Almost every doctor who performs medical or diagnostic procedures requires certain tools. Over the years, metal devices have more than recommended themselves, but recently plastic ones have been introduced that provide strict sterility. However, this choice still depends on the conditions of use. So, for example, Volkmanās disposable and reusable spoon is used on an equal footing, which will be discussed in this article.
Description
This tool is a simple design, consisting of a handle located in the center of the handle and spoon-shaped branches of different diameters (2 and 4 mm) extending from both sides of it. The first part is more thickened, in contrast to the ends, and more often has a rough surface. This is primarily necessary to prevent it from slipping out of the hands of the doctor, since before the examination he must wear sterile latex gloves. The metal analogue is used repeatedly, and therefore it is constantly necessary to maintain its sterility. So, a Volkman reusable spoon is processed, for which immediately after use it is soaked in a disinfectant chlorine-containing solution, and then it is washed again with a brush and put into an autoclave. Plastic ones are subject to recycling and subsequent destruction, and therefore they are made from cheap materials. However, since gynecological instruments are in contact with the delicate, easily traumatized mucous membrane of the genital tract, it is created from white polystyrene, atraumatic and pyrogen-free.
Application in gynecology
Perhaps the greatest number of instruments is required for doctors of gynecological and surgical specializations, as well as otorhinolaryngologists. However, in the first area of āāmedical practice, there are differences regarding work in a hospital or clinic. So, the activity of the gynecological office of the outpatient clinic is mainly aimed at early diagnosis of diseases and preventive examinations, and therefore it often uses disposable tools. First of all, the most necessary of them is Volkman's spoon, which is used to take many analyzes. So, with its help, samples of the secrets of the mucous membrane of the urethra, vagina and cervix are taken, which allows revealing venereological, urological, oncological and non-specific inflammatory diseases of the genital tract. Their diagnosis is carried out both according to the indications and complaints of the patient, and prophylactically.
Some gynecological tests
One of the most important tests is a smear test for oncocytology, for which, in particular, Volkmanās gynecological spoon is used. In the process of this test, it captures the epithelium of the cervical canal, and then it is applied to the prepared slide for histological examination. So cervical cancer and its precancerous conditions are revealed - erythroplakia, leukoplakia and polyps. Another analysis for which Volkman's spoon is used is a smear for purity. In the process of this study, an assessment of the vaginal microbiocenosis is carried out, which greatly helps in identifying inflammatory diseases of the genital tract and determining a specific pathogen or their group. For this, three strokes are taken with soft sliding movements: from the external opening of the urethra, the vaginal mucosa and the cervix. Then they are applied to three slides, marked with the letters "U", "V" and "C", respectively.
Use in surgery
Volkman's spoon is a tool that has another scope. In particular, it is used by surgeons to clean bones from the remains of pathological soft tissues. In this area, it has the name āsharp bilateral bone spoonā (Brunsās spoon is one-sided). In contrast to diagnostic purposes, in medical manipulations several other tools are used that have a sharp cutting edge of the working part, this is necessary for thorough scraping of tissues. So, for example, in surgery, spoons are used in the treatment of osteomyelitis or in bone injuries, and in gynecology - in operations to remove polyps, endometrium during abortion and placental residues in case of its increment.