Hand Instruments

Abstract

Operative hand instruments play a pivotal role in Laparoscopic surgeries. They are either disposable or reusable. Most instruments are made up of three parts mainly; Handle, Outer covering sheath and working insert. Instruments are broadly categorized based on the type of dissection they are used for. Instruments for Blunt dissection are Graspers and dissectors. Graspers can be of traumatic or atraumatic variety. Bipolar and Maryland are the two essential dissectors used widely. Instruments used for sharp dissection are scissors, knives, needle holders, coagulation devices, electrosurgery hooks and a spatula. All the reusable instruments have to be sterilized before each use. A few instruments have to be dissembled before sterilizing. Hence, basic knowledge regarding the various instruments is vital for a laparoscopic surgeon to operate flawlessly