CONMED's AirSeal® System is the world’s first “3-in-1” insufflation management system and features unmatched
capabilities in providing a stable pneumoperitoneum, constant smoke evacuation, and valve-free access to the surgical site.
This document discusses trocar issues in laparoscopy. It notes that the initial trocar insertion is the most dangerous step and can result in injuries to the bowel or vasculature in over 50% of cases. It recommends inserting the first trocar at the umbilicus as it has minimal intervening tissue. Away from the midline poses risks of injuring major blood vessels. Direct trocar insertion is an alternative that may decrease operative time compared to Veress needle. However, no single technique is proven safest and complications can occur regardless of approach. Immediate conversion to open surgery is needed if a vascular injury is suspected.
This document discusses the history and essentials of laparoscopy, also known as minimally invasive surgery. Some of the key points covered include:
- Laparoscopy was pioneered in the early 1900s but gained popularity in the 1980s when procedures like laparoscopic cholecystectomy were developed.
- It allows surgeons to access the abdominal cavity through small incisions rather than large incisions, reducing trauma and recovery time for patients.
- Modern laparoscopy utilizes specialized instruments, high-definition cameras, 3D/4K imaging, and robotic systems to give surgeons better visualization and precision.
- It is now used diagnostically and therapeutically for many abdominal procedures, with
Laparoscopic surgery or minimally invasive surgery (MIS) has numerous advantages such as less pain , less blood loss, early recovery and shorter hospital stay.
1. The document discusses the basics of laparoscopy including the laparoscopic tower setup, ergonomics, port placement, entry techniques, energy devices, and complications.
2. Key aspects of ergonomics include following the straight line principle with the tower, monitor, and instruments, proper table height, and triangulating or sectoring port placement depending on whether the surgeon stands ipsilateral or contralateral.
3. Safe entry techniques include closed insertion with a Veress needle or open insertion with direct trocar placement, with Palmer's point being an alternative to umbilical entry.
Robotic surgery is performed using a robotic system called the Da Vinci. The Da Vinci system allows surgeons to perform complex surgery through small incisions using robotic arms. It provides surgeons with improved vision, precision, and control over open and laparoscopic surgery. Robotic surgery offers patients less pain, blood loss, scarring and faster recovery times compared to open surgery. Dr. Meenakshi Sundaram is a robotic surgeon at Apollo Hospitals in Chennai who performs procedures in urology and gynecology using the Da Vinci system.
1. The document discusses the history and evolution of energy sources used in laparoscopic surgery, from early monopolar electrocautery to newer bipolar and ultrasonic devices.
2. It describes several modern energy devices including Ligasure, Gyrus/Plasmacision, Enseal, Harmonic Scalpel, and Thunderbeat, comparing their features such as vessel sealing ability, thermal spread, and cost effectiveness.
3. The document emphasizes choosing the right energy device for each procedure to ensure the best surgical outcome, and advertises an upcoming endoscopy fellowship program by IAGES for training on various laparoscopic energy sources.
It has not changed the nature of disease
The basic principles of good surgery still apply,including appropriate case selection, excellent exposure,adequate retraction and a high level technical expertise
If a procedure makes no sense with conventional access, it will make no sense with a minimal access approach
The cleaner and gentler the act of operation, the less the patient suffers, the smoother and quicker his convalescence,the more exquisite his healed wound.
We actually do not know what is there stored for us, but we believe that laparoscopy is trending towards advancement and nano and robotic technology is going to replace in future.
3D cameras have come into existence and various newer technologies are being invented.
This document discusses trocar issues in laparoscopy. It notes that the initial trocar insertion is the most dangerous step and can result in injuries to the bowel or vasculature in over 50% of cases. It recommends inserting the first trocar at the umbilicus as it has minimal intervening tissue. Away from the midline poses risks of injuring major blood vessels. Direct trocar insertion is an alternative that may decrease operative time compared to Veress needle. However, no single technique is proven safest and complications can occur regardless of approach. Immediate conversion to open surgery is needed if a vascular injury is suspected.
This document discusses the history and essentials of laparoscopy, also known as minimally invasive surgery. Some of the key points covered include:
- Laparoscopy was pioneered in the early 1900s but gained popularity in the 1980s when procedures like laparoscopic cholecystectomy were developed.
- It allows surgeons to access the abdominal cavity through small incisions rather than large incisions, reducing trauma and recovery time for patients.
- Modern laparoscopy utilizes specialized instruments, high-definition cameras, 3D/4K imaging, and robotic systems to give surgeons better visualization and precision.
