Putting the Trocar in its correct spot is one of the most important procedures of laparoscopic surgery for your medical instrument. Many serious problems have been reported as a result of incorrect placement of laparoscopic instruments. You should be 100% positive that you are place the trocar in its correct spot.
Their is so many different types of trocars on the marketplace, some of the most easiest to use are the trocars with the safety mechanisms with robust blades. Basic handling is pretty much the same for all trocars, it is important to understand the different functions of the different types.
Approaching laparoscopy, pay attention to the area through a laparoscope inserted through another trocar while pressing the area to confirm that the space can be safely entered. Make sure the patient is free from abdominal wall vessels, darkened the room and view the area under transmitted light. Place the trocar right next to the abdominal wall. Stretch your finger along the length of the trocar while using your other hand to provide support and prevent accidentally going in to deep. Work the trocar turning and twisting it, Try to do this by maintaining even and force when the tip of the trocar passes through the wall. Do not press to hard with your surgery equipment. Hard pressure may shrink the internal space, increasing the risk of hitting an organ and causing damage. When the tip of the trocar is inside the space try and swing it into a direction of open space and push further to avoid unnecessary injury. Locking the safety mechanism will help reduce risk. Some trocars do not have a lock mechanism on the safety. Make sure your really careful when inserting this device. Ideally you may want to use what’s called a malacar trocar. It has a self-securing lock you can use during the procedure.
This “Medical Instrument” article is by Matt S.