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Understanding Disposable & Reusable Trocars in Laparoscopic Surgery: Types, Parts, and Usage скачать в хорошем качестве

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Understanding Disposable & Reusable Trocars in Laparoscopic Surgery: Types, Parts, and Usage

Understanding Disposable & Reusable Trocars in Laparoscopic Surgery: Types, Parts, and Usage Understanding Disposable & Reusable Trocars in Laparoscopic Surgery: Types, Parts, and Usage Hello, friends! Today, we'll discuss the various types of trocars used in laparoscopic surgery. While there are many designs, we aim to provide a basic understanding of how these trocars are designed and utilized. Trocars can be broadly classified into reusable and disposable types. Disposable Trocars A trocar typically consists of an obturator and a cannula. Here's a closer look at their components: Obturator: Tip: Can vary in shape, such as blunt, pyramidal, or cutting tips, each suited for specific needs: Blunt tips: Reduce the risk of injury in cases with intra-abdominal adhesions. Pyramidal tips: Facilitate smoother entry through the fascia with sharp edges. Optiview tips: Transparent for use with a 10 mm scope, allowing visibility of tissues during entry. Shaft: Corresponds to the trocar's size and length. Head: Designed to minimize hand fatigue during insertion. Cannula: Includes components like a head, shaft, and tip. Equipped with mechanisms such as Luer locks and valves for insufflation and gas evacuation. Reusable Trocars Reusable trocars are designed for multiple uses with mechanisms for easy cleaning and maintenance: Sealing System: Includes removable washers to maintain an air-tight seal. Luer Lock: For gas connections, with valves to regulate gas flow. Disassembly: Enables thorough cleaning to ensure sterility. Specialized Trocars Hasson's Trocar: Used for open (Hasson) techniques in laparoscopic surgery. Includes a conical head for secure placement and attachments for sutures to prevent slippage. Length and Diameter: Length: Defined by the shaft size (e.g., 10 cm, 15 cm, etc.). Diameter: Consists of inner and outer dimensions, determining the instruments that can be used. Accessories and Enhancements Reducers: Convert larger cannula diameters to smaller sizes to prevent gas leakage. Available in long and short designs with specific advantages: Short reducers: Minimize gas loss during instrument exchange. Long reducers: Offer better control for certain procedures, such as suturing or retrieval of specimens. Threaded Cannulas: Designed to prevent slippage during procedures. Scope Compatibility: Specialized trocars allow insertion of a scope for enhanced visibility. Conclusion This overview of trocars highlights their types, components, and applications in laparoscopic surgery. Each design serves a unique purpose, enhancing safety and efficiency during procedures. If you have any questions or need further clarification, feel free to comment. We'd be happy to assist you. Thank you for watching! #LaparoscopicSurgery #SurgicalInstruments #MedicalEducation

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