Specialized Surgical Instruments Techniques Endoscopy and Laparoscopy CTVT
- Slides: 19
Specialized Surgical Instruments & Techniques Endoscopy and Laparoscopy CTVT Objective: Properly identify specialized instruments and all of their parts, and understand the set up, care, and maintenance of each.
Endoscopy The technique of examining internal anatomy using ______ instrumentation View internal body structures via an ______ Use: examine tissues directly; biopsy organs; remove foreign bodies
Common Endoscopic Procedures
Types of Endoscopes 1. Flexible Fiber-optic Endoscope Eyepiece for direct viewing by the operator OR screen only Can attach a camera to eyepiece for others to observe
Endoscope Parts
Types of Endoscopes 1. Flexible
Flexible Endoscope Capabilities 4 way distal tip deflection _______ flushing channel _______ insufflation channel _______ power _______ channel
Types of Endoscopes 2. Rigid Endoscope For procedures involving a direct pathway that are better viewed with a straight line of sight
Endoscopy Preparation Veterinary technician is responsible for prep: Hook up endoscope properly Attach to power/water source Enter patient data on computer Turn on machine and check light source Test the camera (if you have one) Set up ______ water for flushing Test machine Press the water valve Submerge tip, cover the air valve, check for bubbles Leave tip submerged in water and press suction valve
Endoscopy Room Store endoscopes in a designated area in a hanging position
Endoscopy Room
Endoscopy Room
Handling the Endoscope
Biopsy Sampling Biopsy forceps obtain the sample Jaws are a 1. 8 - to 2. 4 -mm cup for collecting specimens Use ______ needle to gently get sample out of the cups Sample storage:
Endoscopy Accessories Biopsy forceps, wired snares, wire baskets, pronged grasping forceps, cytology brushes
Colonoscopy Patient preparation: Perform fecal sampling before beginning procedure No food for ______ hours; NPO for 4 hours Remove fecal material Lavage solutions given orally Lavage colon (enema)
Endoscope Cleaning Clean immediately with an enzymatic solution *Never submerge hand piece!
Endoscope Cleaning All channels must be cleaned and then sterilized! Flexible scopes: Rigid scopes:
- Maintenance of surgical instruments
- Grasping and clamping instruments
- Absorbtion
- National endoscopy database
- Endoscopy in pregnancy guidelines
- Purpose of endoscopy
- Colostomy irrigation indication
- Crohn's disease vs ulcerative colitis
- Endoscopy
- Endoscopy
- Endoscopy total internal reflection
- Hup endoscopy
- Active vs passive instruments
- Pressure measuring devices
- Surgical team roles and responsibilities
- Inet wellspan
- Difference between medical and surgical asepsis
- Les fonctions techniques et les solutions techniques
- Collection of specialized cells and cell products
- Standard input devices