Laparoscopy Surgery Instruments

Laparoscopy Surgical Instruments listed in the following topics, Laparoscopy surgery mainly operated in the abdomen for diagnostic and surgical correction/repair. Laparoscopy surgery instrument names like trocar and other instrument

The Laparoscopy surgery

Minimally Invasive Surgery based on reducing the mortality and blood loss to the patient. For young patient don’t prefer open surgery due to scar

The MIS prefer the Less infection rate and tissue damage

Laparoscopy surgery Instruments

The Two type of grasping forceps traumatic or atraumatic forceps. 1 usually uses the 5-mm atraumatic grasping forceps and a Babcock clamp.

For secure grasping, 5-mm grasping forceps with 2 X 2 teeth can be used. A 10-mm claw forceps is useful for specimen removal (ovarian cyst, ovary, myoma, etc.) via a 12-mm secondary trocar. Due to its powerful and sharp jaws, this force. must only be applied to the tissue to be removed.

SCISSORS combination of cutting and coagulating can be obtained by incorporating electrical energylaparoscopy surgery

Cold instruments including scissors remain into the scissors. An example is the unipolar the best tools for dissection in reproductive Metzenbaum scissors. Because scissors tend surgery.

A wide variety of scissors are avail to become dull, frequent sharpening is nestable. The most commonly used scissors are scary. Other types of scissors including hook shown in.

It’s important to have scissors and micro dissecting scissors

Scissors that cut and do not tear the tissue.

Suture and ligature

Needle holder and suture holding forceps for skin and for a curved needle with J type should be available. The uses of knot Pusher allows extracorporeal tying and facilitates the procedure. I find that the use of a non-disposable knot Pusher with fenestration at the end markedly expedites the process of knot tying.

After suturing, the needle extracted outside the abdominal cavity and inserted into the fenestration. The surgeon makes a knot and the knot, then pushed into the abdominal cavity. Other types of knot pusher that do not have a fenestration require the surgeon to place the suture in the groove of the knot pusher.

This takes time, especially in a darkened operating theatre.

The availability of a pretied ligatureEndoloops can permit as of structures including appendix, tube or ovary.

Miscellaneous 

Administration of a dilute solution of vasopressin decreases bleeding from the site of tubal anastomosis, ectopic pregnancy or myomectomy. In this scenario, special forceps used to inject the injection.

A spinal needle used, but not rigid and bends easily. A nondisposable injection needle (shaft diameter of 5 mm) insert via a secondary trocar. Stabilizing a myoma during dissection and enucleation can be accomplished using a 5mm corkscrew.

Occasionally, a morcellator is needed to break large specimens such as myoma into small pieces and to remove them. A Clip and staple applicator may be needed, although they are not essential.

LASER

LASER, electrocautery or regular scissors are merely surgical modalities. The clinical results depend more on the surgeon’s experience and preference and proper patient selection than the type of surgical modality used.

The use of a laser via a built-in channel of the laparoscope liberates one of the secondary trocars which can be replaced by another ancillary instrument.

DISPOSABLE INSTRUMENTS

There are many disposable instruments available. For economical reasons, I use mainly non-disposable instruments; disposable instruments are utilized when necessary. However, it is recommended to have some disposable instruments in the operating theatre as a back-up.

TROCARS AND REDUCER

Two trocars of 10 mm diameter and two or three trocars of 5 mm should be available. The secondary trocars are usually 5 mm, but one of them should be 12 mm if removal of a specimen is anticipated.

Here, a reduction sleeve (reducer) with 5 mm diameter is necessary.

An ultrashort reduction sleeve (37.5 mm length) is also available. The length of the trocar is usually 105 mm. Depending upon the abdominal thickness, shorter trocarstrocar

Reduction sleeve and short trocars with spiral threads. (50 mm) that allow freer access to the pelvic structures can be used. Some trocars have spiral threads on the outside.

The threads prevent slippage of the trocar during removal of ancillary instruments namely forceps or scissors. It is desirable to have secondary trocars without valves. The valves interfere with insertion and removal of ancillary instruments, specimen or suture materials.

Non-disposable trocars are more economical, but their sharpness should be maintained; otherwise, disposable trocars should be used. Blunt trocar used for open laparoscopy

Laparoscopy surgery Basic Instruments names

This is a list of the basic laparoscopy instrument names. Back-up instruments are desirable.

  1. A 10-min straightforward laparoscope 0°. 2. Trocars

(a) 10-mm primary trocar, (b) 12-mm secondary trocar,

(c) 5-mm secondary trocars (at least three).

Reduction sleeve and short trocars with spiral threads.

Telescope with a different view of the degree

Microforceps

Suction irrigator

Unipolar needle electrode

laparoscopy instrument names
Laparoscopy Grasper

Atraumatic grasping forceps

Toothed grasping forceps

Claw forceps

Hook scissor

Metzenbaum scissors

Microdissecting scissors

Suture manipulator or knot Pusher

Needle holder

10 mm trocar

12 mm trocar

5 mm trocar

0-degree telescope

5 mm reduction sleeve

Suction irrigation system

grasping forceps- Bipolar

Unipolar instruments

Unipolar scissor

1mm needle electrode

Forceps

SEMM atraumatic grasping forceps

5mm grasping forceps with 2*2 teeth

10mm claw forceps

Hook scissors

Microdissecting scissors

Suture and ligature

Needle holder

Suture manipulator or knot Pusher

Needle holder for a curved needle

5mm injection needle

Myoma corkscrew

Morcellator

Pretied ligature.

Laparoscopy instruments

Allis tissue holding forceps used to hold the harder tissue

Also used to hold the specimen during dissection

Hook scissor cutting the thick tissue for dissection

Metzenbaum scissor used for dissection and cutting the structure

Bowl grasper

Atraumatic instruments used in retracting and manipulation of bowl

Monopolar hook

Used during dissection with cut and coagulation setting

Bipolar forceps

Used for controlling bleeder with coagulation of vessels while dissection

Biopsy forceps

Used to remove the specimen from the abdomen without slipping

Maryland forceps

Blunt dissection and retraction of tissue

Suction cannula

Controlled suction for aspiration of the fluids from a cyst

Aspiration needle

Aspiration of fluid from the cysts by making the puncture

Alligator grasper used for grasping tissue and dissection

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