Durable Morcellator Set Powered Hystera-Cutter Trocar Sleeve for Abdominal

The Morcellator attached instruments include Cutting tubes, Obturator, Trocar sleeve, Dilator, Guiding bar, Convertor, Uterine forceps. To suit the needs of every procedure the model range of the Morcellator consist of instruments with three different diameters. They are available in diameter 10, 15 and 18 mm. By carefully composed and aligned instruments and accessories the system as a whole delivers excellent results at morcellation and guarantees for maximum safety at operation.

FAQ

What are the risks and complications of minimally invasive gynecological surgery?

Although minimally invasive gynecological surgery has the advantages of less trauma and faster recovery, it also has certain risks and complications. The following are common risks and complications:

Postoperative infection: Although minimally invasive surgery has a smaller wound surface, the risk of postoperative infection still exists, especially when the operation is not performed properly.

Bleeding: Intraoperative or postoperative bleeding may occur in minimally invasive surgery, especially when dealing with large blood vessels.

Organ damage: Due to the wide range of surgery, surrounding important organs may be damaged, especially when there are severe dense adhesions.

Thromboembolism: The pneumoperitoneum technique used in minimally invasive surgery may cause subcutaneous emphysema and other pneumoperitoneum-related complications such as thrombosis.

Tissue destruction or dissemination: In hysterectomy, tissue fragmentation may cause the risk of tissue destruction or cancer spread.

Hypercapnia and acidosis: Laparoscopic surgery requires the establishment of continuous high-pressure CO2 pneumoperitoneum, which may cause hypercapnia and acidosis.

Pelvic adhesions: Although minimally invasive surgery reduces the risk of pelvic adhesions, it may still occur in some cases.

Other complications: including but not limited to postoperative pain, intestinal dysfunction, prolonged hospital stay, etc.

In short, although minimally invasive gynecological surgery has many advantages, patients should fully understand its potential risks and complications when choosing a surgical method and make a decision under the guidance of a doctor.

What are the prevention and treatment methods for postoperative infection in minimally invasive gynecological surgery?

In minimally invasive gynecological surgery, the prevention and treatment methods for postoperative infection mainly include the following aspects:

Preoperative preventive measures:

Examination and treatment of reproductive tract infection: Examination and corresponding treatment of reproductive tract infection should be performed before surgery to reduce the risk of intraoperative and postoperative infection.
Correct preoperative preparation: Correct  preparation should be performed before surgery, including cleaning and disinfection, to reduce the spread of bacteria and viruses.
Application of preventive antibiotics: Rational use of preventive antibiotics can effectively reduce the incidence of postoperative infection.
Preoperative guidance education: Preoperative guidance education for surgical patients, clarifying team responsibilities, and standardizing preoperative nursing guidance and educational materials are conducive to reducing the risk of postoperative infection.

Postoperative treatment methods:

Wound care: Use hydrogen peroxide, iodine or alcohol to repeatedly rinse and soak the infected wound, so that the necrotic tissue inside can be effectively removed and the bacteria can be effectively killed and inhibited.
Local drug treatment: After rinsing, apply Bactroban ointment or  eye ointment evenly to the wound to promote healing and prevent infection.
Metronidazole suppositories: Metronidazole suppositories can be inserted into the  to prevent infection after surgery. Usually, using it for 1-2 weeks after surgery can have a good preventive effect.

Comprehensive management:

Operating room and staff management: Strictly manage endogenous bacteria and viruses in the operating room, staff, and patient skin to ensure the cleanliness and sterility of the surgical environment.
Nutritional support and psychological care: In infection prevention, nutritional support and psychological care also play an important role and help patients recover.

What are the risk factors for bleeding in minimally invasive gynecological surgery, and how to reduce these risks?

The risk factors for bleeding in minimally invasive gynecological surgery mainly include the following aspects:

Patient condition: The clinical stage of malignant tumors is directly related to intraoperative vascular injury and bleeding.

Obesity: Obese patients are prone to bleeding during surgery due to the difficulty in exposing the surgical field.

Bleeding tendency: Patients with bleeding tendency are also one of the factors for intraoperative bleeding.

Deep destruction of the myometrial tissue below the endometrium: This is one of the main causes of intraoperative bleeding in hysteroscopic surgery.

Number and size of tumors: If the number or volume of tumors is large, the surgical risk and bleeding volume will also increase.

