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Handbook of Laparoscopy Instruments

  • Book

  • December 2023
  • Bentham Science Publishers Ltd
  • ID: 5928336

Handbook of Laparoscopy Instruments covers the essential components of laparoscopic instruments and technology. It presents accessible information covering key topics on the subject:

  • Basic and specialized laparoscopic instruments
  • Image production
  • Pneumoperitoneum maintenance
  • Ergonomics
  • Sterilization procedures
  • Optical devices
  • Operation theatre layout and setup
  • Operative hand instruments
  • Robotic Surgery
This book is an indispensable resource recommended for students and surgical residents who need an understanding of instruments and procedures in laparoscopic surgery. It is also intended to help medical professionals who want to start laparoscopy units in their clinics.

Table of Contents

  • Contents
  • Foreword
  • Preface
  • List of Contributors
Chapter 1 Ergonomics in Laparoscopy
  • Meenakshi Yeola (Pate) and Sushanth R. Nayak
  • Introduction
  • What is Ergonomics?
  • Ergonomics Significance
  • The Hawthorne Effect
  • Lack of Tactile Sensation
  • The Reduced Degree of Freedom of Movement
  • Decoupling of the Visual (Monitor) & Motor Axis
  • Assuming a Relatively Stable Posture
  • More Crowd
  • Dim-Lit Room
  • Drawbacks for the Surgeon
  • Setbacks to the Patient
  • Ideal Position
  • Reasons Hindering An Ideal Position
  • Operative Table Height
  • Monitor Location
  • Manipulation Angles for Instrumentation
  • Triangulation
  • Sectorisation
  • Equipment Related Challenges
  • Limited View
  • Reduced Proficiency of the Instruments
  • Shapes Are Not Aptly Designed
  • Limited Instrument Mobility
  • Instrument Exchanges
  • Intracorporeal Suturing
  • Surgeon and Team Position
  • Recent Advances
  • One Port Laparoscopy
  • Role of Robotic Surgery
  • H.D. Monitors
  • 3-D Laparoscopy
  • Clinical Significance
  • Solution
  • Conclusion
  • References
Chapter 2 Sterilization
  • Lamture Yeshwant Ramrao, Varsha P. Gajbhiye and Deepak Lamture
  • Introduction
  • Microbial Life and Sterilization
  • Steam Sterilization
  • History of Autoclave
  • Principle of Autoclave
  • Mechanism
  • High-Level Disinfection
  • Spaulding Classification of Medical Devices
  • Conclusion
  • References
Chapter 3 Operation Theatre Layout, Equipment Setup And
  • Troubleshooting
  • Harshal Ramteke, Rohini Bhoyar, Ashirwad Sankhe and Lamture Yeshwant Ramrao
  • Introduction
  • Operating Theatre Layout and Equipment Position [4]
  • General Considerations
  • Establishing the Orientation and Appropriate Position of the Operating Table
  • Optimal Position and Orientation of the Surgical Team
  • Robotic System and Its Effect on Operating Theatre Space
  • Checklist for Equipments [3, 4]
  • Setup of the Operating Room and Equipment [3, 4]
  • Troubleshooting [3, 5]
  • Operating Room Fires [4, 6]
  • Conclusion
  • References
Chapter 4 Optical Devices
  • Venkatesh Rewale, Aditya Patel and Lamture Yeshwant Ramrao
  • Introduction
  • Imaging System
  • Laparoscopes
  • Light Source
  • Light Cable
  • Cameras
  • Television Monitor With Instrument Trolley
  • Conclusion
  • References
Chapter 5 Equipment for Creating and Maintaining The
  • Pneumoperitoneum
  • Sanjeev Gianchandani, Resha Keshwani, Sachin Gianchandani and Lamture Yeshwant
  • Ramrao
  • Introduction
  • Insufflator
  • Lapro-Manometers
  • Pulsatile Flow and Plane of Surgery
  • Gas for Pneumoperitoneum
  • Carbon Dioxide
  • Suction Irrigation Machine
  • Conclusion
  • Acknowledgements
  • References
Chapter 6 Instruments for Access
  • Deepak Lamture, Lamture Yeshwant Ramrao and Varsha P. Gajbhiye
  • Introduction
  • Veress Needle
  • Hassan Cannula
  • Optical Trocar
  • Trocars
  • Conclusion
  • References
Chapter 7 Hand Instruments
  • Tushar Nagtode, Rajesh Domakunti and Lamture Yeshwant Ramrao
  • Introduction
  • Operative Hand Instruments
  • Handles
  • Insulated Outer Tube
  • Reducing Sleeve
  • Graspers
  • Traumatic Grasping Forceps
  • Atraumatic Grasping Forceps
  • Dissectors
  • Maryland Dissector
  • Bipolar Dissector Fig. (7.10)
  • Instruments for Sharp Dissection
  • Scissors
  • Bowel and Lung Clamp
  • Needle Holders
  • Coagulation Instruments
  • Hook and Spatula
  • Suture Passer Devices
  • Vaginal Probe
  • Irrigation-Suction
  • Conclusion
  • References
Chapter 8 Energy Devices: Working Principles, Uses and Complications 71
  • Raju Kamlakarrao Shinde, Sangita Devrao Jogdand and Lamture Yeshwant Ramrao
  • Introduction
  • Electrosurgery Parts
  • Monopolar Electrosurgery
  • Adaptive Technology in the Active Electrode
  • Returning Electrode Monitoring System
  • Complications
  • Direct Coupling
  • Insulation Failure
  • Capacitive Coupling
  • Advantages
  • Disadvantages
  • Specialized Electrosurgical Units
  • Harmonic Scalpel
  • Advantages
  • Disadvantages
  • Vessel Sealing Bipolar Electrosurgery [Ligasure]
  • Advantages
  • Disadvantages
  • Argon Plasma Coagulation
  • Advantages
  • Disadvantages
  • Cavitron Ultrasonic Surgical Aspirator [C.U.S.A.]
  • Advantages
  • Disadvantages
  • Laser Electrosurgery
  • Types of Lasers
  • Advantages
  • Disadvantages
  • Radiofrequency Energy
  • Conclusion
  • References
Chapter 9 Basic Endoscopic Accessories
  • Parmeshwar Ramesh Junare and Vijendra Kirnake
  • Introduction
  • Common Endoscopic Accessories
  • Hemostatic Devices
  • Injection Needles
  • Hemoclips
  • Thermocoagulation Devices
  • Argon Plasma Coagulation (Apc)
  • Endoscopic Band Ligation (Ebl)
  • Glue
  • Foreign Body Retrieval Devices
  • Biopsy Forceps
  • Dilators
  • Balloon Dilators
  • Achalasia Balloon Dilators
  • Feeding Tubes
  • Conclusion
  • References
Chapter 10 Robotic Surgery
  • Varsha P. Gajbhiye, Deepak Lamture and Lamture Yeshwant Ramrao
  • Introduction
  • Advantages of Robotic Surgery
  • Conclusion
  • References
  • Subject Index

Author

  • Lamture Yeshwant Ramrao