- It is now used diagnostically and therapeutically for many abdominal procedures, with
Laparoscopic surgery or minimally invasive surgery (MIS) has numerous advantages such as less pain , less blood loss, early recovery and shorter hospital stay.
1. The document discusses the basics of laparoscopy including the laparoscopic tower setup, ergonomics, port placement, entry techniques, energy devices, and complications.
2. Key aspects of ergonomics include following the straight line principle with the tower, monitor, and instruments, proper table height, and triangulating or sectoring port placement depending on whether the surgeon stands ipsilateral or contralateral.
3. Safe entry techniques include closed insertion with a Veress needle or open insertion with direct trocar placement, with Palmer's point being an alternative to umbilical entry.
Robotic surgery is performed using a robotic system called the Da Vinci. The Da Vinci system allows surgeons to perform complex surgery through small incisions using robotic arms. It provides surgeons with improved vision, precision, and control over open and laparoscopic surgery. Robotic surgery offers patients less pain, blood loss, scarring and faster recovery times compared to open surgery. Dr. Meenakshi Sundaram is a robotic surgeon at Apollo Hospitals in Chennai who performs procedures in urology and gynecology using the Da Vinci system.
1. The document discusses the history and evolution of energy sources used in laparoscopic surgery, from early monopolar electrocautery to newer bipolar and ultrasonic devices.
2. It describes several modern energy devices including Ligasure, Gyrus/Plasmacision, Enseal, Harmonic Scalpel, and Thunderbeat, comparing their features such as vessel sealing ability, thermal spread, and cost effectiveness.
3. The document emphasizes choosing the right energy device for each procedure to ensure the best surgical outcome, and advertises an upcoming endoscopy fellowship program by IAGES for training on various laparoscopic energy sources.
It has not changed the nature of disease
The basic principles of good surgery still apply,including appropriate case selection, excellent exposure,adequate retraction and a high level technical expertise
If a procedure makes no sense with conventional access, it will make no sense with a minimal access approach
The cleaner and gentler the act of operation, the less the patient suffers, the smoother and quicker his convalescence,the more exquisite his healed wound.
We actually do not know what is there stored for us, but we believe that laparoscopy is trending towards advancement and nano and robotic technology is going to replace in future.
3D cameras have come into existence and various newer technologies are being invented.
This presentation will help u know with the history,present and coming up trends in laparoscopy .Also it is an acquaintance presentation regarding laparoscopy.
This document discusses the evolution of laparoscopic surgery and laparoscopic instruments from ancient times to modern times. It describes some of the early pioneers who developed early endoscopic instruments in the 18th-19th centuries like Philip Bozzini and Maximilian Nitze. It then discusses the development of modern laparoscopy in the early 20th century with pioneers like Jacobaeus coining the term "laparoscopy" and Veress developing pneumoperitoneum. The document highlights the crucial inventions of the rod lens system by Harold Hopkins in the 1950s and videolaparoscopy by Camran Nezhat in the 1980s that enabled complex laparoscopic surgery. It also discusses some of the challenges
This document discusses the instrumentation used in laparoscopic surgery. It describes the key components of the optical chain including the endoscope, light cable, light source, camera system, and monitor. It also discusses the gas insufflation apparatus, including the insufflator and carbon dioxide cylinder. Specific instruments are explained in more detail such as fiber optic cables and the different types of light sources used including halogen, halogen halide, and xenon lamps. Risks and limitations of laparoscopic surgery are also mentioned.
This document provides information on operative hysteroscopy, including therapeutic indications, instruments used, specific procedures, complications, and techniques. Some key points:
- Operative hysteroscopy is used to treat conditions like uterine septum, synechiae, polyps, and myomas. Instruments include a resectoscope, cutting loops, and electrodes.
- Specific procedures discussed include hysteroscopic metroplasty for septate uterus, adhesiolysis for synechiae, transcervical resection of submucous myomas, and endometrial ablation.
- Complications can be perioperative like bleeding, perforation, or fluid absorption syndrome, or postoperative like adhesions or
Minimally invasive surgery uses small incisions and miniaturized imaging systems to perform major operations with less trauma than traditional open surgery. The techniques were developed starting in the early 1900s and improved with advances like rod lens endoscopes, flexible instruments, and fluoroscopic imaging. Laparoscopic surgery involves inflating the abdominal cavity with gas to provide space to see and operate. Thoracoscopy may require deflating one lung. Other minimally invasive techniques provide access through subcutaneous tissues or body cavities without requiring incisions into organs. Endoluminal and intraluminal procedures operate from within lumens like blood vessels or the digestive tract.
