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Abstract
Background:
Laparoscopic surgery was developed for years ago. The latest trend is to reduce the incision size and reduce the number of port openings. When surgeons have to operate in limited circulation, interference between instruments will lead to increased surgical difficulty. In the study, we tested the importance and effectiveness of a newly developed laparoscopic instrument with a traditional laparoscopic instrument in a method based on usability.
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Methods:
We used a standard laboratory site to compare characteristics of instruments. 10 surgeons participated in the study. The tests included common procedures that can be performed by these instruments. The effectiveness and the features are compared and analyzed.
Results:
The average time to use the instrument is 3.8 minutes. In tests of common laparoscopic techniques, including the use of instruments to move a plastic tube in a given position, to knot a knot, to steer a string, to cut a specimen and to open candy with foil, performance The two main laparoscopic are similar instruments but both are better represented than rigid traditional instruments. The benefits are much better for individual ports.
Conclusions:
The precise design of the instrument is reasonable for clinical use. A better laparoscopic instrument can be an option for a traditional laparoscopic instrument.
Other Section Introduction
A laparoscopic instrument was designed to assist surgeons in laparoscopic surgery. Thus, the history of evolution of the laparoscopic instrument was always accompanied by a surgeon’s claim in certain procedures. Back in the early days of laparoscopic surgery, procedures that could be made heavily dependent on the tools were available but limited. Because simple procedures may have difficulties in open surgery, such as instrument tie, bending and dissection, in laparoscopic surgical settings. This is why more and more instrument designs have been created over the last two decades. One example is the instrument proposed by Which was under ultrasonic power.
In the subsequent period, another issue was speculated. In the past, instruments used in surgery can usually be reused. The use of such an instrument requires repeated disinfection procedures. However, there is a risk of incomplete disinfection results. In order to prevent contamination, some types of disposable laparoscopic instruments were introduced into the market. The overall cost in a procedure using a lot of disposable laparoscopic instrument may be higher than a procedure using a lot of reusable instrumentation. The cost could be as high as two or six fold in the study. In the light of one cost, re-usable instruments may be more favorable. In recent years, however, there have been concerns about uncleanness again due to newly diagnosed disease, prion disease, which can be transmitted through laparoscopic contaminated instruments. There is little concern for the risk of cross-contamination. Although there is always controversy, the final solution is very simple, that is laparoscopic disposable instruments to be used.
The latest trend in laparoscopic surgery is single port. Because “traditional rigid laparoscopic instruments” can cause a so-called “chopstick effect”, the laparoscopic port procedure would be very difficult and limited. In order to overcome the problem, recommended instrument with two turning wrists. The design was to help operating surgeons overcome the “chopstick effect”. The results were favorable in their initial efforts in 30 patients and the results demonstrated the safety and efficiency of design. It also developed a design for stronger laparoscopic tools by using a four-cable system as a transmission to control the final effects. He has published a research article on minimizing the rolling component in its most laparoscopic design. Their design added to the size and angle of the rolling component in their product, allowing better manipulation during surgery.
In the study, we recommended a groundbreaking design of a more laparoscopic tool. We test the effectiveness of the use of the instrument and compare the traditional results with the instrument. The study is a usability based assessment.
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