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9 Operating Room Positioning, Equipment, and Instrumentation for Laparoscopic Bariatric Surgery

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Minimally Invasive Bariatric Surgery

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Abstract

Proper use and understanding of a wide array of laparoscopic equipment and instrumentation greatly aid the team’s ability to meet the technical needs of more challenging operative situations. While not all of the technology presented in this chapter is necessary to complete these operations safely, they provide some examples of how to utilize technology and instrumentation to make bariatric cases run smoothly. New technology will undoubtedly emerge, adding enhanced efficiency and safety (see Appendix).

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References

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Author information

Authors and Affiliations

  1. Bariatric and Metabolic Institute, Cleveland Clinic, Digestive Disease Institute, 9500 Euclid Avenue, M61, Cleveland, OH, 44195, USA

    Stacy A. Brethauer M.D. & Esam S. Batayyah M.D., F.A.C.S.

Authors
  1. Stacy A. Brethauer M.D.
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  2. Esam S. Batayyah M.D., F.A.C.S.
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Corresponding author

Correspondence to Esam S. Batayyah M.D., F.A.C.S. .

Editor information

Editors and Affiliations

  1. Cleveland Clinic Lerner College of Medicine, Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio, USA

    Stacy A. Brethauer

  2. Cleveland Clinic Lerner College of Medicine, Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio, USA

    Philip R. Schauer

  3. Department of Surgery, Health Sciences Center, University of Virginia Health System, Charlottesville, Virginia, USA

    Bruce D. Schirmer

Appendix 1: Laparoscopic Roux-en-Y Gastric Bypass Reusable Instrumentation

Appendix 1: Laparoscopic Roux-en-Y Gastric Bypass Reusable Instrumentation

Routine set

Item name

Item #

Company

# on set

Crocodile grasper (traumatic) (32 cm)

90-7064

Snowden-Pencer

2

Crocodile grasper (traumatic) (45 cm)

90-7264

Snowden-Pencer

2

Diamond jaw atraumatic dissector (32 cm)

90-7041

Snowden-Pencer

3

Diamond jaw atraumatic dissector (45 cm)

90-7271

Snowden-Pencer

3

Endo-right angle

90-7031

Snowden-Pencer

1

Right angle electrode

89-7200

Snowden-Pencer

1

Tapered curved dissector

90-7033

Snowden-Pencer

1

Hasson “S” retractor narrow

88-9113

Snowden-Pencer

1 set

Hasson “S” retractor wide

88-9114

Snowden-Pencer

1 set

Monopolar cord

88-9199

Snowden-Pencer

1

Instrument tray

88-6275

Snowden-Pencer

1

Scopes

30° 10 mm

502-357-030

Stryker

1

45° 10 mm

502-357-045

Stryker

1

30° 5 mm

502-585-030

Stryker

1

45° 5 mm

502-585-045

Stryker

1

45° 10 mm extra long

502-657-045

Stryker

1

Scope warmer

Scope warmer canister

C3001

Applied Medical

1

Base for scope warmer

C3002

Applied Medical

1

Seals for scope warmer

C3101

Applied Medical

1

Table-mounted instrument holding device

Fast Clamp System

89-8950

Snowden-Pencer

1

Liver retractors

80-mm triangular liver retractor 5 mm

89-6110

Snowden-Pencer

1

“Big D” diamond flex liver retractor

89-8216

Snowden-Pencer

1

Bowel instruments

DeBakey clamp, straight, 10 mm

90-7052

Snowden-Pencer

1

DeBakey clamp, curved, 10 mm

90-7054

Snowden-Pencer

1

Specials

Diamond flex articulating atraumatic grasper 40°

89-0509

Snowden-Pencer

1

Bougie 34-French or olympus endoscope bowel grasper

33331C

Storz

1

Diamond-jaw needle holder

90-7016

Snowden-Pencer

1

O’Brien LAP-BAND placer

 

Automated Medical Products Corp.

1

StrykeProbe and tips, 5 mm (32 and 45 cm)

 

Stryker Endoscopy

1

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Brethauer, S.A., Batayyah, E.S. (2015). 9 Operating Room Positioning, Equipment, and Instrumentation for Laparoscopic Bariatric Surgery. In: Brethauer, S., Schauer, P., Schirmer, B. (eds) Minimally Invasive Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1637-5_9

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  • DOI: https://doi.org/10.1007/978-1-4939-1637-5_9

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1636-8

  • Online ISBN: 978-1-4939-1637-5

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