The document discusses various complications that can occur during laparoscopic gynecologic surgery and how to prevent, recognize, and manage them. It describes complications such as vascular injury, bowel injury, urinary tract injury, incisional hernia, gas embolism, shoulder pain, and more. Prevention techniques include careful insertion of trocars, use of safety checks, and positioning of the patient. Recognition involves direct visualization or signs of issues. Management may require suturing, conversion to laparotomy, or calling other specialists. Throughout, the emphasis is on safety and proper technique to minimize risks.
This document discusses laparoscopic instruments and ergonomics. It begins with an introduction to how laparoscopic surgery has changed general surgery and the importance for students to be familiar with this area. It then provides a detailed overview of the various laparoscopic instruments used, including cameras, light sources, insufflators, monitors, telescopes, trocars, graspers, dissectors, scissors, clip appliers, and staplers. The second half focuses on ergonomics, defining it and discussing concepts like the straight line principle, triangulation, ideal manipulation angles, and the surgeon's stance to promote safety, health and effective task performance.
What is MIS?
A minimally invasive medical procedure is defined as one that is carried out by entering the body through the skin or through a body cavity or anatomical opening, but with the smallest damage possible to these struct uresIncludes laparoscopic, endoscopic, and other approaches.
Why MIS?
Decreased patient pain
Decreased patient recovery period
Possible decrease in inflammatory response in the patient which may prove to have a better outcome in oncologic operations.
Distant future
In the distant future, there will be a para- digm shift with the development of non-inva- sive surgical techniques in combination with nanotechnologies and a new era in the devel- opment of surgery, and subsequently in surgi- cal techniques, will be opened.
Nanotechnology is an umbrella term for materials and devices that operate at the nanoskill (1 billionth of a meter). In terms of scale, a nanometer is approximately one 1/8000 of a human hair or 10 times the diam- eter of a hydrogen atom. The size of the device can vary but starts from a ten thou- sand-logic element system that will occupy a cube of no more than one hundred nanome- ters. This is a volume slightly larger than 0.001 cubic microns. This would be sufficient to hold a small computer. For example, if red blood cells are approximately eight microns in diameter, the 100 nanomicroprocessor will be 80 times smaller than a red blood cell. Devices this size could easily fit into the circulatory system and could even conceivably enter indi- vidual cells.
The document discusses complications that can occur during induction of pneumoperitoneum using the Veress needle for closed laparoscopic access. It describes injuries that can occur to the gastrointestinal tract, bladder, blood vessels, liver and spleen. It also mentions extra-peritoneal insufflation of gas, gas embolism, and strategies to prevent and manage these complications if they occur. Safety measures are outlined to minimize risks when using either closed Veress needle or open Hasson trocar techniques for establishing laparoscopic access.
Single incision laparoscopic Surgery-SILSrkmishra14
World Laparoscopy Hospital is Pioneer in SILS. Single incision laparoscopic surgery (SILS) under direction of Prof. R.K. Mishra is a new technique that has now been utilized in many centers for minimal access surgery. http://www.laparoscopyhospital.com/single_incision_laparoscopic_surgery.html
1) There are several newer robotic surgery systems that have entered the market to compete with the da Vinci system, including the Hugo RAS system, Versius, and others.
2) These new systems differ from da Vinci in their surgeon console, patient-side setup, vision systems, instruments, and intended applications.
3) Factors like system cost, per-procedure cost, instrument costs, and maintenance costs also vary between systems.
Explore the breadth of new robotic devices being developed for surgical assistance. See the LinkedIn Robot-of-the-Day (#ROTD) series for an ongoing discussion of this exciting technology.
The document discusses the history and development of hysteroscopy. It began in 1869 but did not achieve routine use until improvements to optics, distension media, lighting and instruments in the 1970s-1990s allowed for office procedures without anesthesia. Today, many hysteroscopic procedures have replaced older, more invasive techniques. The document then provides details on rigid and flexible hysteroscopes, lighting sources, distension media, and diagnostic and operative uses of hysteroscopy for conditions like abnormal bleeding, infertility, uterine anomalies and assisted conception. Contraindications are also outlined.
Laparoscopy and endoscopy have evolved significantly over centuries. Early descriptions of endoscopy can be traced back to Hippocrates and the rectal speculum. However, it was not until the 19th century that the first endoscopes using reflected light and lenses were developed by physicians like Desormeaux. Throughout the 20th century, advances like electric lighting, cameras, and robotic arms increasingly improved visualization and precision for minimally invasive procedures. Key developments included the first reported laparoscopy in 1901 and laparoscopic cholecystectomy in the late 1980s, establishing these as mainstream minimally invasive techniques.
