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BAB I

TINJAUAN TEORI

A. MATERI RECENT ADVANCES AND CHALLENGES IN ENDOLAPAROSCOPIC SURGERY


1. Basic Laparoskopic for Operating Room Nurse
2. Care maintenance and Aseptic Tecnique and Drapping for Endolaparoscopic
Procedure
3. sterilizitation,
4. Perspective
5. History of Endolaparoscopic
6. Surgery
7. History of stappling, variety selection of Endolaparoskopy instruments
8. Endolaparoscopic for Nursing, and usage
9. Introduction to Basic instruments and Equipment Endolaparoscopic
10. Introduction to Basic Instrumens Endoscopic
11. Monopolar – Bipolar – Ultrasonic – Advavanced Bipolar
12. Nursing management of perioperative patien with Endolaparoscopic Surgery
13. Nursing management of perioperative patien with Endoscopic Surgery
14. Nursing management of perioperative patien with stapler prosedures
15. Nursing preparation anastomose procedure
16. Positioning on operating table for Endolaparoscopy procedure
17. Recent Developments of digestive Endolaparoscopic Surgery
18. Recent Developments of ENT Endolaparoscopic Surgery
19. Recent Developments of Obgyn Endolaparoscopic Surgery
20. Recent Developments of Oncology Endolaparoscopic Surgery
21. Recent Developments of Orthropedic Endoscopic Surgery : Arthroscopy Shoulder
and Knee (ACL/PCL Recontruction)
22. Recent Developments of Urology Endolaparoscopic Surgery
23. Role of operating Room Personal on Laproscopic Procedures
24. Save Use surgical energy in area of Endolaparoscopic surgery
25. Trouble Shooting pada Prosedur Endolaparoscopic Trick and Tips
26. Types of Set Operating Room Configurations in Endolaparoscopic Surgery
B. PENGERTIAN
Laparaskopi adalah sebuah prosedur pembedahan minimally invasive dengan
memasukkan gas CO2 ke dalam rongga peritoneum untuk membuat ruang antara
dinding depan perut dan organ piscera, sehingga memberikan akses endoskopi ke
dalam rongga peritoneum tersebut.

Beberapa Keuntungan dari tindakan laparoskopi antara lain:


1. Nyeri paska bedah jauh lebih ringan
2. Membantu menegakkan diagnose lebih akurat
3. Proses pemulihan lebih cepat
4. Rawat inap lebih singkat
5. Luka bekas operasi lebih kecil

C. PENATALAKSANAAN
1. Personal
a. Ahli Bedah
b. Anestesiologi dan asisten anestesi
c. Perawat terlatih dan bersertifikat
d. Tehnisi bedah
e. Perawat sirkuler
2. Alat dan Instruments Laparoskopi
2.1 Imaging System For Laparoscopic Surgery
a. Monitor
b. Camera
c. Insufflator
d. Permanen record
e. Videotape Recorders
f. Scanner
g. Disk Recorders
h. Light source
i. Head camera
j. Suction
k. Couter
l. Tabung CO2
2.2 Basic Instruments For Laparoscopic Surgery
a. Tissue Dissection
b. Blunt Dissection
c. Sharp Dissection
d. Scissors Dissection
e. Peritoneal Lavage and Suction Equipment
f. Clips
g. Ligatures
h. Preformed Endoloops
i. Disposable and Reusable instruments
j. Various Trocard
k. Hands instruments
l. Canula Suction
m. Needle holder for suturing
n. Biopsi forceps
o. Claw Extractor
p. Instrument for single port
q. Suction, probe, spatula, hook, Funktie needje, blade
r. Davinci instruments
3. Bedah Endoskopi mencakup seluruh organ tubuh, antara lain:
a. Bedah Digestive
b. Bedah Orthopedi
c. Bedah Syaraf
d. Bedah Urologi
e. Bedah Kebidanan
f. Bedah THT
g. Bedah Onkologi
h. Bedah Jantung dan Paru