Understanding laparoscopy and basic rules

How many monitors should a good operative room have at least (please select the correct
answer):
-1

✓ -2
-3
-4
-5

The primary cause of femoral nerve injury in a female patient during a laparoscopic surgery
is (please select the correct answer):
-Direct thermal injury to the femoral nerve.
-Transection of the pudendal nerve.
-Hyperflexion of the patient’s legs.

✓-Nerve compression due to improper use of stirrups.

-Hyperextension of the patient’s legs.

Rules should be followed during trocar set-up in order to maintain good ergonomics in a
laparoscopic gynecological procedure. Which of the following is incorrect:
-Select a trocar with the same diameter as the instruments used for dissection.
-Avoid positioning the suprapubic trocar below the line of the two lateral trocars.
-Introduce the trocar at a 90-degree angle in relation to the fascia.
-Close the fascia after the procedure if an incision of over 10mm has been performed.

✓-Use only 10mm trocars if suturing is planned.

With regards to laparoscopic dissection, it is wrong to say that (please select the correct
answer):
-The Pneumoperitonium is very useful in the dissection of anatomical spaces.

✓-The Efficiency of electrosurgery is improved by irrigation.

-The three instruments must always be displayed on-screen.
-Traction and counter-traction of tissue must be performed using divergent forces.
-The strategy is tailored according to the procedure.

Basic principles and rules can increase efficacy in laparoscopy. From the next
recommendations, please select one incorrect answer:
-Tailor port configuration depending on the pathology.

✓-Use flap valve ports to facilitate extracorporeal knotting.

-Use multi-functional instruments.
-Utmost care should be taken when positioning the patient.
-Use of the uterine manipulator in order to improve exposure and induce shorter operative
times.