Laparoscopic surgery. Intro. History of Armata manus laparoscopic simulatorsDmitriy Shamrai
Introduction to lap.surgery - different laparoscopic techniques, equipment, instruments, benefits of laparoscopy for surgeons, hospitals and patients, laparoscopic education, Armata manus laparoscopic training and basic exercises.
Advanced exercises and IInd generation boxes with moveble camera are not shown here.
This presentation was reported during the I Laparoscopic school (by Armata manus).
P.S.: originally my or edited slides are marked by Armata manus symbol. Other slides were found in the Internet.
P.S.S.: contact author (shamraydv@gmail.com, facebook.com/dmitriy.shamrai).
Our page: armata-manus.com.
This document discusses robotic surgery and the da Vinci surgical system. It provides background on Dr. DeSalvo and his qualifications. It then discusses hysterectomy statistics and different surgical routes. The rest of the document discusses the evolution of technology leading to robotic surgery and the benefits of using the da Vinci system, including improved visualization and wristed instruments.
This document provides an overview of basic principles in gynecologic laparoscopy. It discusses the history and pioneers of laparoscopy. The basic prerequisites, anatomy, setup, instruments, patient positioning, trocar placement, indications, and procedures are described. Key steps for procedures like salpingectomy and treatment of endometriosis are outlined. Both advantages like quick recovery and potential complications are reviewed. The goal is to educate on fundamentals of performing laparoscopy safely and effectively.
Yashka Infotronics Private Limited manufactures ICU ventilators and non-invasive ventilators. The ventilators have a compact, independent design and offer various ventilation modes. They have a 15.1 inch touchscreen, battery backup of 4 hours, and can be used for adults, pediatrics, and neonates. Several hospitals have provided positive testimonials on the clinical use of Yashka ventilators.
Laparoscopy in gynaecology presented by drs igbodike emeka philip and dr rotimiigbodikeobgyn
This slide will be helpful if the presentation revolves around laparoscopy in gynaecological practice. Kindly like , clip and share the slide. it is free!
This presentation will help u know with the history,present and coming up trends in laparoscopy .Also it is an acquaintance presentation regarding laparoscopy.
This document discusses the evolution of laparoscopic surgery and laparoscopic instruments from ancient times to modern times. It describes some of the early pioneers who developed early endoscopic instruments in the 18th-19th centuries like Philip Bozzini and Maximilian Nitze. It then discusses the development of modern laparoscopy in the early 20th century with pioneers like Jacobaeus coining the term "laparoscopy" and Veress developing pneumoperitoneum. The document highlights the crucial inventions of the rod lens system by Harold Hopkins in the 1950s and videolaparoscopy by Camran Nezhat in the 1980s that enabled complex laparoscopic surgery. It also discusses some of the challenges
This document discusses the instrumentation used in laparoscopic surgery. It describes the key components of the optical chain including the endoscope, light cable, light source, camera system, and monitor. It also discusses the gas insufflation apparatus, including the insufflator and carbon dioxide cylinder. Specific instruments are explained in more detail such as fiber optic cables and the different types of light sources used including halogen, halogen halide, and xenon lamps. Risks and limitations of laparoscopic surgery are also mentioned.
This document provides information on operative hysteroscopy, including therapeutic indications, instruments used, specific procedures, complications, and techniques. Some key points:
- Operative hysteroscopy is used to treat conditions like uterine septum, synechiae, polyps, and myomas. Instruments include a resectoscope, cutting loops, and electrodes.
- Specific procedures discussed include hysteroscopic metroplasty for septate uterus, adhesiolysis for synechiae, transcervical resection of submucous myomas, and endometrial ablation.
- Complications can be perioperative like bleeding, perforation, or fluid absorption syndrome, or postoperative like adhesions or
Minimally invasive surgery uses small incisions and miniaturized imaging systems to perform major operations with less trauma than traditional open surgery. The techniques were developed starting in the early 1900s and improved with advances like rod lens endoscopes, flexible instruments, and fluoroscopic imaging. Laparoscopic surgery involves inflating the abdominal cavity with gas to provide space to see and operate. Thoracoscopy may require deflating one lung. Other minimally invasive techniques provide access through subcutaneous tissues or body cavities without requiring incisions into organs. Endoluminal and intraluminal procedures operate from within lumens like blood vessels or the digestive tract.
The document discusses various complications that can occur during laparoscopic gynecologic surgery and how to prevent, recognize, and manage them. It describes complications such as vascular injury, bowel injury, urinary tract injury, incisional hernia, gas embolism, shoulder pain, and more. Prevention techniques include careful insertion of trocars, use of safety checks, and positioning of the patient. Recognition involves direct visualization or signs of issues. Management may require suturing, conversion to laparotomy, or calling other specialists. Throughout, the emphasis is on safety and proper technique to minimize risks.
