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Instruments for total hysterectomy under laparoscopy

Laparoscopic total hysterectomy is one of the most representative operations in obstetrics and gynecology, and it is also an operation that the attending doctor should and must master. Unlike open surgery, laparoscopic surgery is more dependent on instruments. The large blood vessel closure device Beike forceps is the most commonly used hemostatic tool by gynecologists. Our professor said: "The Beike forceps are the best hemostatic instruments in the experience of laparoscopic surgery for more than ten years, and there is no one."

Laparoscopic total hysterectomy
 

Laparoscopic total hysterectomy
 

 
The principle of Beike forceps is the intelligent optimization and regulation of the output of the energy of the electrosurgical bipolar technology, so that the collagen of the vascular tissue is effectively melted, combined with the pressure of the device jaws, the vascular tissue is permanently closed, and the blood vessel has strong anti-rupture ability. It can be certified by FDA. Effectively close blood vessels 7mm and below. The application of large blood vessel closure technology can easily close blood vessels and tissue bundles, reducing the use of sutures and titanium clips.
 
 
   Laparoscopic total hysterectomy involves four pairs of main ligaments-the round ligament, the proper ligament of the ovary, the main ligament, and the sacral ligament. When cutting off uterine ligaments and other vascular-rich tissues, it is recommended to use Beike forceps for electrocoagulation and then be cut by Beike scissors, ultrasonic scalpel and other instruments, which can significantly reduce intraoperative bleeding and shorten the operation time.
 
   In the development of surgery, especially laparoscopic surgery, hemostasis has always been one of the most important parts. Beike forceps are often used to cope with local bleeding that occurs at any time. Professor Wu Ming of Xiehe Hospital once said: Early laparoscopic surgery only had ordinary single-bipolar instruments, and every step of the operation was done carefully, because once bleeding occurs, it is difficult to effectively stop the bleeding. Since the Haike forceps, laparoscopic surgery has become relatively simple.
 
   One of the technical difficulties of hysterectomy is the treatment of the ascending branch of the uterine artery. If this area is not handled well, the urinary tube will be damaged. What gynecologists fear most is this urinary tube with "flowing water under the bridge". The ascending branch of the uterine artery must be treated before the main ligament is severed. Laparoscopy uses sutures, while laparoscopy uses electrosurgical energy devices.
 
  The positional relationship among ligaments, arteries, and ureters around the uterus
 
  Before the emergence of the intelligent large blood vessel closure device Beike clamp, when handling the uterine artery, it is necessary to use each gap to fully naked the blood vessel, thereby reducing the risk of bleeding after coagulation and disconnection of the blood vessel. The principle is that when the blood vessel is closed, the surrounding fat or connective tissue will absorb and consume energy, which makes it difficult for conventional bipolar coagulation equipment to completely coagulate the uterine arteries and veins, and repeated coagulation is prone to heat damage to the ureter. Different from ordinary bipolar electrocoagulation, the Beike clamp can directly close blood vessels with a diameter of ≤7 mm without nakedness, and is especially suitable for treating uterine arteries and veins.