cervix and upper vagina during examinations or surgeries. They feature a central shaft with curved, often fenestrated loops or blades that securely grip tissues without causing excessive damage.
Key Aspects of Anterior Vaginal Wall Retractor Work
- Function and Usage: The primary role is to improve visibility of the cervix, vaginal walls, and for uterine manipulation. They are frequently used during procedures like D&C, hysterectomy, and pelvic repairs.
- Design Details:
- Structure: Often double-ended with varied loop sizes (e.g., 10-11 inches), offering versatility in different patients.
- Features: They are typically blunt to prevent trauma, with serrated (transverse lines) blades for a secure hold on soft tissue.
- Material: Made from high-quality stainless steel, ensuring durability, rust resistance, and suitability for autoclaving (sterilization).
- Application: During procedures in the lithotomy position, the tool is inserted to push the bladder and anterior vaginal wall upward or to the side.
- Types: While the handheld Sims anterior retractor is standard, other types exist, including self-expanding, trapezoidal frames for post-partum repair and specialized clamp-style retractors that apply constant tension.
These instruments are essential for optimizing exposure in a constrained surgical field.
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