Fiber Optic Scope Source

Trocar Safety

Alcon Trocar Set, 23G, 12/bx $3841 Alcon Trocar Set, 23G, 12/bx

Versaport Trocar, 10mm - 15mm, 3/bx $586.99 Versaport Trocar, 10mm - 15mm, 100mm sleeve, 3/bx

Versaport Single Use Trocar Kit $595.99 Versaport 5mm Single Use Trocar Kit.

Versaport 5mm- 10mm With Radiolucent Trocar Sleeve Box $488.78 Versaport 5mm - 10mm With Radiolucent Trocar Sleeve.

Kendall ARGYLE Trocar Catheter Kit, 12Fr x 9 (23cm), 10/cs $376.85 Features of the Kendall ARGYLE Trocar Catheter Kit: The ARGYLE™ Trocar Catheter Kit is a convenient, procedure-oriented, sterile trocar catheter kit.

Auto Sutures Versaport Plus V2 5 - 11 mm Trocar, 3/CS $511.31 Auto Sutures Versaport Plus V2 5 - 11 mm Trocar, 3/CS

Kendall ARGYLE Trocar Catheter, 28Fr x 16 (41cm), 10/cs $265.5 Features of the Kendall ARGYLE Trocar Catheter: The ARGYLE™ Trocar Catheter is a sterile, single use device that consists of a surgically sharp trocar and a clear PVC catheter. Trocar catheters are primarily used for closed chest tube thoracostomies. Catheter features numerical depth marks at 2cm increments for easy and precise positioning.

Kendall ARGYLE Trocar Catheter, 16Fr x 10 (25cm), 10/cs $225.99 Features of the Kendall ARGYLE Trocar Catheter: The ARGYLE Trocar Catheter is a sterile, single use device that consists of a surgically sharp trocar and a clear PVC catheter. Trocar catheters are primarily used for closed chest tube thoracostomies. Catheter features numerical depth marks at 2cm increments for easy and precise positioning.

Kendall ARGYLE Trocar Catheter, Sterile, 24Fr x 16 (41cm), 10/cs $210.99 Features of the Kendall ARGYLE Trocar Catheter: The ARGYLE™ Trocar Catheter is a sterile, single use device that consists of a surgically sharp trocar and a clear PVC catheter. Trocar catheters are primarily used for closed chest tube thoracostomies. Catheter features numerical depth marks at 2cm increments for easy and precise positioning.

Kendall ARGYLE Trocar Catheter, 10Fr x 9 (23cm), 10/cs $239.99 Features of the Kendall ARGYLE Trocar Catheter: The ARGYLE™ Trocar Catheter is a sterile, single use device that consists of a surgically sharp trocar and a clear PVC catheter. Trocar catheters are primarily used for closed chest tube thoracostomies. Catheter features numerical depth marks at 2cm increments for easy and precise positioning.

Kendall ARGYLE Trocar Catheter, 20Fr x 16 (41cm), 10/cs $239.99 Features of the Kendall ARGYLE Trocar Catheter: The ARGYLE™ Trocar Catheter is a sterile, single use device that consists of a surgically sharp trocar and a clear PVC catheter. Trocar catheters are primarily used for closed chest tube thoracostomies. Catheter features numerical depth marks at 2cm increments for easy and precise positioning.

Zimmer Hemovac Evacuator .25 Drain with 5 Trocar, 10/bx $191.25 Zimmer Hemovac Evacuator .25 Drain with 5" Trocar, 10/bx

Zimmer Round Silicone Drain with Trocar and Adapter, 4mm, 10/bx $261.61 Features of the Zimmer Round Silicone Drain: Trocar Length - 5 in. Sterile.

Kendall ARGYLE Trocar Catheter, 12Fr x 9 (23cm), 10/cs $239.99 Features of the Kendall ARGYLE Trocar Catheter: The ARGYLE™ Trocar Catheter is a sterile, single use device that consists of a surgically sharp trocar and a clear PVC catheter. Trocar catheters are primarily used for closed chest tube thoracostomies. Catheter features numerical depth marks at 2cm increments for easy and precise positioning.

