5 0
S U P P L E M E N T T O O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E | M O N T H 2 0 1 4
laparoscopic handles. Also look for instrument sets that offer a complete array of
miniaturized tools that match what's available in larger sizes. Needlescopic
instruments are disposable self-contained systems — the tips of the sheaths
house needles, letting surgeons pop them through the abdominal wall and
employ graspers without the use of an additional port.
A study that compared laparoscopic cholecystectomy performed with either
conventional or miniaturized instruments found that the use of mini-laparoscop-
ic techniques resulted in decreased early post-operative incisional pain, avoided
late incisional discomfort and produced superior cosmetic results. Researchers
concluded that "although improved instrument durability and better optics are
needed for widespread use of miniport techniques, this approach can be rou-
tinely offered to many properly selected patients undergoing elective [lap
chole]."
Dr. Nezhat suggests your surgeons start off with mini-lap instruments on sim-
pler cases, such as bowel adhesions and appendectomies with non-infected
appendices.
4. How challenging are they to clean? One facility manag-
er told us that cleaning mini-lap instruments is a challenge. Not only are they
difficult to flush, she says, but it's hard to find brushes that are small enough to
fit into their tiny channels.
OSM
E-mail
doconnor@outpatientsurgery.net
.
S U R G I C A L I N S T R U M E N T S
Your Colleagues Are Talking About
OR Excellence
"Best conference ever!"
—Taryn Harris, RN, Director, Southwest Medical Associates Surgery Center,
Las Vegas, Nev.
"By far my favorite."
—Tammy Luther, BSN, MSSL, Manager, Caromont Health, Gastonia, N.C.
"So many great ideas!"
—Kari Stewart, CASC, Administrator, Pasadena Plastic Surgery Center,
Pasadena, Calif.
"Worth every penny!"
—Teresa Heatwole, RN, Director of Nursing, Riverside Park Surgicenter,
Jacksonville, Fla.
"The speakers were exceptional!"
—Shirley Torwirt, MHS, CASC, Administrator, Cypress Surgery Center,
Wichita, Kan.
Join us in New Orleans, Oct. 15-17, 2014
www.orexcellence.com
"At least one take-away from
every session."
—Linda Szafranski, Director of Patient Care Services,
McLaren Bay Region Health, Saginaw, Mich.
"I met so many kind, intelligent,
happy folks. "
—Christy Lee, RN, Manager, Surgical Services,
University of Missouri Health Care Medical Center
"Can't wait until next year!"
—Steve Wentworth, System Director, Surgical Services,
St. Vincent's Health Care, Jacksonville, Fla.
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