To reduce these risks, the following measures can be taken:

Use advanced minimally invasive techniques: Such as 3D laparoscopic surgery, which is more precise and causes less bleeding trauma, thereby improving the accuracy of difficult and complex surgeries and reducing the risk of surgical operations.
Rational autologous blood transfusion: Actively carry out minimally invasive surgery, reduce bleeding, and reasonably perform autologous blood transfusion to reduce the risk of blood use.

Intraoperative hemostasis measures: Once intraoperative bleeding occurs, first use packing and compression to stop bleeding, and press the bleeding point with fingers or gelatin sponge. In case of severe bleeding, gauze can be inserted through the umbilicus to stop bleeding.
Preservation of uterine artery: In laparoscopic surgery, the uterine artery is preserved as much as possible, which is conducive to the preservation of fertility. Although it will increase the difficulty of surgery and the risk of intraoperative bleeding, it will help reduce bleeding overall.

In minimally invasive gynecological surgery, how to reduce the risk of organ damage?

In minimally invasive gynecological surgery, the risk of organ damage can be reduced through the following methods:

Use laparoscopic technology: Laparoscopic surgery technology can extend the range of the physician's arm operation, clearly identify the anatomical layers and vascular distribution, thereby reducing bleeding and damage to adjacent organs.

Small incision surgery: Minimally invasive surgery usually uses a small abdominal incision (0.5cm to 1cm), which basically leaves no scars, which can greatly reduce damage to organs and interference with organ function, and shorten postoperative recovery time.

Endoscopic suturing technology: The improvement of various endoscopic suturing technologies has made minimally invasive gynecological surgery less damaging, less disturbing organ function, less painful, and faster postoperative recovery.

Precise operation: By placing tools such as indicator tubes through ureteroscopes, the location of important structures can be accurately indicated during surgery to avoid accidental injuries. For example, when removing a giant cervical fibroid, a DJ tube is placed through a ureteroscope to indicate the position of the ureter, and the uterine artery is separated and preventively cut off under laparoscope to reduce bleeding during surgery.

Choose the appropriate surgical method: Not all diseases are suitable for minimally invasive surgery, but in some cases, minimally invasive surgery can provide better treatment effects and reduce damage to organs.

What is the incidence of thromboembolism after minimally invasive gynecological surgery, and what are the effective preventive measures?
The incidence of thromboembolism after minimally invasive gynecological surgery is low. According to a study, the incidence of venous thromboembolism in patients with malignant tumors is 0.9%, while this proportion is 0.3% for minimally invasive surgery. In addition, the incidence of VTE after minimally invasive surgery for endometrial cancer is also considered to be low.

Effective preventive measures include:

Preoperative use of heparin: A large-scale randomized trial conducted by Professor Clarke et al. showed that subcutaneous injection of heparin 2-8 hours before surgery can significantly reduce the incidence of VTE.
Postoperative DVT screening: It is recommended to perform DVT screening within 2 to 7 days after surgery, and non-invasive lower extremity vascular CUS examination is preferred.
Use of anticoagulants: The use of anticoagulants after surgery is also one of the effective measures to prevent VTE.

What are the management strategies for hypercapnia and acidosis in minimally invasive gynecological surgery?

In minimally invasive gynecological surgery, the management strategies for hypercapnia and acidosis mainly include the following aspects:

Closely monitor the condition: During the operation, the patient's blood pressure (BP), heart rate (HR), pulse oxygen saturation (SpO2), carbon dioxide partial pressure (PETCO2) and other indicators should be closely observed to be alert to the occurrence of complications. Remind the doctor in time to take corresponding measures to prevent serious conditions such as arrhythmia, hypoxemia and increased intracranial pressure.

Promote CO2 discharge: Increase oxygen partial pressure through low-flow oxygen inhalation, accelerate carbon dioxide discharge, and prevent acidosis. In addition, adjusting the body position can also help promote CO2 discharge.

Maintain safe and effective pneumoperitoneum pressure and flow: In laparoscopic surgery, maintaining appropriate pneumoperitoneum pressure and flow is one of the key measures to prevent hypercapnia. Excessive pneumoperitoneum pressure will cause more CO2 to be absorbed into the blood through the peritoneum, thereby increasing the risk of hypercapnia.

Notify the doctor in time: If the patient's breathing is abnormal, the nurse should notify the doctor in time for timely treatment.

Postoperative care: Continue to monitor the patient's breathing after surgery to ensure that it is stable, and give low-flow oxygen as needed.

Choose pneumoperitoneum-free technology: For certain specific minimally invasive surgeries, such as suspension-free pneumoperitoneum transumbilical single-port laparoscopic surgery, CO2 gas can be avoided, thereby completely eliminating complications related to CO2 gas, including hypercapnia.

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