Snyder Hemovac Wound Drain With Trocar, 1/8 RIC, Medium, 10/cs $434.9 Snyder Hemovac Wound Drain With Trocar, 1/8" RIC, Medium, 10/cs

US Surgical Versaport V2 Trocar with Fixation Cannula, 5mm, 3/bx $518 US Surgical Versaport V2 Trocar with Fixation Cannula, 5mm, 3/bx

Us Surgical Versaport Plus Trocar, 5mm-12mm, V2 Fixation, 3/bx $638 Us Surgical Versaport Plus Trocar, 5mm-12mm, V2 Fixation, 3/bx

Alcon EdgePlus Trocar/Cannula Assembly Set (3-Pack), 12/bx $1924 Alcon EdgePlus Trocar/Cannula Assembly Set (3-Pack), 12/bx

Ethicon Blake Silicone Drain, Hubless, 15FR Round, 3/16 Trocar, 10/bx $661.5 Ethicon Blake Silicone Drain, Hubless, 15FR Round, 3/16" Trocar, 10/bx

Ethicon Blake Silicone Drain, Hubless, 19FR Round, 1/4 Trocar, 10/bx $685.14 Ethicon Blake Silicone Drain, Hubless, 19FR Round, 1/4" Trocar, 10/bx

Preventing Injuries from Laparoscopic Trocars (Oct 2005)

Laparoscopic Intestinal Surgery Treatment only in Aastha Health Care Hospital, Mumbai, mulund, pune, india

What is the intestine?

The intestine is the portion of the alimentary canal extending from the stomach to the anus. The intestine is a long, tubular organ consisting of two parts:

* Colon or large intestine
* Small intestine

The large intestine is about 3.5 meters long. The large intestine is divided into 6 parts: caecum, ascending colon, transverse colon, descending colon, sigmoid colon, and rectum. The inner surface of large intestine is covered with mucous and is convoluted. The large intestine is responsible for absorption of water and excretion of solid waste material

The small intestine is about 6 meters long. It is divided into 3 sections: duodenum, jejunum, and ileum. This part is where the most extensive part of digestion occurs. Most food products are absorbed in the small intestine.
What is laparoscopic intestinal surgery?

The introduction of laparoscopic removal of the gall bladder (Laparoscopic Cholecystectomy)

in the late 1980s revolutionized the surgical management of many abdominal operations. It offered less discomfort to the patient and faster recovery. But it was only the delay in the development of proper instruments that prevented Colon and Rectal Surgeons from performing laparoscopic intestinal surgery until 1991.

Today, laparoscopic surgery is an increasingly popular option for people with intestinal conditions, who may need sections of the bowel repaired or removed. Laparoscopy is a minimally invasive procedure in which the surgeons operate through very tiny holes (approximately 1/2-inch wide) instead of large incisions (8- to 12-inch wide). While recovery from open surgery for intestinal disease, takes an average of six weeks, people who have undergone laparoscopic surgery tend to feel back to normal in just three weeks.

Laparoscopic surgery is used to treat :

* Inflammatory bowel disease (IBD), most often classified as ulcerative colitis or Crohn's disease. Crohn's disease is a chronic inflammatory disease of the intestine while Ulcerative colitis is a chronic inflammation of the colon.

* Colon polyps, which are fleshy growths that occur on the inside lining of the large intestine

* Diverticulitis, a condition in which small, pea-size pouches form in the walls of the intestines and they become infected and inflamed

* Colorectal cancer

* Bowel incontinence

* Rectal prolapse, a condition in which rectum prolapses and protrudes from anus.

Open surgery and laparoscopic surgery

Traditionally, abdominal surgery has been performed in an open manner and what that means is the patient has a reasonably large incision, which varies in size between four and 10 inches long. It's usually in the midline of the abdomen, so it runs from the pubis at the lower midline of the abdomen up to the navel. The length depends on the extent of surgery and the extent of bowel that one has to free up or take out. When the surgery's performed laparoscopically, three or four access ports are put, which are little plastic tubes that go into the abdomen that are positioned through incisions less than half-an-inch long. Then through these access ports we put in a camera, which is less than a half-inch in diameter, which is used to see what's going on inside the abdominal cavity. Through the other access ports we put in very fine little surgical instruments, about 5 millimeters in diameter. We use those instruments to free up the bowel and then we make an incision of four to six centimeters in size (around two inches) to remove the bowel.

