dr.M.S.

Nadir Chan SPOG(K)

RS YPK Mandiri Jl.Gereja Theresia 22 Jakarta
 VISION

• TEACHING
• COSMETIS
• HOSPITAL STAY
• RECOVERY ONCE HOME
 HISTORY
• Phillip Bozzini is created with developing the first cystoscope in 1805
• Kelling ,first ever laparoscopy on a dog in 1901
• Zollikofer (1925) : Used carbon dioxide to insufflate the peritoneal cavity.
• Verres (1927): designed the spring-loaded insufflating needle
• Heinz Kalk, developed a superior laparoscope with improved lenses in
1929
• Karl Fervers described laparoscopic lysis of adhesions using cautery in
1933.
• Boesch, a Swiss gynecologist, performed the first laparoscopic
sterilization by electrocoagulation of the in 1936.
• Kurt Semm in Kiel, Germany, contributed greatly to laparoscopic
technology during the mid-1960s and 1970s
• Laparoscopic appendectomy, first performed by Semm in
1982,
• During the early to mid-1980s, videoscopic images were
applied to endoscopy and ultimately to the laparoscope.
• The term “minimally invasive surgery” was coined by English
urologist Mr. John Wicker, in 1983
• French surgeon Phillip Mouret performed the first
videolaparoscopic cholecystectomy in 1987
• Since this time endoscopy develop in all divisions. : Nezhat
said : Laparoscopy can be done ,if any space in human body
or we can performe any space in all part of human bodies.
TECHNOLOGICAL ADVANCEMENTS
• Syn-Optics launched the tube camera in 1978
• William Chang invented the first solid state
medical video camera in 1981.
• The S-video signal was developed in 1992
• The first digital zoom and digital enhancement
capabilities were developed in 1999
 Innovations
• Thatre set-up
• Vision : 3 D, High D microcamera.
• Energy sources : Cauther, Harmonic, smart
cauther, : ligasur, Thunderbealt, Plasma PK.
• System : Robotic.
• Telecongress and live surgery.
• Vascular sugery
• Breast surgery
• Digestive surgery
• Urology surgery
• Arthroscopic surgery
• Thyroid surgery
Open methode.
Closed methode.
Multiple port.
Single port.
Nos ( Natural orifice sugery).
Notes ( Natural Orifice
Transluminal Endoscopic
Surgery).
LAYOUT OPERATING ROOM
KARL STORZ 3 D SYSTEM
• The system include a single
channel stereo telescope,
wich transmits images to the
camera head. The camera
shutters rapidly between the
right eye and left eye and
sends the 3 D image. The
surgeon need only wear a
pair of special polarizing
glasses, similar to sunglasses
 SUTURING

Convensional.
Cauthery, Harmonic, Smart
cautrhery : ligasure
Thunderbeat,Pk,Erbe.
Clip/stapler
Barb suture.
THUNDERBEAT
ENSEAL
 Hysteroscopy

OFFICE HYSTEROSCOPY
OPERATIVE HYSTEROSCOPY
RESECTOSCOPY
Bigati Shaver
 HIFU
High intensity focused ultrasound
org
 CONCLUSIONS
Laparotomy is nearly dead it is only
it’s obituary that remains to be
written
Dr. Camran Nezhat: “In my opinion, surgery can be
done in many ways, but every surgeon should make the number
one priority to do no harm to the patient. We must do what is safest
for the patient and do it the best way. Laparoscopic surgery in
gynecology could be used practically in 99% of the procedures. The
only limiting factor I see is skill and experience of the surgeon and
the availability of proper instrumentation. In some cases, like
advanced ovarian cancer where they require advanced debulking,
then I think at this time that should be done by laparotomy. But, in
general, you can use laparoscopy practically for everything that
needs microsurgical expertise and attention. When you are dealing
with removal of a very large volume, since right now we do not
have instrumentation that is good for getting rid of those volumes
very fast, perhaps laparotomy, mini-laparotomy, or laparoscopically
assisted might be the answer. We can still use the benefits of the
laparoscope, and then do the procedure laparoscopically assisted
by a mini-laparotomy.”
TERIMA KASIH