Abdominal Access Techniques and Creation of Pneumoperitoneum

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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

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