Safe and Effective Bipolar Forceps for Laparoscopy Surgery in Abdominal Procedures

Introduction:
The bipolar coagulating forceps is awalys applied vascular tissue surface of patient, burning, electric coagulation. Because of its simple operation, fast coagulation, good effect, it's very popular in the minimally invasive surgery.

Specifications
1 Adopt high quality stainless steel material.
2 Corrosion resistant
3 Tough construction
4 Good electric conductivity
5 Compatible with each brand high frequency generator
6 Safe application

Sales: Sue

FAQ

What are the skills required of doctors for laparoscopic surgery?

The skills required of doctors for laparoscopic surgery mainly include the following aspects:

Good spatial positioning skills: Laparoscopic surgery requires doctors to have excellent spatial positioning ability in order to operate accurately in the narrow abdominal cavity.

Hand-eye coordination skills: Due to the particularity of laparoscopic surgery, doctors need to have good hand-eye coordination skills to ensure the accuracy and safety of surgical operations.

Surgical operation skills: Doctors must master the basic operation methods of various laparoscopic surgeries, including incision, stripping, hemostasis, ligation and suturing.

Rich clinical experience: Especially for some difficult laparoscopic surgeries, such as ovarian cancer surgery, doctors need to have rich laparoscopic surgery experience and be proficient in laparotomy skills.

Simulation training and animal experiments: Traditional laparotomy training methods can no longer meet the training requirements of laparoscopic surgery, so it is necessary to combine simulation training, animal experiments and clinical practice and other methods for step-by-step training.

Theoretical knowledge and practical ability: Doctors need to be familiar with the relevant basic knowledge of laparoscopic technology and consolidate and improve their skills through practical operations.

Multidisciplinary teamwork: In some complex laparoscopic surgeries, doctors also need to work with multidisciplinary teams (such as MDT) to complete the surgery together.

Continuous training and evaluation: Doctors need to participate in training and assessment regularly to ensure that their surgical skills remain at a high level. For example, the ability evaluation of laparoscopists is conducted every two years, and only after completing a certain number of surgeries can they obtain the corresponding surgical privileges.

In short, laparoscopic surgery requires high skills from doctors. Not only does it require a solid theoretical foundation and rich practical experience, but it also requires systematic training and continuous evaluation to continuously improve their technical level.

What are the specific requirements for spatial positioning skills in laparoscopic surgery?

The specific requirements for spatial positioning skills in laparoscopic surgery include the following aspects:

Three-dimensional sense: 3D laparoscopic technology provides accurate spatial positioning by constructing depth of field and three-dimensional structure, and retains complete tactile feedback, making the tissue anatomical level clearer, and can effectively avoid misoperation during surgery. This technology makes up for the shortcomings of traditional two-dimensional images in spatial positioning and identification of anatomical structures.

Fine directional operation: The use of 3D laparoscopic system for surgical operation can obtain a more obvious sense of depth of vision and stronger spatial positioning, and complete some fine directional operations under laparoscopy, such as manual suturing and fine anastomosis.

Real surgical field of view: The emergence of 3D high-definition laparoscope provides surgeons with a more three-dimensional and real surgical field of view and spatial positioning. Especially in the radical resection of low rectal cancer, the 3D laparoscopic field of view provides a more realistic three-dimensional identification of blood vessels, nerves and their surrounding tissues.

Reduce physiological trauma: 3D laparoscopic technology combines the advantages of traditional imaging, reduces physiological trauma to patients, makes surgery more accurate and safe, and provides more accurate spatial positioning for surgical operations.

The specific requirements for spatial positioning skills in laparoscopic surgery are mainly reflected in providing three-dimensional stereoscopic sense, supporting fine directional operation, providing real surgical field of view and reducing physiological trauma.

How to improve laparoscopic surgery skills through simulation training and animal experiments?

Laparoscopic surgery skills can be effectively improved through simulation training and animal experiments. The following are the detailed steps and methods:

Simulation training:

Use laparoscopic surgery training box: Use laparoscopic surgery training box to simulate the human abdominal environment and conduct laparoscopic surgery technical training through monitor images. This equipment is equipped in most laparoscopic training centers in China, and some training centers also have laparoscopic electronic simulation operation equipment.
Virtual simulation system: Use laparoscopic surgery virtual simulation system developed based on virtual simulation technology. The system performs three-dimensional reconstruction of human organs and lesion models based on real human data, and conducts training based on corresponding pathological requirements, surgical process specifications and established surgical plans.

