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2015 ; 2015
(ä): 361093
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The Twin Forceps: A New Instrument for SILS
#MMPMID26346966
Rizzuto A
; Donnici M
; Nudo P
; Sinopoli B
; Sacco R
; Danieli G
Biomed Res Int
2015[]; 2015
(ä): 361093
PMID26346966
show ga
In the last ten years, the single incision laparoscopic surgery (SILS) is gaining
more interest than the traditional laparoscopic surgery (LAP). Many studies make
a comparison between the performances of the SILS and the LAP. The results show
that the single incision laparoscopic surgery reduces pain, length of period of
postoperative hospitalization, and loss of blood. This technique is also able to
reduce the infection sites. In spite of many advantages, SILS reveals some
problems: laparoscopic instruments triangulation and small workspace. The surgeon
has to be more skillful to make a surgery in SILS because the surgeon has only
three laparoscopic instruments and only one hole in the abdomen cavity. In this
paper, a novel laparoscopic instrument to help the surgeon during a SILS
operation is presented. This instrument is innovative forceps with double
graspers. Different designs of this instrument are presented, with the final one
which greatly simplifies both construction and operation. The initial experience
in the laboratory with the innovative instrument is presented. The surgeon
experienced in laparoscopic surgery and with the help of assistants performed a
training program based on predetermined task performed in simulation box
(laparoscopic box-trainer).