Abstract
In minimally invasive surgery, the surgeon neither directly visualizes nor handles the tissue but rather gains access to the surgical field via cannulae through multiple incisions or a single incision. Access is provided by an optical system that allows visualization of the surgical field. Well-selected laparoscopic instrumentation provides traction and the capacity to seal and divide tissue pedicles to achieve the surgical goal. Access systems are categorized into single-site platforms and multi-incision platforms. The successful single-site surgeon should be thoroughly familiar with surgical instrumentation and should select a complement of instruments that satisfy his or her operative needs and experience. Laboratory experience in a simulated surgical environment allows surgeons to explore instrumentation and thereby provides the surgeon with a comprehensive understanding of an instrument. This chapter reviews the instrumentation for single-site gynecologic surgery.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Falcone T, Paraiso MF, Mascha E. Prospective randomized clinical trial of laparoscopically assisted vaginal hysterectomy versus total abdominal hysterectomy. Am J Obstet Gynecol. 1999;180:955–62.
Walker JL, Piedmonte MR, Spirtos NM, Eisenkop SM, Schlaerth JB, Mannel RS, et al. Laparoscopy compared with laparotomy for comprehensive surgical staging of uterine cancer: Gynecologic Oncology Group Study LAP2. J Clin Oncol. 2009;27:5331–6.
Chen YJ, Wang PH, Ocampo EJ, Twu NF, Yen MS, Chao KC. Single-port compared with conventional laparoscopic-assisted vaginal hysterectomy: a randomized controlled trial. Obstet Gynecol. 2011;117:906–12.
Escobar PF, Fader AN, Paraiso MF, Kaouk JH, Falcone T. Robotic-assisted laparoendoscopic single-site surgery in gynecology: initial report and technique. J Minim Invasive Gynecol. 2009;16:589–91.
Escobar PF, Nickles Fader A, Rasool N, Rojas-Espaillat L. Single-port laparoscopic pelvic and para-aortic lymph node sampling or lymphadenectomy: development of a technique and instrumentation. Int J Gynecol Cancer. 2010;20:1268–73.
Pietrow PK, Weizer AZ, L’Esperance JO, Auge BK, Silverstein A, Cummings T, et al. Plasma kinetic bipolar vessel sealing: burst pressures and thermal spread in an animal model. J Endourol. 2005;19:107–10.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Woessner, J.R., Knight, J.A. (2014). Instrumentation for Single-Site Gynecologic Surgery. In: Escobar, P., Falcone, T. (eds) Atlas of Single-Port, Laparoscopic, and Robotic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6840-0_9
Download citation
DOI: https://doi.org/10.1007/978-1-4614-6840-0_9
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-6839-4
Online ISBN: 978-1-4614-6840-0
eBook Packages: MedicineMedicine (R0)