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SURGICAL TECHNOLOGY
A PARTICULAR PORT The multi-trocar port used for a surgery
depends on the type of surgery, and the type of instruments used.
you need
to see
before
placing the
clip and
cutting.
Singleport, when
done safely, has
brought
safety back to the forefront."
Dr. Ross suggests a change in instrument handling techniques.
Surgeons should hold scopes themselves, not leave them in assistants'
or techs' hands. That way they're in control of the image, choosing
and confirming what they're seeing, so they're assured of safety when
they make the cut.
Ports that support
Dr. Ross and her colleague, Alexander Rosemurgy, MD, have converted all of their center's multi-incision laparoscopy cases into laparoendoscopic single-site (LESS) surgeries. They've been able to accomplish this primarily due to the availability of multi-purpose, multiaccess ports, which fit through small incisions to do the job of several
trocars.
There are several multi-purpose port products on the market, each
designed to different specifications and each optimally suited to the
needs of different surgeries, says Dr. Ross.
For instance, she and Dr. Rosemurgy do their lap choles with a 4trocar port that features a wound protective sleeve but not much in
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O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E | D E C E M B E R 2013
