Advantage of Minimal access surgery
Heat loss
Better Hemostasis control
Improved vision
In wound pain
The core principles of minimal access surgery (independent of procedure or device) can be summarized by the acronym I-VITROS: * Insufflate/create space - to allow surgery to take place in the minimal access setting * Visualise - the tissues, anatomical landmarks and the environment for the surgery to take place * Identify - the specific structures for surgery * Triangulate - surgical tools (such as po placement) to optimise the efficiency of their action, and ergonomics by minimising overlap and clashing of instruments * Retract - and manipulate local tissues to improve access and gain entry into the correct tissue planes * Operate - incise, suture, anastomose, fuse * Seal/haemostasis. Ref: Bailey and love 27th edition Pgno : 105
Urology