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A trephine (; from Greek τρύπανον, ''trypanon'' 'instrument for boring'). is a
surgical instrument A surgical instrument is a medical device for performing specific actions or carrying out desired effects during a surgery or operation, such as modifying biological tissue, or to provide access for viewing it. Over time, many different kinds of ...
with a cylindrical blade. It can be of one of several dimensions and designs depending on what it is meant to be used for. They may be specially designed for obtaining a cylindrically shaped core of
bone A bone is a rigid organ that constitutes part of the skeleton in most vertebrate animals. Bones protect the various other organs of the body, produce red and white blood cells, store minerals, provide structure and support for the body, ...
that can be used for tests and bone studies, cutting holes in bones (e.g., the
skull The skull, or cranium, is typically a bony enclosure around the brain of a vertebrate. In some fish, and amphibians, the skull is of cartilage. The skull is at the head end of the vertebrate. In the human, the skull comprises two prominent ...
) or for cutting out a round piece of the
cornea The cornea is the transparency (optics), transparent front part of the eyeball which covers the Iris (anatomy), iris, pupil, and Anterior chamber of eyeball, anterior chamber. Along with the anterior chamber and Lens (anatomy), lens, the cornea ...
for
eye surgery Eye surgery, also known as ophthalmic surgery or ocular surgery, is surgery performed on the eye or its adnexa. Eye surgery is part of ophthalmology and is performed by an ophthalmologist or eye surgeon. The eye is a fragile organ, and require ...
. A cylindrically shaped core of bone (or bone
biopsy A biopsy is a medical test commonly performed by a surgeon, interventional radiologist, an interventional radiologist, or an interventional cardiology, interventional cardiologist. The process involves the extraction of sampling (medicine), sample ...
) obtained with a bone marrow trephine is usually examined in the
histopathology Histopathology (compound of three Greek words: 'tissue', 'suffering', and '' -logia'' 'study of') is the microscopic examination of tissue in order to study the manifestations of disease. Specifically, in clinical medicine, histopatholog ...
department of a hospital under a
microscope A microscope () is a laboratory equipment, laboratory instrument used to examine objects that are too small to be seen by the naked eye. Microscopy is the science of investigating small objects and structures using a microscope. Microscopic ...
. It shows the pattern and cellularity of the
bone marrow Bone marrow is a semi-solid biological tissue, tissue found within the Spongy bone, spongy (also known as cancellous) portions of bones. In birds and mammals, bone marrow is the primary site of new blood cell production (or haematopoiesis). It i ...
as it lay in the bone and is a useful diagnostic tool in certain circumstances such as bone marrow cancer and leukemia.


See also

* Trepan *
Trepanning Trepanning, also known as trepanation, trephination, trephining or making a burr hole (the verb ''trepan'' derives from Old French from -4; we might wonder whether there's a point at which it's appropriate to talk of the beginnings of French, ...
*
Trepanation in Mesoamerica Trepanation in Mesoamerica has been practised by a number of pre-Columbian cultures in the Mesoamerican region, dating from at least the mid-Preclassic era (ca. 1500 BCE), and continuing up to the late Postclassic, or ca. 1200 CE. Trepanation i ...
*
Instruments used in general surgery There are many different Surgery, surgical specialties, some of which require specific kinds of Surgical instrument, surgical instruments to perform. General surgery is a specialty focused on the abdomen; the Thyroid, thyroid gland; Disease, dis ...


References


External links

* Surgical instruments Hole making {{medical-equipment-stub