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A trocar (or trochar) is a medical or veterinary device used in minimally invasive surgery. Trocars are typically made up of an awl (which may be metal or plastic with a pointed or tapered tip), a cannula (essentially a rigid hollow tube) and often a seal. [1] [2] Some trocars also include a valve mechanism to allow for insufflation.
The primary structural differences between microcannulas is the distance of the extrusion port or pore from the tip (closer is more precise), the bluntness of the tip (tapered blunt tip is easier for entry), and the flexibility of the shaft (enough flexibility to move around sensitive structures but enough rigidity for precise placement). [15]
Lichtwitz antrum-puncture trocar and canula: used in nasal sinus surgery; conform presence of puss in maxillary sinus; cytological examination of antral wash out fluid; lavage of the maxillary sinus; introduction of medication and indwelling polythene tube into the sinus Tilly's antral harpoon trocar
Manual / Hand Powered: Hollow steel manually inserted needles have been around since the inception of IO administration, and use a removable trocar to aid in the insertion of the needle. Dense adult bone limits its use, but manual devices are commonly used in children because of their safety profile and ease of use, once training has taken ...
Prior to the description of the Seldinger technique, sharp trocars were used to create lumens through which devices could be passed. This had a high rate of complications. [ 4 ] However, with the introduction of the Seldinger technique, angiography became a relatively risk-free procedure, and the field of interventional radiology blossomed.
The outer cannula consists of a beveled needle point for cutting through tissues of the abdominal wall. A spring-loaded, inner stylet is positioned within the outer cannula. This inner stylet has a dull tip to protect any viscera from injury by the sharp, outer cannula.
The cannula is slightly withdrawn and it becomes patent. Blocked ostium: If the ostium of the sinus is blocked, the fluid doesn't return through it. To bypass the ostium, one more trocar and cannula are inserted at the site of the first one, a fluid returns through the other cannula.
Also attached is a fiber optic cable system connected to a "cold" light source (halogen or xenon) to illuminate the operative field, which is inserted through a 5 mm or 10 mm cannula or trocar. The abdomen is usually insufflated with carbon dioxide gas. This elevates the abdominal wall above the internal organs to create a working and viewing ...
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