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Training In Basic Laparoscopic Techniques R.G. Kar Medical College & Hospital Kolkata
Disposable Reusable
Handle Outer tube Insert
Size 1.7mm to 12mm Commonly used - 5mm / 10mm for regular use
1.4 / 3mm for paediatric use 12mm - staplers
Ergonomically suitable handle Sturdy & stable when jaws are activated Less trauma to tissue Take apart
Insulation easily replaceable Simple design with minimum no. of hinges / crevices
Handle
Ring type
Radial Inline
Ideal handle Good ergonomic design Locking / unlocking Rotatable / non-rotatable Diathermy attachment
Ring type
Grip opening 65 to 90mm Ring size 30mm / 24mm Angle between shaft & handle 105 to 1500 Fore finger rotation
Pistol type
Wire bend
Blunt Pointed
Toothed Non-toothed
Good for strong grasp like fundus of gall bladder
Hooks
J type L type
Spatula
Ball
Scissors
Suction Irrigation
Clip applicators
Clip Applicators
Single jaw action Double jaw action Curved Straight Take apart Disposable (preloaded) Reusable
Staplers
Tacker
Needle Holders
Grip types
Coaxial handle Pistol type Ring handle
Needle Holders
Tip types
Straight Curved Self righting
One which suits you Heavy handle with strong & tapering jaw Coaxial handle
Pistol type problem in rotation especially when the angle with skin is more (suturing from epigastric port)
Assisting Grasper
Retraction Devices
Fan retractor
Snake retractor
Nathansons retractor
Harmonic scalpel
Ligasure