راهنمای ابزارهای لاپاراسکوپی

Handbook of Laparoscopy Instruments covers the essential components of laparoscopic instruments and technology. It presents accessible information covering key topics on the subject:Ø Basic and specialized laparoscopic instrumentsØ Image productionØ Pneumoperitoneum maintenanceØ ErgonomicsØ Sterilization proceduresØ Optical devicesØ Operation theatre layout and setupØ Operative hand instrumentsØ Robotic SurgeryThis book is an indispensable resource recommended for students and surgical residents who need an understanding of instruments and procedures in laparoscopic surgery. It is also intended to help medical professionals who want to start laparoscopy units in their clinics. Cover Title Copyright End User License Agreement Contents Foreword Preface List of Contributors Ergonomics in Laparoscopy Meenakshi Yeola (Pate)1,* and Sushanth R. Nayak1 INTRODUCTION What is Ergonomics? Ergonomics Significance The Hawthorne Effect Lack of Tactile Sensation The Reduced Degree of Freedom of Movement Decoupling of the Visual (Monitor) & Motor axis Assuming A Relatively Stable Posture More Crowd Dim-lit Room Drawbacks for The Surgeon Setbacks to The Patient Ideal Position Reasons Hindering An Ideal Position Operative Table Height Monitor Location Manipulation Angles for Instrumentation Triangulation Sectorisation EQUIPMENT RELATED CHALLENGES Limited View Reduced Proficiency of The Instruments Shapes are Not Aptly Designed Limited Instrument Mobility Instrument Exchanges Intracorporeal Suturing Surgeon and Team Position Recent Advances One Port Laparoscopy Role of Robotic Surgery H.D. Monitors 3-D Laparoscopy Clinical Significance Solution CONCLUSION REFERENCES Sterilization Lamture Yeshwant Ramrao1,*, Varsha P. Gajbhiye1 and Deepak Lamture1 INTRODUCTION Microbial Life and Sterilization Steam Sterilization History of Autoclave Principle of Autoclave Mechanism High-Level Disinfection Spaulding Classification of Medical Devices CONCLUSION REFERENCES Operation Theatre Layout, Equipment Setup and Troubleshooting Harshal Ramteke1,*, Rohini Bhoyar2, Ashirwad Sankhe3 and Lamture Yeshwant Ramrao3 INTRODUCTION OPERATING THEATRE LAYOUT AND EQUIPMENT POSITION [4] General Considerations Establishing the Orientation and Appropriate Position of the Operating Table Optimal Position and Orientation of the Surgical Team Robotic System and Its Effect on Operating Theatre Space Checklist for Equipments [3, 4] SETUP OF THE OPERATING ROOM AND EQUIPMENT [3, 4] TROUBLESHOOTING [3, 5] OPERATING ROOM FIRES [4, 6] CONCLUSION REFERENCES Optical Devices Venkatesh Rewale1, Aditya Patel1 and Lamture Yeshwant Ramrao1,* INTRODUCTION Imaging System Laparoscopes Light Source Light Cable Cameras Television Monitor With Instrument Trolley CONCLUSION REFERENCES Equipment for Creating And Maintaining the Pneumoperitoneum Sanjeev Gianchandani1, Resha Keshwani1, Sachin Gianchandani1 and Lamture Yeshwant Ramrao2,* INTRODUCTION Insufflator Lapro-Manometers Pulsatile Flow and Plane of Surgery Gas for Pneumoperitoneum Carbon Dioxide Suction Irrigation Machine CONCLUSION ACKNOWLEDGEMENTS REFERENCES Instruments for Access Deepak Lamture1, Lamture Yeshwant Ramrao1,* and Varsha P. Gajbhiye1 INTRODUCTION Veress Needle Hassan Cannula Optical Trocar Trocars CONCLUSION REFERENCES Hand Instruments Energy Devices: Working Principles, Uses And Complications Raju Kamlakarrao Shinde1,*, Sangita Devrao Jogdand1 and Lamture Yeshwant Ramrao1 INTRODUCTION ELECTROSURGERY PARTS MONOPOLAR ELECTROSURGERY Adaptive Technology in the Active Electrode Returning Electrode Monitoring System Complications Direct Coupling Insulation Failure Capacitive Coupling Advantages Disadvantages Specialized Electrosurgical Units Harmonic Scalpel Advantages Disadvantages Vessel Sealing Bipolar Electrosurgery [Ligasure] Advantages Disadvantages Argon Plasma Coagulation Advantages Disadvantages Cavitron Ultrasonic Surgical Aspirator [C.U.S.A.] Advantages Disadvantages Laser Electrosurgery Types of Lasers Advantages Disadvantages Radiofrequency Energy CONCLUSION REFERENCES Basic Endoscopic Accessories Parmeshwar Ramesh Junare1,* and Vijendra Kirnake1 INTRODUCTION Common Endoscopic Accessories Hemostatic Devices Injection Needles Hemoclips Thermocoagulation Devices Argon Plasma Coagulation (APC) Endoscopic Band Ligation (EBL) Glue Foreign Body Retrieval Devices Biopsy Forceps Dilators Balloon Dilators Achalasia Balloon Dilators Feeding Tubes CONCLUSION REFERENCES Robotic Surgery Varsha P. Gajbhiye1, Deepak Lamture1 and Lamture Yeshwant Ramrao1,* INTRODUCTION Advantages of Robotic Surgery CONCLUSION REFERENCES Subject Index Back Cover