Nowadays, newly developed medical devices make hysteroctomy possible by a laparoscopic intervention. The advantage for the patient of the laparoscopic method is less pain and a much faster recovery. Patients appreciate much the minimal invasive character of this operation because it leaves almost no scars on the patient’s skin, reduces the healing of the wound and safes money for all involved parties.
A manipulator (guide instrument) is inserted into the uterus via the vagina to enable it to be moved during the operation. A ceramic cap over the cervix later allows it to be safely withdrawn from the vagina. The abdominal cavity is filled with gas (CO2) through a thin cannula in order to elevate the abdominal wall and provide an unobstructed view of the abdominal organs, ensuring a safe surgery.
The camera optics is inserted in the umbilical area through a percutaneous access route. The required surgical instruments are inserted in the lower abdomen through small (5 – 10 mm) incisions. The camera passes the image to a large monitor.
If the uterus requires complete removal, the incision is made with the ceramic cap and then it is sutured. The severed uterus is excised from the abdominal cavity piece by piece with the morcellator and then aspirated. In case of a supracervical
hysterectomy the uterus is severed above the inner cervix. According to the diagnostic findings the physician opts either to remove the uterus through the vagina or by laparoscopic means. In the event of a higher risk, for example, due to an enlarged uterus reducing visibility, the surgery can be concluded by means of an abdominal incision. The uterus can, however, invariably be removed using morcellation in all the variants on a hysterectomy.
MORCELLAZIONE CON CAMICIA DI PROTEZIONE
At the Hysterectomy in laparoscopic surgery the Morcellator is inserted into the abdominal cavity with the Obturator inserted
in the Protection Sleeve. After removing the Obturator, the Cutting Tube can be inserted. To expose the Cutting Tube to the tissue that has to be removed, the Protection Sleeve has to be unlocked from the Non-cutposition by holding the Transmission Unit with one hand and performing a counter movement of the Protection Sleeve with the other hand.
MORCELLATION WITH TROCAR
When morcellating with a Trocar Sleeve the abdominal wall is kept in save distance from the operation area by inflating the abdominal cavity. This gives also safe clearance for the surgical operation. The Trocar Sleeve stays flexible while operating, means it can be rotated against the organ or tissue to be protected.
TCM 3000 BL MORCELLATOR has a compact control unit with a simple and intuitive operation panel controls the speeds of the attached instruments. For the morcellation of tissue speeds of up to 1000 rpm are appropriate.
√ 3 different cutting tubes to choose, 12mm, 15mm or 20mm
√ High quality processed cutting tubes with an excellent cutting performance without regrinding
√ High cutting performance for uterus and myomes
√ Lead nose piece on the upper part of the cutting tube to ensure a perfect guidance
√ Fully autoclaveable – most economically
√ Variable speed control selectable for ideal cutting speed – the power is on the surgeons control
√ Sophisticated motor control for smooth and precise power
√ Wide range of individual accessories available
√ The ergonomic handle that is slipped onto the gear unit protects the operator from excessheat of the motor and the gear unit
√ Pedal with precise control
√ Easy assembling with put and twist lock system