Yantra evam Shastra - Instruments

Syllabus – subtopics

1. •Instruments commonly used in Prasutitantra (Obstetrics) and Stree Roga (Gynaecology) procedures and surgeries -
2. aTypes of Yantra (Blunt instruments) and utilization-
3. iSandansha Yantra (Pincer like or dissecting forceps) – * Annigraha – plain non toothed forceps * Sannigraha – Toothed forceps
4. iiSwastika Yantra (Cruciform like Forceps) - Allies forceps, Vulsellum, Sponge holding forceps, Cheatle’s forceps, Kocher’s forceps, Babcock’s forceps, Needle holder, Artery forceps, Ovum forceps, Green armytage forceps, Cervical punch biopsy forceps
5. iiiShalaka Yantra (Rod like instruments) - Uterine sound, Hegar’s dilator, Uterine curette, Endometrial biopsy curette, Agnikarma Shalaka, Anterior vaginal wall retractor
6. ivDvi Tala Yantra (Scoops or spoon-shaped instruments) - Sim’s speculum, Endometrial curette, Cusco’s speculum, Doyen’s retractor, Obstetric forceps
7. vNadi Yantra (Tubular instruments) - Yonivranekshana yantra, Leech Wilkinson’s HSG cannula, Rubin’s cannula, Suction cannula, Uttarabasti cannula, Vaginal douching syringe, Basti yantra
8. bType of Shastra (Sharp instruments) and utilization -
9. iKartari Shastra (Scissors) - Atimukha Shastra (Episiotomy Scissors), Mandalagra Shashtra (Umbilical cord cutting Scissors), Shararimukha Shastra (Mayos scissors / Simple scissors, suture removing scissors)
10. iiVriddhipatra Shastra – Scalpel
11. iiiSuchi Shastra – different type of needles

Learning objectives

At the end of this topic the student should be able to… (NCISM Table 3)

• Elaborate instruments commonly used in procedures and surgeries in Stree Roga (Gynaecology) and Prasuti tantra (Obstetrics). Describe the type of Yantra (Blunt instruments) and its utilization. 1. Sandansha Yantra- (Pincer-like
• Identify & Discuss the uses of instruments with method of sterilization.
• Describe instrument sterilization methods
• Demonstrate the techniques of holding and using instruments .Enlist uses in Prasuti & Stree Roga -Sandansham and Swastika yantra
• Demonstrate techniques of holding and using instruments .Enlist
• Practice techniques of holding and using Sharp instruments. Enlist uses in Prasuti and Stree roga