Basic Laparoscopic Surgery: Instrument Handling and Core Skills
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Basic Laparoscopic Surgery: Instrument Handling and Core Skills |
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Video From Incision |
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This Video Uploaded At 20-01-2022 17:00:52 |
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This Basic Laparoscopic Surgery: Instrument Handling and Core Skills course will teach you the steps of Laparoscopic Surgery. View the full course for free by signing up on our website: https://www.incision.care/
What is Laparoscopic Surgery:
Laparoscopic surgery describes procedures performed using one or multiple small incisions in the abdominal wall in contrast to the larger, normally singular incision of laparotomy. The technique is based around principles of minimally invasive surgery (or minimal access surgery): a large group of modern surgical procedures carried out by entering the body with the smallest possible damage to tissues. In abdominopelvic surgery, minimally invasive surgery is generally treated as synonymous with laparoscopic surgery as are procedures not technically within the peritoneal cavity, such as totally extraperitoneal hernia repair, or extending beyond the abdomen, such as thoraco-laparoscopic esophagectomy. The term laparoscopy is sometimes used interchangeably, although this is often reserved to describe a visual examination of the peritoneal cavity or the purely scopic component of a laparoscopic procedure. The colloquial keyhole surgery is common in non-medical usage.
Surgical Objective of Laparoscopic Surgery:
The objective of a laparoscopic approach is to minimize surgical trauma when operating on abdominal or pelvic structures. When correctly indicated and performed, this can result in smaller scars, reduced postoperative morbidity, shorter inpatient durations, and a faster return to normal activity. For a number of abdominopelvic procedures, a laparoscopic approach is now generally considered to be the gold-standard treatment option.
Definitions
Developments of Laparoscopic Surgery:
Following a number of smaller-scale applications of minimally invasive techniques to abdominopelvic surgery, laparoscopic surgery became a major part of general surgical practice with the introduction of laparoscopic cholecystectomy in the 1980s and the subsequent pioneering of endoscopic camera technology. This led to the widespread adoption of the technique by the early- to mid-1990s. The portfolio of procedures that can be performed laparoscopically has rapidly expanded with improvements in instruments, imaging, techniques and training — forming a central component of modern surgical practice and cross-specialty curricula. Techniques such as laparoscopically assisted surgery and hand-assisted laparoscopic surgery have allowed the application of laparoscopic techniques to a greater variety of pathology. Single-incision laparoscopic surgery, natural orifice transluminal endoscopic surgery, and minilaparoscopy-assisted natural orifice surgery continue to push forward the applications of minimally invasive abdominopelvic techniques; however, the widespread practice and specific indications for these remain to be fully established. More recently, robotic surgery has been able to build on laparoscopic principles through developments in visualization, ergonomics, and instrumentation.
Contraindications of Laparoscopic Surgery:
A laparoscopic approach may not be appropriate or optimal in a number of circumstances. Surgery requiring very rapid abdominal access and/or comprehensive visualization, such as in abdominal trauma and life-threatening hemorrhage, is considered an absolute contradiction to a laparoscopic approach. Other absolute contraindications include significant hemodynamic instability of any cause, increased intracranial pressures and perforation peritonitis. Difficulties in abdominal access from extensive adhesions, postsurgical or aberrant anatomy, obliteration of the peritoneal space (e.g., in pregnancy, organomegaly or intestinal distention) and various other comorbid features (uncorrectable coagulopathy, advanced cirrhosis, port-site soft tissue infection, etc.) are sometimes considered contraindications. The cardiopulmonary effects of a pneumoperitoneum, such as a reduced cardiac return and diaphragmatic splinting, can present anesthetic contraindications to laparoscopy. Many contradictions that were previously considered absolute are now treated as relative.
This Basic Laparoscopic Surgery: Instrument Handling and Core Skills course will teach you:
- Details of instruments commonly used in laparoscopic surgery
- Mechanical properties of instrument manipulation through the abdominal wall
- Optimal angles for laparoscopic instrument handling
- How to safely introduce a suture into the peritoneal cavity
- How to perform simple interrupted laparoscopic suturing
- How to use a laparoscopic clip applier
Specific attention is given to these hazards that you may encounter:
- Hazards of monopolar electrosurgery
- Needle tip outside direct vision
- Firing a clip applier without a loaded clip |
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laparoscopic | laparoscopic surgery | what is laparoscopic surgery? | laparoscopy | complications from trocar introduction | recovery from laparoscopic surgery | surgery | nucleus medical media | appendectomy | education | health | patient | healthcare | doctor | laparoscopic appendectomy surgery | nucleus health | laparoscopic surgery for endometriosis | laparoscopic cholecystectomy | instrumentation | instrument manipulation | instrument handling | laparoscopic suturing | laparoscopic clip application |
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