Chadwick Fistula Scissors – Gynecological Scissors for Fistula Repair and Deep Pelvic Dissection

The Chadwick Fistula Scissors are a specialized gynecological instrument designed for the surgical management of vesicovaginal, rectovaginal, and urethrovaginal fistulae. Named after the American gynecologist James Read Chadwick (1844–1905), who was known for his contributions to gynecological diagnosis (Chadwick’s sign), these scissors feature curved, blunt-tipped blades on elongated shanks measuring approximately 22–24 cm overall. The long shank-to-blade ratio provides deep pelvic access through the vaginal canal while the blunt tips allow safe dissection around the bladder wall and rectal mucosa without perforation.

The blade curvature follows the concavity of the pelvic floor, enabling the surgeon to dissect the vaginal wall flaps from the bladder or rectal wall along the correct tissue planes. The blunt/blunt tip configuration is critical in fistula surgery, where the tissue surrounding the fistula tract is often inflamed, fibrotic, and thinned, making sharp-tipped instruments dangerous. Chadwick scissors are equally valuable in vaginal hysterectomy, colporrhaphy, and sacrospinous ligament fixation where deep pelvic tissue dissection is required through a vaginal approach.

Key Features

• AISI 420 Martensitic German-grade Stainless Steel: Hardened cutting edges provide clean tissue transection through fibrotic fistula tract tissue and vaginal wall layers.
• Curved Blunt-Tipped Blades: Rounded tip geometry prevents inadvertent bladder or rectal wall perforation during fistula dissection in inflamed tissue planes.
• 22–24 cm Overall Length: Extended shanks provide deep pelvic access through the vaginal canal for transvaginal fistula repair.
• High Shank-to-Blade Ratio: Long handles relative to blade length maximize reach while maintaining precise cutting control in confined pelvic spaces.
• Smooth Box-Lock Joint: Precision-fitted joint mechanism ensures consistent blade apposition throughout the cutting stroke without lateral play.

Clinical Applications

• Vesicovaginal Fistula Repair: Dissection of vaginal wall from bladder serosa and excision of fistula tract margins during transvaginal Latzko or layered closure.
• Rectovaginal Fistula Surgery: Separation of vaginal posterior wall from rectal anterior wall for fistula excision and layered anatomical repair.
• Vaginal Hysterectomy: Division of uterosacral and cardinal ligaments, peritoneal entry, and uterine vessel ligation through the vaginal approach.
• Anterior/Posterior Colporrhaphy: Dissection of vaginal wall flaps from underlying fascia during pelvic organ prolapse repair.
• Sacrospinous Ligament Fixation: Deep pararectal space dissection to expose the sacrospinous ligament for vaginal vault suspension.

Why Choose Fizza Surgical?

Fizza Surgical manufactures the Chadwick Fistula Scissors under CE marking and ISO 13485:2016 quality management certification, with materials meeting ISO 7153-1 standards. Each instrument is tested for blade sharpness, joint smoothness, and tip alignment at our Sialkot, Pakistan facility.

We supply gynecological surgery departments, fistula repair centers, and medical device distributors worldwide as a trusted OEM and wholesale manufacturer. Fizza Surgical provides custom branding, instrument set assembly, and competitive wholesale pricing for large-volume orders.