How are less invasive procedures performed?

Laparoscopic surgery is a minimally invasive approach to common surgical problems in the abdomen. Many surgical problems that traditionally were performed through large incisions are now accomplished through small keyhole incisions that result in much less surgical trauma and postoperative pain. Aastha has its expertise in Laparoscopic procedures. Our surgeons have the experience in performing many basic and advanced procedures with the Laparoscopic approach.

Laparoscopic intestinal surgery can be used to perform the following operations :

Proctosigmoidectomy- Surgical removal of a diseased section of the rectum and sigmoid colon. This is used to treat cancers and non-cancerous growths and complications of diverticulitis.

Right colectomy or Ileocolectomy- Surgical removal of a section of the colon that is adjacent to the small intestine. This is used to remove cancers, non-cancerous growths or polyps, and inflammation from Crohn's disease.

Total abdominal colectomy- this is the surgical removal of the large intestine. It is done to treat ulcerative colitis, Crohn's disease , and familial polyposis.

Faecal diversion- This is surgical creation of an ileostomy (opening between the surface of the skin and the small intestine) or colostomy (opening between the surface of the skin and the colon). It is done to treat complex rectal and anal problems, including poor bowel control.

Abdominoperineal resection- Surgical removal of the anus, rectum and sigmoid colon. This is used to remove cancer in the lower rectum or in the anus, close to the sphincter (control) muscles.

Rectopexy- A procedure in which stitches are used to secure the rectum in its proper position. It is done to correct rectal prolapse.

Total proctocolectomy- This is the most extensive bowel operation performed and involves the removal of both the rectum and the colon. However, often a permanent ileostomy, in which the ileum is attached to the stoma, is needed particularly if the anus must be removed, is weak, or has been damaged.

Before the surgery

Once the diagnosis of the disease is established, the patient has to consult the surgeon for the treatment. The surgeon will take a detailed case history and a general physical examination will be performed. He will suggest the course of the treatment. All patients are generally asked to go for a blood check. Depending on the age and general health, they may also have an ECG, a chest X-ray, lung function tests done.

The rectum and colon must be completely empty before surgery. The patient will be advised to take a laxative medicine, an evening before the surgery.Usually, the patient must drink a large volume of a special cleansing solution. Antibiotics by mouth are commonly prescribed.

During the surgery

Most minimally invasive intestinal procedures start the same way. Carbon Dioxide gas is used to distend the abdominal (peritoneal) cavity. The surgeon gains access to the abdomen using a trocar. A trocar is a narrow tube-like instrument. A laparoscope (a tiny telescope connected to a video camera) is inserted through the trocar, giving the surgeon a magnified view of the patient's internal organs on a television monitor. Up to 4 additional trocars are inserted for special instrumentation.

Sometimes the surgeon may decide to convert the laparoscopic operation to an open one. The decision to perform the open procedure is a judgment decision made by the surgeon either before or during the actual operation and is strictly based on patient safety.

After the surgery

Although many people feel better in just a few days, remember that the body needs time to heal. Patients are encouraged to be out of bed the day after surgery and walk. This helps to diminish the soreness in muscles. Minimally invasive procedures offer faster recovery. So the patients are able to get back to their normal activities in one to two weeks time. But patients are advised to come regularly for follow ups.

For more information, kindly visit :

http://www.aasthahealthcare.com/Laparoscopic-Intestinal-Surgery-Surgical-Treatment.htm

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About the Author

Certified super specialty surgery hospital center in Mumbai that specializes in Weight Loss Treatment, Obesity Treatment, Laparoscopy Surgery Treatment, Bariatric Surgery Treatment, Fertility Center India, Urosurgery Treatment, Endourology Treatment, Obstetrics and Gynaecology Treatment, Minimally Invasive Procedure for Haemorrhoid with special treatment to Indian as well as Foreign patients.