Microscopic examination of the abdominal wall: avoiding abdominal wall blood vessels under direct laparoscopic vision. The patient is obese and has thick abdominal wall. The abdominal wall blood vessels cannot be clearly seen under lighting. At this time, the position of the blood vessels needs to be determined by anatomical landmarks. If the inferior abdominal artery runs from the external iliac artery to the femoral canal (where the round ligament enters the abdominal wall), avoid these parts during puncture.

The puncture needle is perpendicular to the abdominal wall and puncture into the pelvic cavity at the shortest distance to prevent the Trocar from entering the abdominal cavity obliquely for a certain distance. The Trocar should be entered perpendicular to the abdominal wall under laparoscopic monitoring. When the Trocar tip breaks through the peritoneum, the direction is changed Enter toward the pelvic cavity until the spiral end enters the abdominal cavity. (As shown below).

Ensure sufficient intra-abdominal pressure (intra-abdominal pressure is often set to 13-15mmHg in gynecological surgery); use a blunt puncture.

Pay attention to the umbilical puncture hole as an observation hole. Most of this hole withdrew at the end, unable to observe its situation. When the operation is completed, the holes should be observed under laparoscopic monitoring and the trocar should be withdrawn one by one, and the umbilical hole should be carefully observed through the lens at the main operating hole.

Observe after the gas is released from the abdominal cavity: observe the puncture hole without bleeding under the pressure of the pneumoperitoneum, keep the umbilical lens for monitoring, and observe the bleeding in each hole after a part of the gas is released from the remaining hole.

When the incision is sutured after the operation, it is not advisable to resume anesthesia prematurely, in order to facilitate the deep tissue suture firmly and without leaving dead space.

Make adequate preoperative preparations. For patients with severe liver cirrhosis or abnormal coagulation function, coagulation function should be improved before surgery.

Surgaid trocar:

Product Features：

	Four valve seal The resistance of the instrument entering the trocar and working is the least, and the sealing is good. It is not necessary to use a converter to change instruments of different caliber.
	Half spiral or full spiral The speed of China Disposable Laparoscopic Trocar Set entering the abdominal cavity is controllable, and the depth is controllable. The abdominal wall is firmly fixed and avoids damage to the internal organs of the abdominal cavity.
	Blunt trocar cannula Unique blunt blade design to avoid damage to internal organs or blood vessels during puncture.
	The largest area of the aiming guide cone, which is convenient for disposable optical trocar to enter the working channel when operating the instrument with one hand.
	The body of 10mm and 12mm trocars can be easily rotated and separated for easy specimen removal.
	The body is translucent device, which is convenient for observing the in and out of instruments and the removal of specimens.
	Locator The positioning thread can be sutured and fixed on the abdominal wall, and the trocar can be fixed at the designated position through the combination of internal and external threads. For children or thin patients, it can prevent the trocar from protruding into the abdominal cavity during operation to damage internal organs, and it can also prevent the trocar from being taken out of the body by surgical instruments.

Product Information：

Product Instructions：

ABOUT SURGAID PRODUCTS:

Disposable Trocar

Circular Circumcision Stapler

Intraluminal Stapler

endo cutter stapler

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