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Performing a Safe Laparoscopy

THE TELESCOPES

The Different Telescopes

Telescopes or laparoscopes come in various sizes and with various visualization capabilities. For large telescopes, Storz Endoscopy has the best and widest choice of telescopes (from 13 mm to 2mm with Straight Forward 0 Deg. to 45 Deg.). We use four types of telescopes for all the interventional laparoscopic procedures we have described herein.

bulletZero Degree Storz (Hopkins) Telescope: We exclusively use this telescope for Laparoscopic Repair of Inguino-Femoral Hernias. It is clearly inefficient in the performance of complex laparoscopic procedures.
bullet30 or 45 Degree Storz (Hopkins) Telescope: This is the trocar we use preferentially for all advanced laparoscopic procedures.
bulletZero Degree Storz (Hopkins) Telescope with 6 mm Instrument Channel: This telescope is used for single trocar laparoscopic appendectomy and Lap TAH-BSO.

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2 -3 mm Telescopes: These telescopes are used for all Needleoscopic procedures.

The MiniSite* 2 mm telescopes  are part of the new generation of needleoscopic instruments. Initially, our surgical team felt these telescopes were of little value and the 2 mm instruments were too fragile. Newer 2 mm disposable and reusable instruments and telescopes were introduced. These have proven to be stronger and more durable therefore making this emerging field a definite feasibility.

Most telescopes are reusable instruments. There are some multiuse-disposable telescopes which are as effective as the reusable. Some authors report the Surgiview* Zero Degree 10 mm laparoscope has been used as many as fifty times with the same effectiveness. This instrument could benefit smaller medical centers with a limited number of telescopes or as an additional laparoscope.

Use of the Telescopes

We always have a 5 mm 30 Degree Telescope and a 10 mm Zero and 30 Degree Telescope available for ALL laparoscopic procedures. Zero Degree telescopes are now only used for laparoscopic inguinal hernias repair or when using a Termanian trocar.

We recently have been using 2 mm telescopes. These new MiniSite* 2 mm telescopes manufactured by the USS Corporation are part of the new generation of needleoscopic instruments. Initially, our surgical team felt these telescopes were of little value and the 2 mm instruments were too fragile. Newer 2 mm disposable and reusable instruments and telescopes were introduced. These have proven to be stronger and more durable therefore making this emerging field a definite feasibility (See chapter on Needleoscopic - 2mm procedures)

Most telescopes are reusable instruments. There are some multiuse-disposable telescopes which are as effective as the reusable. Some authors report the Surgiview* Zero Degree 10 mm laparoscope has been used as many as fifty times with the same effectiveness. This instrument could benefit smaller medical centers with a limited number of telescopes or as an additional laparoscope.


       

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