This document discusses laparoscopic instruments and ergonomics. It begins with an introduction to how laparoscopic surgery has changed general surgery and the importance for students to be familiar with this area. It then provides a detailed overview of the various laparoscopic instruments used, including cameras, light sources, insufflators, monitors, telescopes, trocars, graspers, dissectors, scissors, clip appliers, and staplers. The second half focuses on ergonomics, defining it and discussing concepts like the straight line principle, triangulation, ideal manipulation angles, and the surgeon's stance to promote safety, health and effective task performance.
What is MIS?
A minimally invasive medical procedure is defined as one that is carried out by entering the body through the skin or through a body cavity or anatomical opening, but with the smallest damage possible to these struct uresIncludes laparoscopic, endoscopic, and other approaches.
Why MIS?
Decreased patient pain
Decreased patient recovery period
Possible decrease in inflammatory response in the patient which may prove to have a better outcome in oncologic operations.
Distant future
In the distant future, there will be a para- digm shift with the development of non-inva- sive surgical techniques in combination with nanotechnologies and a new era in the devel- opment of surgery, and subsequently in surgi- cal techniques, will be opened.
Nanotechnology is an umbrella term for materials and devices that operate at the nanoskill (1 billionth of a meter). In terms of scale, a nanometer is approximately one 1/8000 of a human hair or 10 times the diam- eter of a hydrogen atom. The size of the device can vary but starts from a ten thou- sand-logic element system that will occupy a cube of no more than one hundred nanome- ters. This is a volume slightly larger than 0.001 cubic microns. This would be sufficient to hold a small computer. For example, if red blood cells are approximately eight microns in diameter, the 100 nanomicroprocessor will be 80 times smaller than a red blood cell. Devices this size could easily fit into the circulatory system and could even conceivably enter indi- vidual cells.
The document discusses complications that can occur during induction of pneumoperitoneum using the Veress needle for closed laparoscopic access. It describes injuries that can occur to the gastrointestinal tract, bladder, blood vessels, liver and spleen. It also mentions extra-peritoneal insufflation of gas, gas embolism, and strategies to prevent and manage these complications if they occur. Safety measures are outlined to minimize risks when using either closed Veress needle or open Hasson trocar techniques for establishing laparoscopic access.
Single incision laparoscopic Surgery-SILSrkmishra14
World Laparoscopy Hospital is Pioneer in SILS. Single incision laparoscopic surgery (SILS) under direction of Prof. R.K. Mishra is a new technique that has now been utilized in many centers for minimal access surgery. http://www.laparoscopyhospital.com/single_incision_laparoscopic_surgery.html
1) There are several newer robotic surgery systems that have entered the market to compete with the da Vinci system, including the Hugo RAS system, Versius, and others.
2) These new systems differ from da Vinci in their surgeon console, patient-side setup, vision systems, instruments, and intended applications.
3) Factors like system cost, per-procedure cost, instrument costs, and maintenance costs also vary between systems.
Explore the breadth of new robotic devices being developed for surgical assistance. See the LinkedIn Robot-of-the-Day (#ROTD) series for an ongoing discussion of this exciting technology.
The document discusses the history and development of hysteroscopy. It began in 1869 but did not achieve routine use until improvements to optics, distension media, lighting and instruments in the 1970s-1990s allowed for office procedures without anesthesia. Today, many hysteroscopic procedures have replaced older, more invasive techniques. The document then provides details on rigid and flexible hysteroscopes, lighting sources, distension media, and diagnostic and operative uses of hysteroscopy for conditions like abnormal bleeding, infertility, uterine anomalies and assisted conception. Contraindications are also outlined.
Laparoscopy and endoscopy have evolved significantly over centuries. Early descriptions of endoscopy can be traced back to Hippocrates and the rectal speculum. However, it was not until the 19th century that the first endoscopes using reflected light and lenses were developed by physicians like Desormeaux. Throughout the 20th century, advances like electric lighting, cameras, and robotic arms increasingly improved visualization and precision for minimally invasive procedures. Key developments included the first reported laparoscopy in 1901 and laparoscopic cholecystectomy in the late 1980s, establishing these as mainstream minimally invasive techniques.
Laparoscopic surgery. Intro. History of Armata manus laparoscopic simulatorsDmitriy Shamrai
Introduction to lap.surgery - different laparoscopic techniques, equipment, instruments, benefits of laparoscopy for surgeons, hospitals and patients, laparoscopic education, Armata manus laparoscopic training and basic exercises.
