1. Selection of puncture point
Observation hole
The umbilicus is the preferred observation hole puncture point.
Gynecological surgery is pelvic internal organ surgery, and the female reproductive system organs are bilateral or symmetrically growing tissue organs. From the histological source, the tissue structure at the umbilicus on the abdominal wall is the weakest, and the blood vessels are scarce. The anatomical levels are skin, thin subcutaneous tissue, rectus abdominis tendon, posterior sheath, and parietal peritoneum from the outside to the inside. Therefore, the umbilicus is the most suitable site for blind puncture such as observation holes. In most laparoscopic operations, a 10mm puncture hole is often selected in the middle of the umbilicus or slightly above and below the umbilicus.
If the umbilical hole is too deep, or there is infection, you should choose under the umbilical margin. If the pelvic mass is too large, a puncture hole on the umbilical can also be selected.
Operation hole
The selection of the puncture point of the operating hole follows the principles of ease of operation, beauty, and minimal trauma. At the same time, the inferior abdominal artery and other blood vessels must be avoided, such as the superficial abdominal artery, deep circumflex iliac artery, and superficial circumflex iliac artery.
2. Puncture methods and essentials
| type | method |
| Direct trocar insertion | That is, the puncture needle is directly inserted without forming a pneumoperitoneum. The technical requirements are high and only suitable for experienced surgeons. |
| Visual puncture | That is, after the skin is incised at the first puncture site, the laparoscope is inserted into the puncture sleeve, and the incision of each layer of the abdominal wall tissue can be observed under the microscope, thereby ensuring the safety of the operation.Laparoscopy equipment is expensive, and the equipment is long, and it is not a matching equipment with various trocars, which makes the operation very cumbersome. |
| Closed puncture | Inlet abdominal needle, after the formation of pneumoperitoneum, enter the first puncture device. It is a classic puncture mode and has the most clinical applications, but "blind puncture" can cause damage to retroperitoneal blood vessels, abdominal wall blood vessels and gastrointestinal tract. |
| Opened puncture | After cutting each layer of the umbilical tissue into the abdominal cavity, insert a blunt trocar to form a pneumoperitoneum. Disadvantages are time-consuming, if the incision is too large, there may be air leakage. It is suitable for high-risk patients with a history of abdominal surgery or suspected abdominal adhesions. It can also be used for laparoscopic surgery during pregnancy. |
3. surgaid Laparoscopic Optical Trocar
Abdominal wall puncture is the basis of laparoscopic surgery, and its operation plays a vital role, but we will hear from time to time that when Bladeless Bariatric Trocar is punctured, internal organs, intestines, blood vessels, and excessive carbon dioxide residues are prone to cause postoperative patients Shoulder pain and other conditions. So how does the Surgaid medical trocar avoid these hidden dangers?
China Disposable Trocar
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The Laparoscopic Optical Trocar has no knife and sharp tip design, which effectively expands and stretches the tissue, avoids damage, and protects the organs; the tip of the puncture adopts a 45° bevel opening to reduce the puncture resistance and facilitate the specimen to enter the puncture. |
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The non-slip thread design on the wall of the puncture cannula is designed to overcome the easy slippage of the trocar and is ergonomic, increase the adhesion and controllability of puncture, and greatly reduce the common complications (subcutaneous emphysema) of laparoscopic surgery. |
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Detachable structure: The sealing cap adopts a double-layer sealing design to ensure the airtightness of the Endoscopic Screw Trocar Set during use. At the same time, the sealing cap is detachable to facilitate the retrieval of objects during the operation. If necessary, rapid deflation can be achieved; |
SPECIFICATION:
| No. | REF NO. | No. | REF NO. | REMARK |
| 1 | KPVS-100-1-5 | 4 | KPVM-100-1-10 | K-Bladed P-Threaded V-Optical S-Single Sheet M-4 Sheets |
| 2 | KPVS-100-1-10 | 5 | KPVN-100-1-12 | |
| 3 | KPVS-100-1-12 |
4.ABOUT SURGAID PRODUCTS:
For more product information at https://www.surgaid-medical.com/