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    claudio udjaja
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    This document introduces various instruments used in gynecological endoscopy including laparoscopes, camera systems, insufflators, trocars, cannulas, forceps, scissors, needles, and other surgical tools. It discusses the purpose and proper use of each instrument. Key points covered include how to identify different trocar tips, operate camera systems and light sources, use bipolar and monopolar devices, and properly prepare, maintain, and sterilize all endoscopic tools. The goal is to help medical professionals become familiar with the various equipment involved in laparoscopic surgeries and how to utilize each device effectively.

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    This document introduces various instruments used in gynecological endoscopy including laparoscopes, camera systems, insufflators, trocars, cannulas, forceps, scissors, needles, and other surgical tools. It discusses the purpose and proper use of each instrument. Key points covered include how to identify different trocar tips, operate camera systems and light sources, use bipolar and monopolar devices, and properly prepare, maintain, and sterilize all endoscopic tools. The goal is to help medical professionals become familiar with the various equipment involved in laparoscopic surgeries and how to utilize each device effectively.

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    © All Rights Reserved
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    31 views42 pages

    02 Bab 2 Pengenalan Alat

    Uploaded by

    claudio udjaja
    This document introduces various instruments used in gynecological endoscopy including laparoscopes, camera systems, insufflators, trocars, cannulas, forceps, scissors, needles, and other surgical tools. It discusses the purpose and proper use of each instrument. Key points covered include how to identify different trocar tips, operate camera systems and light sources, use bipolar and monopolar devices, and properly prepare, maintain, and sterilize all endoscopic tools. The goal is to help medical professionals become familiar with the various equipment involved in laparoscopic surgeries and how to utilize each device effectively.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    of 42

    PENGENALAN

    INSTRUMEN
    ENDOSKOPI
    GINEKOLOGI
    GINEKOLOGI
    Tujuan

     Mengenali berbagai peralatan


    endoskopi ginekologi dan cara
    kerjanya: Laparoskop, sistem kamera,
    insuflator, jarum verres, trokar dan
    kanula, forceps, gunting, alat penghisap
    dan irigasi, dll
    “Laparoscopy is a highly
    tools dependent surgery,
    so know (and love) your
    devices pretty well”
    Trolley/Tower
    Trolley/Tower
    “Let’s begin with insufflation”
    Insufflation Needle
    (Verres)

    Size :
    12 cm,14 cm,16
    cm
    Depend on pt’s
    abd. wall
    Insuflator
    6 indicators :
    1. Gas reserve
    2. Pressure set
    3. Pressure- real time
    4. Gas flow set
    5. Gas flow- real time
    6. Total gas used
    “You need a hole to work inside”
    Trocars and canulae
    Trocars tips
    Optical trocar Radially expanding trocar
    Canulae reducer
    “ Surgery up on image…”
    “When we first saw the beautiful
    view of the total pelvis and abdomen
    afforded by laparoscopy, we thought
    we had ‘died and gone to heaven’." 

    Raymond Reilly,
    Brigham Young University, 1972
    Telescope

    With
    operative
    tools scope

    00

    300
    Telescope
    Telescope
    Telescope …
    Camera system

    Types :
    1 or 3 chips
    HD
    Brand : Storz, Stryker,
    Olympus, Maxer,
    Braun,
    Light cable

    Fibre optic cables


    Gel cables
    Light source

    Manual adjustment
    Automatic adjustment
    monitor

     CRT
     LCD
     Plasma TV
    “ Let’s start the surgery….”
    Graspers / forceps
    • Single jaw action
    • Double jaw action
    • Traumatic/atraumatic
    • Teeth numbers
    Bipolar forceps
    • fenestrated / non
    fenestrated
    • new RoBi forceps
    • Bipolar Ball electrode
    Scissors
    • Single jaw action
    • Double jaw action
    • Straight/curved
    • Hook scissors
    • Diameter 5 and 10 mm
    Monopolar forceps

    Needle tip

    L-hook tip

    Spatula tip
    Needle holder
    Hemostatic devices
     Harmonic scalpel
     Ligasure
     Laser
     Clip
     Stapler
    Harmonic scalpel
    Ligasure
    CO2 Laser
    Clip applicator
    Linear Stapler
    Additional device
    Stick

    Suction-irrigator

    Aspiration needle
    Additional device

    Knot pusher

    Uterine
    manipulator

    Myoma screw
    colpotomizer
    Morcellator

    • for tissue retrieval


    • electric / manual
    Endobag
    What to know about a
    laparoscopy instrument?
     What is :
    - the main purpose
    - the additional usage
     How :
    - the instrument works
    - to dissamble and sterilize
    - to fix if troubles occure
    Thanks for your
    kind attention

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