Craniotomy Major Set

1. Cutting and Dissecting Instruments

• Scalpels and Blades: For making precise incisions through the scalp and soft tissues.

• Periosteal Elevator (e.g., Molt, Freer): Used to lift and separate the periosteum from the skull surface.

• Rongeurs (Kerrison, Leksell): For nibbling and enlarging bone openings.

• Bone Chisel and Mallet: Used to create initial bone cuts when power tools are unavailable.

• Bone File / Rasp: Smoothens rough bone edges after bone removal.

2. Bone-Cutting and Drilling Instruments

• Hudson Brace and Burr Set: A manual or powered drill used to create burr holes in the skull.

• Craniotome (Electric or Manual): For cutting between burr holes to lift the bone flap.

• Gigli Saw with Handles: A flexible wire saw used for controlled bone cutting.

• Penfield Dissector Set: Used for delicate dissection around dura and bone edges.

3. Retracting and Exposing Instruments

• Scalp Retractors (Adson, Weitlaner): Hold back the scalp and soft tissues.

• Dura Hook and Retractor: Used to lift and protect the dura mater during bone work.

• Brain Spatulas / Retractors (Leyla, Greenberg): For gently retracting brain tissue without causing injury.

4. Hemostatic Instruments

• Hemostatic Forceps (Mosquito, Kelly, Crile): To control bleeding from scalp and bone edges.

• Raney Clips and Applier: Used along the scalp incision to prevent bleeding from skin edges.

• Bone Wax: Applied to exposed bone surfaces to control oozing from diploic veins.

5. Holding and Grasping Instruments

• Towel Clamps (Backhaus): Secure drapes and skin edges.

• Tissue Forceps (Adson, DeBakey): Handle delicate tissues.

• Needle Holders (Mayo-Hegar, Castroviejo): For suturing scalp and dura.

6. Dural and Brain Instruments

• Dural Scissors: For opening the dura mater safely.

• Dural Hook: Helps lift and manipulate the dura during incision.

• Aneurysm Clips and Applicator (Optional): Used in vascular neurosurgery to control bleeding from cerebral vessels.

7. Miscellaneous Instruments

• Suction Tubes (Frazier, Yankauer): For clearing blood and fluids from the operative site.

• Bipolar Forceps: Used with an electrosurgical unit for coagulation with minimal thermal spread.

• Irrigation Cannula and Syringe: For cleaning and cooling the surgical area.

• Stainless Steel Basin / Sterilizing Box: For organizing and sterilizing instruments.