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Grimshaw J, Eccles M, Russell I. Developing clinically valid practice guidelines. J Eval Clin Prac 1995; 1: 37-48. Woolf SH. Practice guidelines, a new reality in medicine. II. Methods of developing guidelines. (Review.) Arch Intern Med 1992; 152: 946-952. Agency for Health Care Policy and Research. Clinical Practice Guidelines Development, Methodological Perspectives. US Department of Health and Human Services, Public Health Service, Washington DC, 1992, pp. 115-127. TECHNICAL ASPECTS Introduction Laparoscopy is a surgical technique that allows surgical procedures to be performed while minimizing trauma to the body. The following are indispensable for carrying out any laparoscopic procedure: ? Basic mandatory equipment ? Specific basic instruments ? Basic access techniques ? Complication management ? Specific training. 2.2 Equipment(1-3) The view of the surgical field is provided by a video-camera, which represents the eye of the surgeon. It goes without saying that a proper video armamentarium is of paramount importance. The basic, indispensable equipment for videoing is as follows: ? At least one CCD (charge-coupled device), but preferaby three CCD video-cameras ? At least one, but preferably two, video-monitors ? Video-recorder cart. In addition, equipment should also include: ? High-flow insufflator ? Xenon-light source ? High-frequency generator, both mono- and bipolar ? Suction and irrigation device. (Other devices for dissecting and for controlling bleeding may be useful, 2.3 Instruments(1 -3) As well as having instruments to enable access to, and development of, working room, the surgeon requires state-of-the-art instruments for optimal performance of laparoscopic procedures, including: ? Dissection ? Haemostasis ? Suturing ? Retrieval of specimens. Date: 2016-06-13; view: 38
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