Advanced exercises and IInd generation boxes with moveble camera are not shown here.
This presentation was reported during the I Laparoscopic school (by Armata manus).
P.S.: originally my or edited slides are marked by Armata manus symbol. Other slides were found in the Internet.
P.S.S.: contact author (shamraydv@gmail.com, facebook.com/dmitriy.shamrai).
Our page: armata-manus.com.
This document discusses robotic surgery and the da Vinci surgical system. It provides background on Dr. DeSalvo and his qualifications. It then discusses hysterectomy statistics and different surgical routes. The rest of the document discusses the evolution of technology leading to robotic surgery and the benefits of using the da Vinci system, including improved visualization and wristed instruments.
This document provides an overview of basic principles in gynecologic laparoscopy. It discusses the history and pioneers of laparoscopy. The basic prerequisites, anatomy, setup, instruments, patient positioning, trocar placement, indications, and procedures are described. Key steps for procedures like salpingectomy and treatment of endometriosis are outlined. Both advantages like quick recovery and potential complications are reviewed. The goal is to educate on fundamentals of performing laparoscopy safely and effectively.
Yashka Infotronics Private Limited manufactures ICU ventilators and non-invasive ventilators. The ventilators have a compact, independent design and offer various ventilation modes. They have a 15.1 inch touchscreen, battery backup of 4 hours, and can be used for adults, pediatrics, and neonates. Several hospitals have provided positive testimonials on the clinical use of Yashka ventilators.
Laparoscopy in gynaecology presented by drs igbodike emeka philip and dr rotimiigbodikeobgyn
This slide will be helpful if the presentation revolves around laparoscopy in gynaecological practice. Kindly like , clip and share the slide. it is free!
Transgastric and transvaginal endoscopic cholecystectomy procedures were performed in 27 patients between 2007-2008. The procedures were performed using hybrid NOTES techniques, with laparoscopic assistance. Both transgastric and transvaginal routes were utilized to access the peritoneal cavity. The authors present their initial experience with these novel natural orifice techniques for cholecystectomy in humans.
The VersaCut+ is an enhanced tissue morcellator that provides benefits for holmium laser enucleation of the prostate (HoLEP) procedures. It features a unique mechanism that reduces procedure time. The lightweight handpiece is more ergonomic and intuitive to use. Improved stability and control minimize blade movement. The VersaCut+ system is compatible with Lumenis lasers and helps maximize the benefits of HoLEP, an established gold standard for treating benign prostatic hyperplasia.
This document provides information about laparoscopy and hysteroscopy procedures. It begins with the basics of laparoscopy, including a definition, brief history, and descriptions of the instruments used. Advantages include reduced postoperative pain and recovery time compared to open surgery. Risks include potential injuries. Hysteroscopy allows direct visualization of the uterine cavity using a small telescope inserted through the cervix. Various devices and distension media options are described. Common indications for both procedures include diagnostic evaluation and treatment of conditions like endometriosis, cysts, and fibroids. Overall the document outlines the key elements of minimally invasive laparoscopic and hysteroscopic surgeries.
Basics of laproscopic surgery..
by dr navdeep s kamboj presented at sgrdumsar amritsar.
topics covered--
1 basics of laparoscopy
2 lap cholecystectomy
3 lap appendixcectomy
pneumoperitonem
merits and demerits of laproscopy
ligasure
endoscopy,
laparoscopic instruments
Laparoscopic surgery, also known as minimally invasive surgery, uses small incisions and long thin instruments inserted through the abdomen to see inside and operate. Key elements include an insufflator to inflate the abdomen with carbon dioxide for better visibility, fiber optic cables and cameras for magnified viewing on monitors, and trocars or cannulas to insert instruments. Benefits over open surgery include less pain, smaller scars, faster recovery times, and better quality of life for patients. While initially developed in the early 1900s, laparoscopic procedures grew in the late 20th century with improved instrumentation and the adoption of the approach in various surgical specialties.
The scientific literature includes many reports of a
possible link between exposure to waste gases and
illness among select groups of healthcare workers
Responsibility for complying with safe work
standards is shared by employers, workers, the
federal government, manufacturers, and local
enforcement agencies
Laparoscopy is a minimally invasive surgical technique used in gynecology. The two main types are laparoscopy and hysteroscopy. Laparoscopy allows surgeons to examine the abdominal cavity and perform surgery using small incisions and long thin instruments inserted through the abdominal wall. It has advantages over open surgery like less pain, shorter hospital stays, and quicker recovery times. Complications can include bleeding, infection, and injury to nearby organs. Laparoscopy has a long history dating back to the early 19th century and has increasingly replaced open surgery for many gynecological conditions since the 1960s as techniques have advanced.
