Instrument usage in laparoscopic gynecologic surgery

Purpose: To evaluate instrumental usage in laparoscopic gynecological surgeries and to develop key timesets of a laparoscopic operation, which allows categorization of the operation time into different sections.

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Methods: In this prospective clinical observational study, frequency of instrument usage, time for instrument switches, and instrument utilization time were recorded in a standardized manner for laparoscopic surgeries in 103 endoscopic surgeries.

Results: A standard equipment (including atraumatic grasping forceps, irrigation and suction device, bipolar clamp, and laparoscopic scissors) was used for nearly all interventions. Bipolar clamps and scissors were changed most frequently. The tool used for the longest amount of time was the atraumatic grasping forceps. Laparoscopic instruments were switched 51 times per surgery (range 2-250 times). One instrument switch lasted for a median of 0.13 min (0.08-1.2 min). Median time for instrument switch for a single surgery added up to 6.83 min. Instrument switches required 10.5% of the overall operation time.

Conclusion: We analyzed the current instrument usage in laparoscopic gynecological surgeries. The results of our standardized investigation suggest ways to reduce the time required for surgery and provide starting points for the standardization of the work routine.

Laparoscopic Instrument Demonstration - Trocars and other Hand Instruments

This video demonstrate of laparoscopic instrument design of Hand Instruments. Laparoscopic Instruments like Laparoscopy Veress Needle, Laparoscopic Hand Instruments also known as laparoscopic grasper, laparoscopic dissector, laparoscopic scissors, monopolar hand instruments, laparoscopic atraumatic grasper, Laparoscopic Forceps,




There are various instruments used in laparoscopic surgery. Here is a list of some of the most commonly used instruments along with their uses:

Trocars: Trocars are used to create small incisions in the abdomen for the insertion of laparoscopic instruments.

Laparoscope: A laparoscope is a long, thin, and flexible tube that is used to provide a visual image of the inside of the abdomen during surgery.

Graspers: Graspers are used to grasp and hold tissues or organs during surgery.

Scissors: Laparoscopic scissors are used to cut and dissect tissues.

Dissectors: Dissectors are used to separate and divide tissues during surgery.

Retractors: Retractors are used to hold the tissues away from the surgical area.

Clip appliers: Clip appliers are used to place clips on blood vessels or tissues to control bleeding.

Suturing devices: Suturing devices are used to close wounds and incisions.

Harmonic scalpel: A harmonic scalpel is an ultrasonic surgical instrument that uses high-frequency sound waves to cut and coagulate tissues.

Electrocautery: Electrocautery is a surgical tool that uses heat to cut or coagulate tissues.

Endoscopic staplers: Endoscopic staplers are used to close and staple tissues together.

Each instrument is designed for a specific purpose and can be used in different ways during laparoscopic surgery. It is essential for surgeons to have an in-depth understanding of the function and proper use of each instrument to ensure safe and effective surgery.

Needle holders: Needle holders are used to hold and manipulate needles for suturing during laparoscopic surgery.

Forceps: Laparoscopic forceps are used to grasp, hold, and manipulate tissues and organs during surgery.

Hook: A laparoscopic hook is a surgical instrument used to dissect and coagulate tissue, as well as control bleeding.

Veress needle: The Veress needle is used to create pneumoperitoneum, which is the process of inflating the abdomen with gas to create a working space for laparoscopic surgery.

Irrigation and suction devices: These devices are used to irrigate the surgical field with saline solution and remove excess fluid and debris from the surgical site.

Insufflators: Insufflators are used to regulate the pressure and flow of gas into the abdomen during laparoscopic surgery.

Specimen retrieval bags: These bags are used to remove tissue or organs from the abdomen after they have been removed during surgery.

Endoscopic ultrasound (EUS) probe: EUS probes are used in laparoscopic surgery to provide detailed images of the gastrointestinal tract and surrounding organs.

Each instrument has a unique function and is essential for performing specific tasks during laparoscopic surgery. It is crucial for surgeons and their teams to be familiar with the proper use of each instrument to ensure safe and successful surgery.

Biopsy forceps: Biopsy forceps are used to remove small samples of tissue for examination under a microscope.

Suction-irrigation devices: These devices are used to remove fluid and debris from the surgical site while also providing irrigation.

Endocatch bags: Endocatch bags are used to remove large specimens or organs from the abdomen in a minimally invasive way.

Graspers with teeth: Graspers with teeth are used to grip and hold tissues more securely than regular graspers.

Needle catheter: A needle catheter is a thin, flexible tube that can be used to administer medications or fluids directly into the abdomen during laparoscopic surgery.

