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Department of Surgical Research and Techniques. 5 th Practice. Laparoscopic Instruments & Tower. Department of Surgical Research and Techniques. 5 th Practice. Requirements:. 1. Laparoscopic Tower – Parts and Functions 2. Usage of the Laparoscopic Instruments
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Department of Surgical Research and Techniques 5thPractice Laparoscopic Instruments & Tower
Department of Surgical Research and Techniques 5thPractice Requirements: 1. Laparoscopic Tower – Parts and Functions 2. Usage of theLaparoscopic Instruments 3. PracticeonthePelvitrainer
Laparoscopic Tower Monitor Camera control unit Lightsource Suction-irrigationsystem Insufflator Diathermy(mono- and bipolardiathermy) Video recorder Roller stand Department of Surgical Research and Techniques 5thPractice
Pneumoperitoneum Department of Surgical Research and Techniques 5thPractical Lifting the abdominal wall byinsufflationwith carbondioxidegas
Veres needle Connection of insufflatortube Department of Surgical Research and Techniques 5thPractice Sharp outercannula Inletforgas Spring-loadedinnerstyletwith a blunttip Properhandlingposition
Insufflator Amount of theusedgas (liter) Disposableinsufflatortubing Intraabdominal pressure (mmHg) Gas flow (liter/min) Antibacterial filter Department of Surgical Research and Techniques 5thPractice Amount of gasinthe gas-tank Powerswitch
Trocars Innercannula/ Sharp Outerdiameter5 mm -10 mm Department of Surgical Research and Techniques 5thPractice Valve Switch Outercannula is blunt/ Port
Department of Surgical Research and Techniques 5thPractice
Safety Trocars Corkscrewtrocar Sharp and bluntshafts Department of Surgical Research and Techniques 5thPractice Spring-loadedplasticshield
Trocar Insertion The firsttrocar is insertedblindly, usage of safetytrocars is mandatory! Department of Surgical Research and Techniques 5thPractice
Light Source Degree of brightness Powerswitch Brightnessadjustment Fibre-opticcable Department of Surgical Research and Techniques 5thPractice Check the light cable before use!
Telescopes Traditional & Hopkins Telescopeswithrodlens and fibers Length: 30 cm Diameter: 5 mm, 10 mm Degree: 0°, 30°, 45° Department of Surgical Research and Techniques 5thPractice optikailencsék quartz rúd-lencse
Telescopes Department of Surgical Research and Techniques 5thPractice Ocular (camera connection) Lightcableconnection Objectivelens (0° 30°45°) Camera The field of viewcan be changedbytherotation of thelightcable in 30 and 44 degreetelescopes
Camera Controller Camera plugin Powerswitch Camera Department of Surgical Research and Techniques 5thPractice
Camera Head Telescope (bajonet) joint Programing /White balance Focus ring Zoom ring Cabeltothecontroller Department of Surgical Research and Techniques 5thPractice
Optical System Video Cable Video Recorder LightSource Monitor Camera Controller Telescope Surgical Team Camera Department of Surgical Research and Techniques 5thPractice
Diathermy Controller Department of Surgical Research and Techniques 5thPractice Indifferentelectrode pad Powerswitch Bipolardiathermyforceps Mono- & Bipolardiathermy Double pedal footswitch
Diathermy Department of Surgical Research and Techniques 5thPractice Monopolar Forcepshead Bipolar Hook + - Insulation +
Diathermy Department of Surgical Research and Techniques 5thPractice Monopolar Forcepshead Bipolar Insulated & Non-insulatedhandles ! Hook + - Insulation +
Suction-Irrigation System Irrigation (Hgmm) Sterilesaline Suction (Hgmm) Collectedbottleforaspiratedmaterials Handpiece/ Shaft Department of Surgical Research and Techniques 5thPractice
Suction-Irrigation System Department of Surgical Research and Techniques 5thPractice Tubing Three-channeltube Multipleperforation
Instruments I. Department of Surgical Research and Techniques 5thPractice Dissectors & Graspingforceps Pistol-griphandle Parts: handle outer tube working insert Allis Biopsyforceps Ratchet Bowel Babcock
Instruments II. Metzenbaumscissors, Hookscissors, Biopsyforceps Department of Surgical Research and Techniques 5thPractice
Unifying Instruments Clipapplier Department of Surgical Research and Techniques 5thPractice Staplers
Suturing Instruments Szabó-Berci needleholders Coaxialhandle Parrot-Jawneedleholder Flamingo-Jawassistantneedleholder Department of Surgical Research and Techniques 5thPractice
Department of Surgical Research and Techniques 5thPractice Somepictures of thislecturearepresentedby courtesy of Zoltán Szabó Ph.D.
Department of Surgical Research and Techniques Department of Surgical Research and Techniques 5thPractice Difficulties of laparoscopic technique • Twodimensionalapproach and threedimensionalactivity • Eye-handcoordination • Feeling deepth • Coordinateuse of dominant and nondominanthand • Lack of tactilesensation • Magnifientsurgicalterritory – finermanipulation • Limittedmovement • Unusualinstruments