This document provides information about basic anesthesia machines. It discusses the components and purpose of anesthesia machines, including Boyle's apparatus, which was one of the first anesthesia machines used in 1917 in the UK. It consists of oxygen and nitrous oxide cylinders, a hanger yoke, flow meters, vaporizers, and a breathing circuit. Modern anesthesia workstations have additional components like ventilators, monitors, closed circuits, gas monitors, and low gas systems. The document also outlines the high, intermediate, and low pressure systems that comprise the pressure system of anesthesia machines. It describes the hanger yoke and pin index safety system used to correctly connect gas cylinders.
The document provides guidelines for checking anesthesia gas machines before use. It outlines 9 key steps to check emergency ventilation equipment, high pressure oxygen supplies, low pressure gas systems, flowmeters, scavenging systems, and breathing circuits. The checklist ensures the machine is functioning properly and identifies potential issues to address before administering anesthesia.
This document discusses current concepts in managing the difficult airway. It summarizes several alternative airway devices and techniques including lighted stylets, video laryngoscopes, rigid and flexible fiber-optic laryngoscopes, supraglottic airway devices, awake intubation techniques using topical anesthesia, flexible fiber-optic intubation, retrograde intubation, transtracheal jet ventilation, cricothyrotomy, and tracheostomy. It provides tables describing many new airway devices and concludes that clinical experience is crucial for applying these techniques and devices to solve most airway problems.
The document discusses anaesthetic gas scavenging systems which collect excess gases from patient breathing circuits to maintain a safe operating room environment. It describes the components of effective scavenging systems including collecting waste gases, transferring them via tubing, and properly disposing of them. Both passive systems which rely on pressure flow and active systems which use suction are examined. Guidelines for monitoring scavenging system function and controlling pollution in operating rooms are also provided.
RCT on base tie in lap appendecomy.pptxadnanhabib31
This study aimed to compare outcomes of different techniques for closing the appendix stump during laparoscopic appendectomy (L-APPE). In a randomized clinical trial, 180 patients undergoing L-APPE for uncomplicated acute appendicitis were assigned to have their appendix stump closed using an endoloop, Hem-o-lok clips, or stapler. The stapler group had a significantly longer operative time and higher rate of intraoperative complications compared to the other groups. Postoperative complication rates were low across groups but costs were highest for the stapler technique. Hem-o-lok clips resulted in the shortest operative time and lowest costs, making them a reasonable option for appendix stump closure during L-
Dr rowan molnar anaesthetics study guide part iiiDr. Rowan Molnar
Dr rowan molnar anaesthetics study guide part iii
Recognise risk – pre anaesthetic consultation
Avoid risk if possible – e.g. can procedure be done under LA?
Mitigate risk – optimise patient condition, select safest technique/agents/resources – e.g “cardiac” anaesthetic & postop ventilation.
Plan & be prepared for emergencies – e.g. predrawn emergency drugs, backup airway plan.
Observe/monitor for deviations & crises.
Respond in a timely& appropriate fashion.
Call for help/backup if required.
Dr Rowan Molnar,
Dr Rowan Molnar Anaesthetics,
Dr Rowan
The fourth session in our "PV Loops to Measure Cardiac Function" Webinar Series touched on what is essential for the researcher to be aware of in order to collect valid Pressure-Volume Loop data that can be used with confidence in the ensuing analysis stage of their research project.
Dr. Filip Konecny and Peter Plouf present and offer discussion on best practices for obtaining quality and consistent Pressure-Volume loop data. The presentation is a distillation of more than 10 years of working with the PV Loop research community to develop better results, and insights from Dr. Konecny’s body of knowledge from collecting and publishing PV Loop study data across a wide spectrum of species and research models. This presentation touches on what is essential for researchers to be aware of in order to collect valid PV Loop data that can be used with confidence in the ensuing analysis stage of their research project.
Key Topics:
- surgical considerations for improved data stability and consistency between animals
- procedure checklists -- essential steps before, during, and post surgery
- how to properly check data integrity at the bench-top
- understanding conductance and admittance methodologies for deriving volume
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
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In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
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AirSeal® System from CONMED
1. AirSeal®
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2. AirSeal®
iFS
The AirSeal iFS is the World’s first “3-in-1” insufflation management system and features unmatched
capabilities in providing a stable pneumoperitoneum, constant smoke evacuation, and valve-free access.
