Please wait loading VIdeo Lecture of Prof. R.K. Mishra about Laparoscopic Access Technique...
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- Assess Pad Site Location
- Choose:
Well vascularized muscle mass - Avoid:
Vascular insufficiency
Irregular body contours
Bony prominences - Consider:
Incisionsite / prep area
Patient position
Other equipment on patient
To avoid complication of laparoscopic electrosurgery surgeon should always retain in their mind following points
- Inspect insulation carefully
- Use most favorable power setting
- Use a low voltage waveform (cut)
- Use brief intermittent activation vs. prolonged activation
- Don't activate in open circuit
- Do not activate in close proximity or direct connection with another instrument
- Use bipolar electrosurgery when appropriate
- Select an exciting metal cannula system since the safest choice. Do not use hybrid cannula systems that mix metal with plastic
- Utilize available technology, such as a tissue response generator to lessen capacitive coupling or an active electrode monitoring system, to eliminate concerns about insulation failure and capacitive coupling.
