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Disposable trocars Laparoscopic instruments for insertion through trocars. 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.
Once the trocar is placed, an optic scope is inserted. [25] Upon completion of the procedure, some patients may require sutures to stop any remaining bleeding. [ 25 ] This method tends to be better for classifying tubal disease as inspection of the inner structure allows for visualization of any lesions, adhesions, and endometriomas. [ 26 ]
In certain advanced laparoscopic procedures, where the specimen removed is too large to pull through a trocar site (as is done with gallbladders), an incision larger than 10 mm must be made. The most common of these procedures are removal of all or part of the colon ( colectomy ), or removal of the kidney ( nephrectomy ).
Used to stabilize and manipulate non-degenerating myomas, fibroids or other tissues intended for removal during laparoscopic procedures. Towel clips: Clamps •Bonney's myomectomy clamp •Cervical occlusion clamp •Barkelay Bonney vaginal clamp: Pessary •Hodge-Smith type •Ring type: Colposcope: Perineometer
Mechanical cutters (scalpels, lancets, trocars, Harmonic scalpel, rongeurs etc.) Dilators and specula, for access to narrow passages or incisions; Suction tips and tubes, for removal of bodily fluids Tools used to remove secretion, debris, or any fluid in the surgical area. (e.g. Yankauer Suction Tube, Poole Suction Tube, Frazier Suction Tip) [21]
Several studies have pointed out that for various laparoscopic surgical applications (such as cholecystectomy, groin hernia repairs and appendectomies), creating pneumoperitoneum by using a Veress needle is not always as safe and effective as other techniques (e.g. direct trocar insertion (DTI)).
More recently, studies by Ates et al. and Roberts et al. have described variants of an intracorporeal sling-based single-port laparoscopic appendectomy with good clinical results. [11] Also, a trend is increasing towards single-incision laparoscopic surgery (SILS), using a special multiport umbilical trocar. [12]
Single-port laparoscopy (SPL) is a recently developed technique in laparoscopic surgery. It is a minimally invasive surgical procedure in which the surgeon operates almost exclusively through a single entry point, typically the patient's navel. Unlike a traditional multi-port laparoscopic approach, SPL leaves only a single small scar.
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