The AirSeal iFS offers three distinct modes of operation, including:
Stable Constant High Flow
Pneumoperitoneum Smoke Evacuation Insufflation
AirSeal Mode
Smoke Evacuation Mode
Standard Insufflation Mode
3. AirSeal®
Access Ports
• Valve-free access to abdominal cavity
• Intact specimen removal
• Unimpeded introduction and removal of needles, clips, sutures, and mesh
1
2
3
Cross section with
corresponding lumens
Lumen #1
Lumen #2
Lumen #3
Lumen #1
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and filtration
Lumen #2
Establishes insufflation
and real-time pressure control
Lumen #3
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invisible AirSeal barrier
4. AirSeal®
Filtered Tube Sets
The AirSeal iFS is capable of operating in three distinct modes, each of
which uses a specific filtered tube set to maximize system performance.
Tri-Lumen
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Bifurcated,
Dual-Lumen
Filtered
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Single-Lumen
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MENU i
AirSeal Mode
Standard Insufflation Mode
Smoke Evacuation Mode
AirSeal
®
iFS
AirSeal Mode
Tri-Lumen Filtered Tube Set
• Optimizes gas flow to provide stable
pneumoperitoneum
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filtration with 0.01µ ULPA filter
• Use with AirSeal Access Port
Smoke Evacuation Mode
Bifurcated, Dual-Lumen Filtered Tube Set
• Provides high flow insufflation
• Facilitates smoke evacuation and
filtration with 0.01µ ULPA filter
• Use with two conventional trocars
Standard Insufflation Mode
Single-Lumen Filtered Tube Set
• Provides high flow insufflation
• Use with conventional trocars
5. References:
1
George AK, Wimhofer R, Viola KV, Pernegger M, Costamoling W, Kavoussi LR, Loidl W. World J Urol. 2015 Mar 1.
2
Joshipura VP, Haribhakti SP, Patel NR, et al. A prospective randomized, controlled study comparing low pressure versus high pressure pneumoperitoneum during laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech. 2009
Jun;19(3):234-40.
3
Yasir, M. Mehta KS, Banday VH, et al. Evaluation of post-operative shoulder tip pain in low pressure versus standard pressure pneumoperitoneum during laparoscopic cholecystectomy. Surgeon. 2012 Apr;10(2):71-4.
4
Hua J, Gong J,Yao L, et al. Low-pressure versus standard-pressure pneumoperitoneum for laparoscopic cholecystectomy: a systematic review and meta-analysis. Am J Surg. 2014 Jul;208(1):143-50.
5
Gurusamy KS, Samraj K, Davidson BR. Low pressure versus standard pressure pneumoperitoneum in laparoscopic cholecystectomy. Cochrane Database Syst Rev. 2009 Apr 15;(2):CD006930.
6
Sroussi, J, Rigouzzo A, Elies A, et al. Laparoscopic Surgery at low (7mm) pressure with AirSeal®
System. Presented at 2013 AAGL Meeting. Publication Pending.
7
Ramshaw, B., et al. Laparoscopic Ventral Hernia Surgery using AirSeal System. Surgical Technology International. 2016.
da Vinci is a registered trademark of Intuitive Surgical, Inc.
Perfect for Robotic and Laparoscopic Surgery
By providing stable pneumoperitoneum, constant smoke evacuation, and valve-free access to the abdominal cavity, the AirSeal®
System has been demonstrated to reduce procedure time, resulting in increased operating efficiency.1
SURGEON
PROCEDURAL PERFORMANCE
Stable Pneumoperitoneum
Constant Smoke Evacuation*
Valve-Free Access
Robotic Surgery Laparoscopic Surgery
Low Impact Laparoscopy
Multiple peer-reviewed studies and meta-analyses conclude that low pressure laparoscopy2,3,4,5
offers significant clinical benefits. This includes reduced analgesic use and length of stay, which
can lower healthcare costs, thereby improving hospital profitability. Data also shows that low
pressure laparoscopy was previously difficult to accomplish due to the limitations associated
with conventional insufflation.4
AirSeal System’s unique ability to maintain stable pneumoperitoneum and constantly evacuate
smoke enables surgeons to operate at lower pressures without compromising exposure.
The AirSeal System facilitates low impact laparoscopy with well-established clinical benefits
for the patients and financial benefits for the hospitals.
PATIENT
CLINICAL PERFORMANCE
Improved Pulmonary Compliance6
Reduced Narcotic Use6
Reduced Operative Time1
HOSPITAL
FISCAL PERFORMANCE
Reduced Operative Time1
Increased Operating Efficiency1
Reduced PACU Time7
*Except when in standard insufflation mode.