Laparoscopic surgical treatment for tubal infertility requires an
experienced surgeon with a team with experience in laparoscopic surgery
and with appropriate equipment with good performance.
The conventional equipment includes electronically controlled ventilator, a panoramic coelioscope 5 or 10 mm, Bv a video system, a unit of electrosurgery and basic instrumentation (atraumatic forceps, scissors with blades straight or curved forceps bipolar coagulation with jaws close, fine monopolar electrode and irrigation system.
A needle holder and son of suture Vicryl from 4 to 7/0 are also needed.
More specific equipment can be added according to the habits of the surgeon. The effect of CO2 laser cutting can cut the adhesions and open the trunk. Its vaporization effect on serous flag allows eversion fringes. The CO2 laser may be used
with a bayonet optical transumbilical through an incision or by suprapubic accessory. The bipolar coagulator (jaw plate 5 mm) allows heating of tissues to 100-140 ° C for several seconds. This effect is limited to the point of application
of the clamp. The thermal effect causes the retraction of the serous membrane of the roof and the eversion continues after tubal salpingostomy.
Micro-laparoscopic instruments (scissors, forceps, micro-electrode needle holder) can be introduced through trocars supra-pubic 3 mm. They can be used for tubal anastomosis, a fimbrioplasty a fimbriolyse or tubal adhesions.
INSTALLATION OF THE PATIENT
The patient under general anesthesia with endotracheal intubation is installed on the back with the buttocks slightly
beyond the edge of the operating table. A urinary catheter is usually put in place. A cannula is inserted through the cervix so that they can perform the test with methylene blue and mobilize the uterus. The pneumoperitoneum needle and trocar introduction of the laparoscope is introduced through the umbilicus following the safety rules.
If there is a Cures of laparotomy with suspected adhesions, it is recommended that the distance pneumoperitoneum abdominal scars.
Two or three trocars are inserted above pubic under visual control. Their diameter is usually 5 mm. If they are micro-instruments are used, the trocars should have a diameter of 3 mm.
The conventional equipment includes electronically controlled ventilator, a panoramic coelioscope 5 or 10 mm, Bv a video system, a unit of electrosurgery and basic instrumentation (atraumatic forceps, scissors with blades straight or curved forceps bipolar coagulation with jaws close, fine monopolar electrode and irrigation system.
A needle holder and son of suture Vicryl from 4 to 7/0 are also needed.
More specific equipment can be added according to the habits of the surgeon. The effect of CO2 laser cutting can cut the adhesions and open the trunk. Its vaporization effect on serous flag allows eversion fringes. The CO2 laser may be used
with a bayonet optical transumbilical through an incision or by suprapubic accessory. The bipolar coagulator (jaw plate 5 mm) allows heating of tissues to 100-140 ° C for several seconds. This effect is limited to the point of application
of the clamp. The thermal effect causes the retraction of the serous membrane of the roof and the eversion continues after tubal salpingostomy.
Micro-laparoscopic instruments (scissors, forceps, micro-electrode needle holder) can be introduced through trocars supra-pubic 3 mm. They can be used for tubal anastomosis, a fimbrioplasty a fimbriolyse or tubal adhesions.
INSTALLATION OF THE PATIENT
The patient under general anesthesia with endotracheal intubation is installed on the back with the buttocks slightly
beyond the edge of the operating table. A urinary catheter is usually put in place. A cannula is inserted through the cervix so that they can perform the test with methylene blue and mobilize the uterus. The pneumoperitoneum needle and trocar introduction of the laparoscope is introduced through the umbilicus following the safety rules.
If there is a Cures of laparotomy with suspected adhesions, it is recommended that the distance pneumoperitoneum abdominal scars.
Two or three trocars are inserted above pubic under visual control. Their diameter is usually 5 mm. If they are micro-instruments are used, the trocars should have a diameter of 3 mm.
Laproscopic instruments are mainly used in minimally invasive surgery (MIS) also called as Laproscopic surgery it is a modern surgical technique in which operations in the abdomen are performed through small incisions opposed to the larger incisions. Normally this equipment’s are used in hospitals, medical colleges and health care centers. We can buy this of Surgical Devices in Hospiinz International
ReplyDeleteHi, Very nice blog with lot of informations. We manufacture & export of Laparoscopic Instruments .
ReplyDeleteThanks for sharing.