Abdominal Access Techniques/Creation of Pneumoperitoneum: Lahore laparoscopic surgery training course MIDCITY HOSPITAL JAIL ROAD LAHORE Lahore Laparoscopic Surgery Training Center 1 Abdominal Access Techniques/Creation of Pneumoperitoneum
Access Techniques: Access Techniques 2 In Laparoscopic Surgery the first entry into the abdomen with telescope and Instruments is called Access technique.
Access Techniques: Access Techniques Two Types Open Technique Closed Technique
Access Techniques: Access Techniques Closed Technique Closed Technique is the safe Access Technique
Slide5: The Light Source The quality of the image depends upon the quantity of light available at each step of the system A typical light source is consist of · A lamp · A heat filter · A condensing lens and · Manual or automatic intensity control circuit Instrumentations in Laparoscopy
The Light Source: The Light Source The Lamp Halogen Halogen Halide Xenon Most Frequently used two main lamps are halogen and xenon
Slide7: Why xenon light source is better? Light emitted is more natural Cold light More intense > more than 300 Watts Heat Filters are used White balancing is important
Laparoscope/Endoscope: Laparoscope/Endoscope Lahore Laparoscopic Surgery Training Center 8 Structure of Endoscopes
Slide9: Lahore Laparoscopic Surgery Training Center 9 Parts of Endoscopes
Laparoscopes/Endoscopes: Laparoscopes/Endoscopes Function of Endoscopes Focal Length Brightness Depth of Field Periphery Light Loss (vignette)
Laparoscopes/Endoscopes: Laparoscopes/Endoscopes Choice of Endoscopes Direction (angle) of View Caliber of Endoscopes Practical Issues
Video Camera: Video Camera The Camera Head Camera Control Unit Choice of Camera Systems
Slide13: Types of Cameras Single Chip Three Chip High Definition Cameras
Monitors: Monitors CRT Monitors (Medical Grade) LCD High Definition (Medical Grade Monitors)
Working Instruments: Working Instruments Hand Instrumants Disposables Reusables
Hand Instruments: Hand Instruments Handle Outer Sheath Inserts
Hand Instruments: Hand Instruments Structure and function Diameter Length Freedom of movements
Basic Laparoscopic Instruments: Basic Laparoscopic Instruments Veress needle Trocars Forceps Graspers Hook Pair of Scissors Suction irrigation system Clip Applier/Clips Needle Holder