Ligasure: Ligasure is a type of electrosurgical instrument that uses radiofrequency energy to seal blood vessels and tissues, which can reduce bleeding during surgery.

Vascular clip appliers: Vascular clip appliers are used to place clips on blood vessels during surgery to control bleeding.

Hook cautery: Hook cautery is a type of electrosurgical instrument that combines the function of a laparoscopic hook and electrocautery, allowing for dissection and coagulation in one instrument.

Endo-GIA staplers: Endo-GIA staplers are used to cut and staple tissues during laparoscopic surgery, allowing for faster and more efficient suturing.

Veress insufflation needle: The Veress insufflation needle is used to create a small opening in the abdominal wall for insufflation, the process of filling the abdomen with gas to create a working space for laparoscopic surgery.

Endoscopic scissors: Endoscopic scissors are used to cut tissues during laparoscopic surgery, with a range of sizes and shapes available for different surgical needs.

Endoscopic graspers: Endoscopic graspers are used to hold and manipulate tissues during laparoscopic surgery, with a variety of sizes and designs available.

Laparoscopic suction: Laparoscopic suction is used to remove fluid and debris from the surgical site during laparoscopic surgery, helping to maintain a clear field of vision for the surgeon.

LigaSure Impact: LigaSure Impact is an electrosurgical instrument used in laparoscopic surgery that combines the functions of a grasper, dissector, and energy device, allowing for more efficient dissection and tissue sealing.

Endoscopic knot pusher: Endoscopic knot pushers are used to tie knots during laparoscopic surgery, allowing for secure suturing of tissues.

Each instrument has its own specific use in laparoscopic surgery, and the surgeon must choose the appropriate instrument depending on the specific needs of the patient and the surgical procedure being performed. The use of specialized laparoscopic instruments has allowed for safer and more efficient minimally invasive surgery, with less trauma to the patient and faster recovery times.
 

Laparoscopic instruments are specialized tools used in minimally invasive surgical procedures, also known as laparoscopic surgery. These instruments are inserted through small incisions in the skin and used to perform surgical procedures inside the body. Some common laparoscopic instruments include:

1. Laparoscopic camera: This instrument consists of a camera attached to a long, thin tube that is inserted through a small incision. The camera provides a high-definition view of the surgical site on a monitor, allowing the surgeon to see inside the body.

2. Laparoscopic graspers: These instruments are used to grasp and manipulate tissue inside the body. They can be used to hold organs, move tissue out of the way, or to position surgical instruments.

3. Laparoscopic scissors: These instruments are used to cut tissue inside the body. They can be used to cut through tissue, cauterize blood vessels, or to remove tissue.

4. Laparoscopic dissectors: These instruments are used to dissect tissue and separate it from other tissue. They can be used to remove tumors, separate adhesions, or to perform other surgical procedures.

5. Laparoscopic hooks: These instruments are used to cauterize tissue and control bleeding during surgery. They can be used to cut tissue or to coagulate blood vessels.

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6. Laparoscopic staplers: These instruments are used to staple tissue together or to cut and staple tissue at the same time. They can be used to perform procedures such as gastric bypass surgery or to remove part of the colon.

7. Laparoscopic suction and irrigation devices: These instruments are used to remove fluid and debris from the surgical site and to irrigate the area with saline solution.

8. Laparoscopic trocars: These instruments are used to create access ports for other laparoscopic instruments. Trocars consist of a sharp pointed tip and a hollow shaft through which other instruments can be passed.

9. Laparoscopic probes: These instruments are used to explore and identify structures inside the body. They can be used to locate tumors or other abnormalities, and to help guide other laparoscopic instruments during surgery.

10. Laparoscopic retractors: These instruments are used to retract tissue and organs during surgery, providing the surgeon with a clear view of the surgical site.

11. Laparoscopic needle holders: These instruments are used to grasp and manipulate needles during laparoscopic suturing.

12. Laparoscopic clips: These instruments are used to clip blood vessels or other tissues, providing a secure closure without the need for sutures.

13. Laparoscopic forceps: These instruments are used to grasp and manipulate tissue or other objects during surgery. They can be used to hold or manipulate organs, or to hold and pass other instruments.

14. Laparoscopic energy devices: These instruments use energy to cut or coagulate tissue during surgery. Examples include bipolar and monopolar cautery, ultrasonic scalpel, and argon beam coagulator.

Overall, laparoscopic instruments are essential tools for minimally invasive surgery, allowing surgeons to perform complex procedures with minimal tissue damage and faster recovery times. The specific instruments used depend on the type of surgery being performed and the individual patient's needs.

