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The History of Endoscopy

Rose Amankwaah ACAD. 2. Introduction. When was it first used?The first description dates to Hippocates in Greece (460?375 BC)1800'sEarly 1900'sLate 1900. Rose Amankwaah ACAD. 3. The History of Endoscopy. When was the 1st endocopic procedure?? 936 ADWhen was the 1st Lap Chole performed?? 19

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The History of Endoscopy

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    1. Rose Amankwaah ACAD 1 The History of Endoscopy When did people start to have a look into human bodies?

    2. Rose Amankwaah ACAD 2 Introduction When was it first used? The first description dates to Hippocates in Greece (460–375 BC) 1800’s Early 1900’s Late 1900

    3. Rose Amankwaah ACAD 3 The History of Endoscopy When was the 1st endocopic procedure? ? 936 AD When was the 1st Lap Chole performed? ? 1985 When was the 1st lap Chole performed in CMH? ? 1990

    4. Rose Amankwaah ACAD 4 History of Laparoscopy In Pompeii`s ruins they found a three bladed speculum

    5. Rose Amankwaah ACAD 5 History of Laparoscopy 1806 Philip Bozzini developed an instrument called ‘Lichtleiter‘

    6. Rose Amankwaah ACAD 6 History of Laparoscopy 1853 Antoine Jean Desormeaux used Bozzinis “Lichtleiter“ 1867 Desormeaux used an open tube to examine the genitourinary tract

    7. Rose Amankwaah ACAD 7 History of Laparoscopy Maximilian Nitze ( 1848 – 1906) modified Edison`s light bulb and created the first electrical light bulb for using it for urological procedures

    8. Rose Amankwaah ACAD 8 The Founders of Endoscopic Surgery 936 Abdulkasim Reflected light to inspect the cervix 1800’s Inspection of Bladder, Rectum 1868 Kussmaul performed the 1st Osophagogastrostomy 1881 Johann Mikulics Performed 1st useful oesophagoscopy

    9. Rose Amankwaah ACAD 9 History of Laparoscopy 1901 George Kelling did the 1st experimental Laparoscopy. He insulfflated air into the abdomen of a dog and used pneumoperitoneum and a cyctoscope on dog.

    10. Rose Amankwaah ACAD 10 History of Laparoscopy 1910 Hans Christian Jacobaeus suggested the Laparothoracoscpoy (1st clinical laparoscopy &heat)

    11. Rose Amankwaah ACAD 11 History of Laparoscopy 1918 Goetze developed an automatic pneumoperitoneum needle

    12. Rose Amankwaah ACAD 12 Early Pioneers in Endoscopy

    13. Rose Amankwaah ACAD 13 History of Laparoscopy 1920 Zollikofer dicovered the benefit of CO2 gas for insufflation 1929 Heinz Kalk developed a 135 degree lens system He developed the dual trocar reproach

    14. Rose Amankwaah ACAD 14 History of Laparoscopy 1938 Janos Veress developed a spring loaded needle for the induction of pneumothorax after the Wold war II the development of fiberoptics represent an important invention in endoscopy

    15. Rose Amankwaah ACAD 15 The Semm Connection 1960’s Gynaecologists take up Endoscopy Kirt Semm initiates modern endoscopy Develops the automatic insufflator Introduces thermo coagulation Invents an irrigation device for lap conditions & electronic insufflator 1966Kurt Semm performed an endoscopic appendectomy

    16. Rose Amankwaah ACAD 16 The Inventor of Modern Endoscopy

    17. Rose Amankwaah ACAD 17 Developing History 1966 Hopkins rod lens scope & cold light 1970’s Surgical community ignoring endoscopic surgery 1980 Semm:performs Appendectomy John Wickham: coins “Minimally Invasive Surgery” Erich Muhe: Performs 1st Lap Chole 1986 Chip TV Camera

    18. Rose Amankwaah ACAD 18 Electronic Endoscopy 1953 Palmer proximal light source 1963 Cold light 1966 Hodgkin’s optical system Utilising rod lens 1984 Electronic images Surgeons can now stand upright Magnified images, Use both hands.

    19. Rose Amankwaah ACAD 19 Electronic Endoscopy

    20. Rose Amankwaah ACAD 20 The French Connection

    21. Rose Amankwaah ACAD 21 Hasson proposes a blunt mini – laparotomy which permits direct visualisation of trocar-entrance into the peritoneal cavity 1980 Patrick Steptoe performed laparoscopic procedures in the OR under sterile conditions 1986 and1987 Mühe in Germany and Mouet in Lyon published the first laparoscopic cholecystectomy using video - technique

    22. Rose Amankwaah ACAD 22 Endoscopy Takes Off 1988 1st Lap Chole in the USA Surgiport 1st available 1989 US TV picks up on “Key Hole”surgery EndoClip™ released 1990 Cuscheri ( Aberdeen)warns on the explosion of endoscopy 1991 Lap Chole is accepted and routine procedure.

    23. Rose Amankwaah ACAD 23 Benefits of Endoscopic Surgery Smaller incision Improved cosmetics Reduced Possibility of infection Reduced post op pain Reduced blood loss Return home quicker Return to work quicker!

    24. Rose Amankwaah ACAD 24 Benefits of Endoscopic Surgery Surgical/ Nursing Staff Improved patient care Procedures can be quicker Better View.

    25. Rose Amankwaah ACAD 25 Benefits of Endoscopic Surgery Hospital Higher bed turnover Patients go home quicker Reduced Cost(overall)

    26. Rose Amankwaah ACAD 26 History of Laparoscopy Present time :- We use video and endoscopic methods every day Future :-The development of Laparoscopy – methods will go on Every new technology depends upon how well the training is!!

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