Animal experiment:

In vitro animal experiment: Using experimental materials such as pig liver, in vitro laparoscopic pig cholecystectomy is performed in a self-made simulator as the main training method. This method is simple to make, rich in materials, and combined with a certain number of animal experiments, it is an effective method for grassroots hospitals to carry out laparoscopic surgery skills training.
Live animal experiment: In animal experiments, gynecological laparoscopic practical activities are carried out in live experimental animals (such as pigs) to cultivate students' practical skills.

Clinical practice:

Combining theory with practice: After completing simulation training and animal experiments, it is necessary to apply the knowledge learned to clinical practice, gradually adapt to the actual surgical environment, accumulate experience, and improve surgical skills.

What are the training methods for hand-eye coordination in laparoscopic surgery?

The training methods for hand-eye coordination in laparoscopic surgery mainly include the following:

Simulation box operation: various hand-eye coordination trainings are carried out in the simulation box, such as clamping peas, peeling grapes, etc., and practicing clamping, separation, suturing, knotting and other operations. These trainings can help doctors become familiar with the basic skills and operation procedures of laparoscopic surgery.

Human model training: Use human abdominal viscera and training models to carry out basic skills training such as moving objects, hooping, threading, and laparoscopic surgery. Operations such as incision, stripping, hemostasis, ligation, and suturing. This method can comprehensively improve the doctor's hand-eye coordination ability and surgical skills.

Visual guidance training: Through gaze training and eye tracking technology, researchers have found that the guiding role of vision in laparoscopic training is very important. This method can improve the trainer's perceptual-motor skill level through gaze training.

Throwing and catching training: Although this method is mainly used for general hand-eye coordination training, it can also be used as an auxiliary means to improve reaction speed and coordination.

Single-leg independent training: By maintaining a stable body posture and practicing single-leg independent movements, the whole body coordination and sense of balance can be improved, thereby indirectly improving hand-eye coordination.

How to effectively cooperate with a multidisciplinary team in laparoscopic surgery?

Effective cooperation with a multidisciplinary team in laparoscopic surgery requires efforts in the following aspects:

Preoperative preparation: The collaboration of the multidisciplinary team starts before surgery. Through multidisciplinary evaluation and multimodal pre-rehabilitation management, ensure that the patient is in the best condition before surgery. For example, in total pelvic organ resection, the urology department, anesthesia department and other teams jointly participate in preoperative evaluation and preparation.

Optimize the surgical process: The optimization of the surgical process using multidisciplinary team collaboration can significantly improve the efficiency of the operation and the patient's postoperative recovery. For example, in laparoscopic cholecystectomy, by optimizing the operating room process, the patients were divided into a conventional group and an optimized group. The results showed that the postoperative recovery of the optimized group was better.

Intraoperative collaboration: During the operation, the various disciplinary teams need to work closely together. For example, in the total laparoscopic liver transplantation, the liver transplantation team worked closely with the transplant surgery, infection department, anesthesia and other teams to successfully complete the operation. This close collaboration ensured the smooth progress of the operation and the rapid recovery of the patient.

Postoperative management: Postoperative management also requires the cooperation of a multidisciplinary team. Through the concept of rapid recovery surgery (ERAS), general surgery applied multidisciplinary teamwork in the perioperative period of laparoscopic inguinal hernia repair and achieved good results.

What are the competence evaluation standards and procedures for laparoscopists?

The competence evaluation standards and procedures for laparoscopists are mainly implemented through the Chinese Laparoscopic Technology Assessment and Evaluation Standard System (CLSTA). The system is based on simulated virtual technology and has established phased assessment standards to help laparoscopic surgeons gradually master various abilities from basic skills to difficult operations.

The assessment modules include simulated box-intestinal anastomosis and laparoscopic virtual cholecystectomy. In the first phase of the skill operation assessment, the main focus is on the coordination of both hands, hand-eye coordination, depth perception and flexible coordination of both hands under laparoscopy. Through positioning, transfer, cutting, suturing and other operations, the purpose of assessing spatial sense, stability and coordination of both hands is achieved.

In addition, the National Medical Examination Center commissioned the West China Hospital of Sichuan University to lead the development and promotion of the evaluation of specialist physician practical skills based on simulation virtual technology.