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Instrumental Laparoscópico Esencial

Este documento describe varios instrumentos laparoscópicos utilizados en cirugía, incluyendo agujas de Veress, trocares, fibra óptica, graspers, clips, tijeras, hooks, extractores de vesícula, cánulas de aspiración e irrigación, porta-agujas y bajadores de nudos. El documento proporciona detalles e imágenes de cada instrumento para identificarlos y comprender su función.

Cargado por

Alemay Cuno
Derechos de autor
© All Rights Reserved
Nos tomamos en serio los derechos de los contenidos. Si sospechas que se trata de tu contenido, reclámalo aquí.
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Descarga como PDF, TXT o lee en línea desde Scribd
67% encontró este documento útil (3 votos)
1K vistas3 páginas

Instrumental Laparoscópico Esencial

Este documento describe varios instrumentos laparoscópicos utilizados en cirugía, incluyendo agujas de Veress, trocares, fibra óptica, graspers, clips, tijeras, hooks, extractores de vesícula, cánulas de aspiración e irrigación, porta-agujas y bajadores de nudos. El documento proporciona detalles e imágenes de cada instrumento para identificarlos y comprender su función.

Cargado por

Alemay Cuno
Derechos de autor
© All Rights Reserved
Nos tomamos en serio los derechos de los contenidos. Si sospechas que se trata de tu contenido, reclámalo aquí.
Formatos disponibles
Descarga como PDF, TXT o lee en línea desde Scribd

Instrumental Laparoscópico

Aguja de Veress Adaptador para Trocar


Tubuladura de CO2 (Camisa - Punzón - Gomita)

Gomitas para Camisa Trocar de 10mm (izquierda) Reductor para Camisa


(5mm - 10mm) Trocar de 5mm (derecha) (de 10mm a 5mm)

Fibra Óptica Cartuchos de Clips Adaptadores para


(para Fuente de Luz) Grandes (izquierda) Cánula de Aspiración -
Medianos (derecha) Irrigación

Instrumental Laparoscópico - EIQ Htal. Ramos Mejía - (revisión 24/01/17) Página 1


Instrumental Laparoscópico

Óptica Grasper de Intestino Allis


(Endoscopio Rígido) ("Pico de Pato" - (Grasper Atraumático)
"Ramas Largas" -
"Bananita")

Grasper para Fondo Maryland Grasper para Agudos


("Cocodrilo" - (Pinza de Disección) ("Grasper con Dientes" -
"Clinch") "2x4 dientes")

Clipadora Tijera Hook


("Clipera") ("Electro" - "Disector")

Instrumental Laparoscópico - EIQ Htal. Ramos Mejía - (revisión 24/01/17) Página 2


Instrumental Laparoscópico

Extractora de Vesícula Extractora Pequeña Comparación de Pinzas


("Pinza Mostruo") (5 mm) Extractoras
10 mm (es la que más se Arriba - 10mm
utiliza) Abajo - 5mm

Cánula de Aspiración e Cánula con Adaptadores Pinza para


Irrigación Distal = Tubuladura de Colangiografía
(Extremo de conexiones) aspiración. ("Pinza de Cístico" -
Lateral = V-109 para irrigar Admite una K-35)

Porta-Agujas Porta-Agujas Baja-Nudos


(Detalle) Arriba - Metálico
Abajo - Plástico de Tubo

Instrumental Laparoscópico - EIQ Htal. Ramos Mejía - (revisión 24/01/17) Página 3

Common questions

Con tecnología de IA

Optical instruments, such as the 'Óptica (Endoscopio Rígido)' and 'Fibra Óptica', are crucial for providing visual access to the surgical area in minimally invasive procedures. The rigid endoscope offers a clear, magnified view of the operative field, enhancing the precision of surgical actions, while the optical fiber ensures adequate illumination. Together, these components enable surgeons to accurately navigate and manipulate instruments within the body .

The 'Porta-Agujas' is essential for holding and manipulating needles during suturing in laparoscopic procedures. Precision and stability are key features, facilitating exact suture placement without undue stress on tissues. Its detailed craftsmanship allows surgeons to handle needles securely even in constrained spaces, reducing the risk of needle slippage and inadvertent tissue damage .

The 'clipadora' or 'clipera' is used for applying clips to seal vessels or ducts securely during operations. This tool is instrumental in achieving hemostasis quickly, preventing blood loss and enhancing surgical efficiency. By minimizing the time required to control bleeding, the clipadora contributes to safer, faster, and cleaner surgical procedures .

The document mentions 'Trocar de 10mm' and 'Trocar de 5mm'. This size variation is crucial as it allows for the adaptation to different surgical requirements, minimizing tissue trauma. Larger trocars provide access for bulkier instruments or specimen extraction, whereas smaller ones are used when only minimal instrument access is needed, thereby reducing patient discomfort and recovery time .

The 'cánula de aspiración e irrigación' is equipped with connections that allow for both fluid removal and irrigation. This dual functionality is critical for maintaining clear visibility by removing fluids, such as blood, from the surgical site and simultaneously providing irrigation to cleanse and cool tissues. This reduces the risk of infection and enhances surgical outcomes .

The document describes several types of graspers such as the 'Grasper de Intestino' which comes in variants like 'Pico de Pato', 'Ramas Largas', and 'Bananita'. These are used for handling and securing intestinal tissues. The 'Allis' is an atraumatic grasper often utilized to hold delicate tissue without causing damage. The 'Grasper para Fondo', with options like 'Cocodrilo' and 'Clinch', serves to manipulate tissue areas that are deeper or harder to access. Each grasper is specifically designed to minimize tissue trauma while providing optimal control .

A laparoscopic trocar consists of several components including a 'camisa' (sleeve), a 'punzón' (puncture), and a 'gomita' (rubber). The sleeve provides the necessary conduit for surgical instruments to access body cavities. The puncture is designed to penetrate the body wall, creating an entry point. The rubber component helps secure the trocar in place, minimizing instrument movement and maintaining insufflation pressure .

The designs such as 'Pico de Pato', 'Ramas Largas', and 'Bananita' offer specialized functions to better handle specific tissues during surgery. 'Pico de Pato' provides a broad grasping surface for general tissue manipulation, 'Ramas Largas' is designed for reaching deeper anatomical structures, and 'Bananita' offers a suitable curve for intricate angles. These variations enhance the surgeon's ability to perform precise and efficient operations by minimizing tissue damage and allowing access to difficult-to-reach areas .

'Cartruchos de Clips' come in different sizes, such as 'Grandes' (large) and 'Medianos' (medium), to accommodate various vessel or duct sizes during surgery. Large clips are suitable for securing bigger vessels, ensuring better grip and safety, while medium clips are used on smaller vessels to prevent over-sealing and adjacent tissue damage .

The 'baja-nudos' instrument is utilized to slide knots down tight into place securely during laparoscopic surgeries. Offering both 'Metálico' and 'Plástico de Tubo' variants, it accommodates diverse surgical preferences and types of sutures. The metallic variant provides additional durability, while the plastic version offers flexibility without damaging delicate sutures .

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