Outpatient Surgery Magazine

Compounding Disaster - July 2016 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 64 of 168

2. Mini tools aren't sturdy. Some say the instruments are too flimsy, that they're going to bend or even break. That's not true, as long as you use them properly. Twenty years ago, when we start- ed doing laparoscopy, instruments were about 10 or 12 mm. Then, roughly a decade later, as the met- als got better and the instrumenta- tion got sturdier, we started seeing and using 5 mm tools. Now, those of us who are proficient at mini- lap are using 2 and 3 mm instru- ments. Combined with the stabili- ty and strength of the trocars we use with them, they've become much more robust. Improved trocars play a big role, too. Now they're made of titanium and they actually match the size of the instrumentation better. They provide stability in the abdominal wall, so the instruments don't bend or break the way they did 10 or 15 years ago. And instruments are getting better all the time. Manufacturers have caught on that mini-lap isn't just a fad. Where there used to be just one company making mini instruments, now there are several, and the competition is continually improving the instruments. 3. It's difficult to master. Actually, the reverse is true: Mini-lap is rel- atively easy to master. Having taught many other surgeons, I've seen again and again that as long as you're adept at standard laparoscopy, you typically need 10 cases or fewer to master mini-lap. Usually, once sur- J U L Y 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 6 5 • BARELY LEFT A MARK People like to show off pictures of themselves on social media sites after having mini-lap surgeries. Gustavo Carvalho, MD, PhD

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