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Laparoscopic Instruments & Tower

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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Laparoscopic Instruments & Tower

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  1. Department of Surgical Research and Techniques 5thPractice Laparoscopic Instruments & Tower

  2. Department of Surgical Research and Techniques 5thPractice Requirements: 1. Laparoscopic Tower – Parts and Functions 2. Usage of theLaparoscopic Instruments 3. PracticeonthePelvitrainer

  3. 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

  4. Pneumoperitoneum Department of Surgical Research and Techniques 5thPractical Lifting the abdominal wall byinsufflationwith carbondioxidegas

  5. Veres needle Connection of insufflatortube Department of Surgical Research and Techniques 5thPractice Sharp outercannula Inletforgas Spring-loadedinnerstyletwith a blunttip Properhandlingposition

  6. 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

  7. Trocars Innercannula/ Sharp Outerdiameter5 mm -10 mm Department of Surgical Research and Techniques 5thPractice Valve Switch Outercannula is blunt/ Port

  8. Department of Surgical Research and Techniques 5thPractice

  9. Safety Trocars Corkscrewtrocar Sharp and bluntshafts Department of Surgical Research and Techniques 5thPractice Spring-loadedplasticshield

  10. Trocar Insertion The firsttrocar is insertedblindly, usage of safetytrocars is mandatory! Department of Surgical Research and Techniques 5thPractice

  11. Light Source Degree of brightness Powerswitch Brightnessadjustment Fibre-opticcable Department of Surgical Research and Techniques 5thPractice Check the light cable before use!

  12. 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

  13. 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

  14. Camera Controller Camera plugin Powerswitch Camera Department of Surgical Research and Techniques 5thPractice

  15. Camera Head Telescope (bajonet) joint Programing /White balance Focus ring Zoom ring Cabeltothecontroller Department of Surgical Research and Techniques 5thPractice

  16. Optical System Video Cable Video Recorder LightSource Monitor Camera Controller Telescope Surgical Team Camera Department of Surgical Research and Techniques 5thPractice

  17. Diathermy Controller Department of Surgical Research and Techniques 5thPractice Indifferentelectrode pad Powerswitch Bipolardiathermyforceps Mono- & Bipolardiathermy Double pedal footswitch

  18. Diathermy Department of Surgical Research and Techniques 5thPractice Monopolar Forcepshead Bipolar Hook + - Insulation +

  19. Diathermy Department of Surgical Research and Techniques 5thPractice Monopolar Forcepshead Bipolar Insulated & Non-insulatedhandles ! Hook + - Insulation +

  20. Suction-Irrigation System Irrigation (Hgmm) Sterilesaline Suction (Hgmm) Collectedbottleforaspiratedmaterials Handpiece/ Shaft Department of Surgical Research and Techniques 5thPractice

  21. Suction-Irrigation System Department of Surgical Research and Techniques 5thPractice Tubing Three-channeltube Multipleperforation

  22. Instruments I. Department of Surgical Research and Techniques 5thPractice Dissectors & Graspingforceps Pistol-griphandle Parts: handle outer tube working insert Allis Biopsyforceps Ratchet Bowel Babcock

  23. Instruments II. Metzenbaumscissors, Hookscissors, Biopsyforceps Department of Surgical Research and Techniques 5thPractice

  24. Unifying Instruments Clipapplier Department of Surgical Research and Techniques 5thPractice Staplers

  25. Suturing Instruments Szabó-Berci needleholders Coaxialhandle Parrot-Jawneedleholder Flamingo-Jawassistantneedleholder Department of Surgical Research and Techniques 5thPractice

  26. Department of Surgical Research and Techniques 5thPractice Somepictures of thislecturearepresentedby courtesy of Zoltán Szabó Ph.D.

  27. 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

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