Guide Laparoscopic Surgery: Key Points, Operating Room Setup and Equipment

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Laparoscopic Surgery. Key Points, Operating Room Setup and Equipment. Editors: Pignata, Giusto, Bracale, Umberto, Lazzara, Fabrizio (Eds.) Free Preview​.
Table of contents

• Laparoscopic Surgery. Key Points, Operating Room Setup and Equipment
• Imaging Equipment and Operating Room Setup
• Account Options
• The Operating Room Setup - Laparoscopic Surgery

Many flow charts, tables, and figures are included to assist fast and intuitive comprehension.

The book will be of interest to all of the "actors" in the operating room, including especially surgeons in training, established surgeons, nurses, and anesthetists. His principal research and clinical interest is the laparoscopic approach to the treatment of malignant and benign abdominal diseases, with a particular focus on colorectal and esophagogastric issues.

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He has published more than papers. His special interests are laparoscopic surgery for the treatment of abdominal diseases and evaluation of the efficiency of laparoscopy by health technology assessment.

He is a member of the most important Italian surgical societies. Fabrizio Lazzara is a General Surgeon who specializes in digestive surgery and endoscopy. His research and clinical fields of interest include the laparoscopic approach in general, digestive surgery, and the diagnosis and treatment of functional digestive diseases. JavaScript is currently disabled, this site works much better if you enable JavaScript in your browser. Medicine Surgery.

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FAQ Policy. The surgeon generally stands on the side opposite the site of pathology, but between the legs when mobilizing either colonic flexure. When possible, standing to the patient's right side is usually preferred when performing pelvic surgery because sigmoid mobilization will be easier. The first assistant should stand opposite the surgeon or on the side opposite of the pathology when the surgeon stands between the legs.

The second assistant camera person should stand next to the surgeon when the surgeon stands alongside the patient or next to the first assistant so that the operating team views the monitors from the same vantage point, which will facilitate guidance of the laparoscope Figure 4.

The nurse should stand so that both the instrumentation table and the operative field are easily accessible. This is usually near the knee or foot of the patient usually on the left side. This position not only facilitates instrument passage but also enables the nurse to help the surgeon by performing such tasks as stabilizing the cannula while the surgeon exchanges instruments. Depending on the area available in the operating room and the size of the equipment and instruments, the laparoscopic team should design a single setup that can easily be adapted for the most common procedures; having one setup will allow the equipment to be more quickly arranged.

Account Options

In addition, a backup set of equipment components must be available to avoid delay or termination of the procedure if a component fails. Because such failure is unpredictable, a plan should be developed that all team members understand so that components can be rapidly replaced. To increase efficiency, all members of the surgical team should learn the specified setup for each operation and be trained according to this setup. The number of carts for the laparoscopic equipment should be kept to a minimum.

In general, laparoscopic colorectal surgery calls for two mobile carts: they should either have wheels or be mounted on booms suspended from the ceiling. On one cart, a video monitor, light source, video system, and insufflator are placed on the patient side that is opposite to the first assistant so that the insufflator display can be seen during the entire procedure - high intraabdominal pressure, low gas flow, or an empty gas tank can thus be detected quickly. The second cart is positioned on the patient side opposite to the surgeon, and the irrigation suction unit, a video monitor, and the electrosurgical unit are placed on it.

The instrument table should be placed toward the lower end of the patient so that the nurse can easily work from it and assist the surgeon during all phases of the procedure. Whether you call it erectile dysfunction, ED, impotence, or any number of slang terms, erection problems are something many men have to face during the course of their lifetimes. Get My Free Ebook. Dealing With Erectile Dysfunction Whether you call it erectile dysfunction, ED, impotence, or any number of slang terms, erection problems are something many men have to face during the course of their lifetimes.

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