This video demonstrate of laparoscopic instrument design of Hand Instruments. Laparoscopic Instruments like Laparoscopy Veress Needle, Laparoscopic Hand Instruments also known as laparoscopic grasper, laparoscopic dissector, laparoscopic scissors, monopolar hand instruments, laparoscopic atraumatic grasper, Laparoscopic Forceps,There are various instruments used in laparoscopic surgery. Here is a list of some of the most commonly used instruments along with their uses:Trocars are used to create small incisions in the abdomen for the insertion of laparoscopic instruments.A laparoscope is a long, thin, and flexible tube that is used to provide a visual image of the inside of the abdomen during surgery.Graspers are used to grasp and hold tissues or organs during surgery.Laparoscopic scissors are used to cut and dissect tissues.Dissectors are used to separate and divide tissues during surgery.Retractors are used to hold the tissues away from the surgical area.Clip appliers are used to place clips on blood vessels or tissues to control bleeding.Suturing devices are used to close wounds and incisions.A harmonic scalpel is an ultrasonic surgical instrument that uses high-frequency sound waves to cut and coagulate tissues.Electrocautery is a surgical tool that uses heat to cut or coagulate tissues.Endoscopic staplers are used to close and staple tissues together.Each instrument is designed for a specific purpose and can be used in different ways during laparoscopic surgery. It is essential for surgeons to have an in-depth understanding of the function and proper use of each instrument to ensure safe and effective surgery.Needle holders are used to hold and manipulate needles for suturing during laparoscopic surgery.Laparoscopic forceps are used to grasp, hold, and manipulate tissues and organs during surgery.A laparoscopic hook is a surgical instrument used to dissect and coagulate tissue, as well as control bleeding.The Veress needle is used to create pneumoperitoneum, which is the process of inflating the abdomen with gas to create a working space for laparoscopic surgery.These devices are used to irrigate the surgical field with saline solution and remove excess fluid and debris from the surgical site.Insufflators are used to regulate the pressure and flow of gas into the abdomen during laparoscopic surgery.These bags are used to remove tissue or organs from the abdomen after they have been removed during surgery.EUS probes are used in laparoscopic surgery to provide detailed images of the gastrointestinal tract and surrounding organs.Each instrument has a unique function and is essential for performing specific tasks during laparoscopic surgery. It is crucial for surgeons and their teams to be familiar with the proper use of each instrument to ensure safe and successful surgery.Biopsy forceps are used to remove small samples of tissue for examination under a microscope.These devices are used to remove fluid and debris from the surgical site while also providing irrigation.Endocatch bags are used to remove large specimens or organs from the abdomen in a minimally invasive way.Graspers with teeth are used to grip and hold tissues more securely than regular graspers.A needle catheter is a thin, flexible tube that can be used to administer medications or fluids directly into the abdomen during laparoscopic surgery.Ligasure is a type of electrosurgical instrument that uses radiofrequency energy to seal blood vessels and tissues, which can reduce bleeding during surgery.Vascular clip appliers are used to place clips on blood vessels during surgery to control bleeding.Hook cautery is a type of electrosurgical instrument that combines the function of a laparoscopic hook and electrocautery, allowing for dissection and coagulation in one instrument.Endo-GIA staplers are used to cut and staple tissues during laparoscopic surgery, allowing for faster and more efficient suturing.The Veress insufflation needle is used to create a small opening in the abdominal wall for insufflation, the process of filling the abdomen with gas to create a working space for laparoscopic surgery.Endoscopic scissors are used to cut tissues during laparoscopic surgery, with a range of sizes and shapes available for different surgical needs.Endoscopic graspers are used to hold and manipulate tissues during laparoscopic surgery, with a variety of sizes and designs available.Laparoscopic suction is used to remove fluid and debris from the surgical site during laparoscopic surgery, helping to maintain a clear field of vision for the surgeon.LigaSure Impact is an electrosurgical instrument used in laparoscopic surgery that combines the functions of a grasper, dissector, and energy device, allowing for more efficient dissection and tissue sealing.Endoscopic knot pushers are used to tie knots during laparoscopic surgery, allowing for secure suturing of tissues.Each instrument has its own specific use in laparoscopic surgery, and the surgeon must choose the appropriate instrument depending on the specific needs of the patient and the surgical procedure being performed. The use of specialized laparoscopic instruments has allowed for safer and more efficient minimally invasive surgery, with less trauma to the patient and faster recovery times.