LAPAROSCOPIC SURGERY. Jane P Bradley Hendricks RGN, BSE(hons), MCS, Independent Nurse Prescriber Surgical Care Practitioner, Laparoscopic Surgery. Colchester General Hospital. SHORT HISTORY. 1982 Semm performed first Laparoscopic Appendicectomy.
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Jane P Bradley Hendricks
RGN, BSE(hons), MCS, Independent Nurse Prescriber
Surgical Care Practitioner, Laparoscopic Surgery.
Colchester General Hospital
MINIMALLY INVASIVE SURGERY
MINIMAL ACCESS SURGERY
Benign renal disease
Some Splenic disorders
Repair of Prolapse
SpleenectomyWhat operations can we do laparoscopically?
Division of adhesions
Closure of perforation
Hiatus hernia repair.What operations can we do Laparoscopically
The list is endless!!!
Anterior resection/ APR
OesophagogastrectomyWhat operations can we do Laparoscopically
FOR THE PATIENT
FOR THE HOSPITAL
For the Surgeon
Light Guide Cable
Apart from the insufflator the system will work better if all the components are from the same company as one piece talks to anotherEquipment Necessary for MAS
Insulation failure adhere to the following guidelines
Current pases through the body- effect on pacemakers.
Return electrode burns
Charring of instruments
Specialised theatres required.
Poor depth controlElectrosurgery Laser
Electrical generator (the box)
This adjusts the amount of electrical energy being delivered and monitors performance.
This is where electrical energy is converted to the ultrasonic waves. The frequency is fixed however the amplitude alters with the power input. the transducer is located in the hand piece and is connected to the generator by an electrical cable.
Dissection Instrument (peripheral hand piece)
A metallic rod is coupled to the transducer and vibrates at the prescribed frequency (i.e. 55kHz). The tip of the rod contacts with the surface tissue.
“My God, Jim, we can’t leave him in the hands of 20th century medicine. Those butchers will use needles and knives and cut open his belly and chest. It is still the dark ages. You have no idea what those barbarians will do.”
Dr. James McCoy
Star Date 2394.3
Thank You For Your Time