KEY HOLE SURGERY

CARE OF FIBER OPTIC INSTRUMENT
As mentioned earlier post it is possible to undertake surgery
Through the fiber optic endoscope
The working end of the endoscope has outlets for instruments
The instruments are also adapted to reach and function at the operating site




WHAT ARE THE RULES OF SPECIAL CARE OF FIBRE-OPTIC ENDOSCOPES?

The special care required for fiber-optic instruments after
use:
The first principle is that `the useful life of endoscope
instruments is at risk if too many users with different use, and
Maintenance protocols, are using the same instrument.

- Debris and mucus must be removed from the instrument, and the
Channels immediately after use, with a mild detergent such as
Savlon 1 per cent
- Followed by rinsing in warm water
- After thorough cleaning, the insertion tube only of the
endoscope, can be disinfected by immersion in a chemical
fluid such as glutaraldehyde (Cidex)
- Endoscopes used for intra cavity operative procedures on
penetrating tissues, i.e., laparoscopes, arthroscopes,
thorascopes, choledocoscopes etc., must be used in a sterile
condition
- The length of fibroptic light cable, which connects the light
source to the endoscope, must be cleaned at end of each
procedure and handled with great care to prevent damage to
the light conducting glass fibres.
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