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
Keywords: Bullet nose grasper, Bipolar dissector, Bowel & lung clamps, Crocodile grasper, Dorsey intestinal grasper, Hunter bowel grasper, Hook and spatula, Insulated outer tube, Maryland dissector, Needle holders, Reducing sleeve, Raptor grasper, Scissors, Suture passer devices
