Laparoscopic Instruments

What is a Laparoscopic Instrument?

Laparoscopic instruments are unique surgical instruments that doctors use to conduct their surgery utilizing a minimally invasive approach. 

Laparoscopic instruments are used to various operations, which generally include gallbladder removal, hernia repair, and appendix surgery, to name a few. The general takeaway from laparoscopic surgery, helps patients cope with decreased pain and complications while recovering from surgery quicker than large incision/open surgery.

Uses of Laparoscopic Instruments:

1. Diagnostic Laparoscopy

Doctors frequently utilize laparoscopy to examine the inside of the abdomen (and often pelvis). A laparoscope is inserted and used in conjunction with the via laparoscopic instruments to move organs around to which the surgeon can see through the scope.

2. Gallbladder Removal (Cholecystectomy)

Laparoscopic cholecystectomy is one of the most common uses of laparoscopy. The gallbladder is removed through small incisions in the abdomen using surgical instruments.

3. Hernia Surgery

In laparoscopic hernia repairs, surgeons are able to insert and place a mesh that will support the weak part of the abdominal wall, all through tiny incisions (i.e. keyhole repairs). 

4. Appendix removal (i.e. Appendectomy)

Appendectomy is an often-laparoscopic procedure in which a small incision is made and surgeons use laparoscopic instruments to remove the appendix with low trauma to the surrounding tissues. 

5. Weight loss surgery (Bariatric Procedures)

Several laparoscopic tools were designed for use in bariatric procedures (e.g. gastric bypass or sleeve gastrectomy) that commonly reduce the size of the stomach and make them easier for long-term weight loss.

6. Colon and Rectal Surgery

Laparoscopic tools can be used in surgical procedures involving the removal of tumors in the colon and rectum or for the treatment of other conditions as noted above. Recovery is often easier with laparoscopic surgery compared to open surgery and results in less scarring.

7. Women's Health Procedures (Gynecologic Surgery)

 Procedures like hysterectomy (removal of uterus) and myomectomy (removal of fibroids) are done with minimally invasive laparoscopic instruments. The hope is to decrease bleeding from the surgical site and hospital admission time.

8. Kidney and Prostate Surgery (Urologic Procedures) 

Kidney removal and prostate procedures can be accomplished by laparoscopic means, again allowing for a high degree of control in surgical procedures and decreased recovery time.

9. Liver Operations

 Laparoscopic instruments are also used in selected operations on the liver such as removing tumors, or doing surgical procedures related to specific diseases that affect the liver, with the intention of trying to preserve as much normal tissue while removing abnormal tissue.

10. Chest (Thoracic) Surgeries

 Though less frequently employed, laparoscopic instruments can be used in selected operations on the thorax (anatomy of chest area) including thoracic biopsies of the lungs and removals of the thymus gland, especially in procedures with a desire for reduced access.

Types of Laparoscopic Instruments:

Laparoscope This is a long, thin tube with a high-definition camera and light at the end. It lets the surgeon see inside the patient’s body on a screen during surgery.

Trocar

A trocar is used to create entry points in the abdomen. It allows other instruments to be inserted safely through small cuts.

Veress Needle Before surgery starts, this needle is used to fill the abdomen with gas (usually carbon dioxide). This creates space so the surgeon can work more easily.

Graspers These are like long forceps. They are used to hold, pull, or move tissues inside the body without damaging them.

Dissectors Dissectors are used to carefully separate tissues. Surgeons use them to reach the exact spot they need to work on.

Laparoscopic Scissors As the name suggests, these are used for cutting tissue. They are long, slim, and made to work inside the body through small openings.

Clip Applicators These instruments are used to place clips on blood vessels or ducts to close them off during procedures like gallbladder surgery.

Suction and Irrigation Device This tool removes fluids like blood or cleans the area with sterile fluid to keep the view clear during surgery.

Needle Holder A needle holder helps the surgeon stitch inside the body. It firmly holds the surgical needle during suturing.

Electrocautery Probe This instrument uses electric current to cut tissue or stop bleeding. It helps reduce blood loss during surgery.

Understand the Laparoscopic Instruments Price:

This is the most common question doctors ask our team when exploring our Laparoscopic Instruments. “What is the price of the Laparoscopic Instruments.

And we reply simply, the price varies depending on the models. In India, the starting price of the Laparoscopic Instruments starts from ₹9,000 and it goes up to ₹1,00,000. Laparoscopic Instruments Price List:

Top 2 Brands of Laparoscopic Instruments:

1.Ethicon

2.Covidien

Maintenance Tips for Laparoscopic Instruments:

1. Clean Immediately After Use

Following every surgery, you should clean your instruments immediately. Dried tissue and blood can damage the surface and performance of instruments. Be sure to always clean your instruments with distilled water before sterilization. 

2. Use Only Soft Brushes

Never use hard or metal brushes when cleaning instruments. Soft bristle brushes are helpful in cleaning debris that is collected in the instrument's joint, hinge, and channel. This helps to avoid scratches on the assortment of surgical instrument surfaces, which can lead to rusting.

3. Look for Damage

When inspecting your instruments, make sure to look for cracks, bent tips, or loose parts. There is no room for imprecision when using laparoscopic instruments, and even minimal defects can impact the outcome of the surgery. 

4. Lubricate Moving Parts 

All moving parts should lubricated using a medical grade instrument lubricant. This is important to avoid stiff moving parts; making for smooth surgery.

5. Proper Sterilization

It is imperative to follow the manufacturer's approved directions for sterilization. Many instruments will be sterilized in an autoclaving station. Autoclaving an instrument for too long or selecting improper heat can cause damage.

Frequently Asked Questions:

1. What are laparoscopic instruments used for? Laparoscopic instruments are used in minimally invasive surgeries to perform operations through small cuts. They help surgeons do procedures like gallbladder removal, hernia repair, appendix surgery, and gynecological operations with less pain and faster recovery for the patient.

2. Are laparoscopic surgeries safe? Yes, when performed by trained surgeons using quality instruments, laparoscopic surgeries are generally safe. They carry fewer risks of infection, less bleeding, and shorter hospital stays compared to open surgeries.

3. What are the main types of laparoscopic instruments? Some common types include:

• Laparoscope (camera)
• Trocar (access ports)
• Graspers
• Scissors
• Clip applicators
• Needle holders
• Suction/irrigation devices
• Electrocautery probes

4. How much do laparoscopic instruments cost in India? Costs vary depending on brand and quality:

• Basic hand instruments (each): ₹2,000 – ₹8,000
• Full instrument set: ₹50,000 – ₹2,00,000+
• Laparoscope (camera system): ₹1,50,000 – ₹10,00,000 (depending on HD or 4K quality.

5. How long do these instruments last? With proper care and maintenance, good-quality laparoscopic instruments can last 3 to 5 years or more. Disposable ones are meant for single use only.

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