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    Author: bhargavbhalodiya27@gmail.com

    6December 2019

    ALL ABOUT DIASURGE MEDICAL ENDOSCOPE | An Overview

    There are two types of endoscope equipment to broadly classify

      • Rigid Endoscope
      • Flexible Endoscope

    A rigid lens or a flexible one is used in direct visualization of a diseased or affected area which employs a series of lens, optic fibers to make path for light to convey the image on the eyepiece.Since different kinds of endoscopes are required for different procedures the question arises from where to get the required equipment and what all to look for before investing in them. There are a few firms who believe in adding value for providers, payers, and patients by providing endoscopy and surgical instruments which are cost-efficient, forward, modern and all about the product quality. One such company that stands out in the market is DIASURGE MEDICAL.

    Diasurge ensures leading product qualities which are made in compliance to the issued regulatory standards. We make cost effective products which in turn brings down the cost of endoscopy but that doesn’t mean it comes with a compromise of quality. We strive for great customer experience and satisfaction. We make rigid endoscope with instruments for Laparoscopy, Arthroscopy, Hysteroscopy and Gynecological endoscopy, Urology, ENT and Cystoscopy & Resectoscope.

    Diasurge provide the one stop solution for all your sales and service needs of endoscopes and related MIS Instruments. Our services provide configure full coverage of all endoscopy systems. Through our Service Department, we offer Sales and Technical training to our customers in order to increase their ability to provide better services.

    Few procedures where Diasurge endoscope is used are

    • Laparoscopy- surgical diagnostic procedure used to examine the organs inside the abdomen
    • Endoscopy- examine the interior of a hollow organ or cavity of the body
    • Arthroscopy- Viewing and treating of joints through a key hole surgery
    • Resectoscope- surgeries of the uterus, prostate, bladder, or urethra
    • Cystoscopy- To examine the inside of the bladder and urethra in detail
    • Colonoscopy- examines the lining of large intestine for abnormalities

    Apart from these, other endoscopy procedures include Proctoscopy, Mediastinoscopy, Laryngoscopy, etc.

    Diasurge Medical ranges of Rigid Endoscopy system with Endo – Telescope & Surgical Instruments quality is ISO & CE Certified. Some products by Diasurge Medical that can be useful in assisting various types of endoscopy are:-

    Rigid Endoscope: rigid endoscopes have a series of high-resolution optical glass rod lenses. The endoscopes can be forward viewing (0 degrees) or different angled degrees to allow visualization out of the axis of the telescope and increase the FOV by rotating the instrument. The optical quality of lens-generated images of rigid endoscopes still surpasses that of the fiber-optic or digital images produced by flexible scopes. Diasurge equipped with 1080 HD Camera with CMOS Chip, LED Cold Light Source, CO2 Insufflators, Suction Irrigation Pump, Surgical Scope, HD Medical Monitor, Endoscopy Trolley and an extra tray makes it a complete package and that too at an affordable price.

    1080 HD Camera with CMOS chip: this inexpensive endoscopy camera is fully HD with high resolution. The sensor and camera are designed to transparent imaging with help of light source

    LED Cold light source: It is adopted by the latest LED technology with higher brightness lower consumption and long working. It’s suitable for all procedures.

    CO2  Insuffilator: The Diasurge insufflator  has a high maximum flow rate and advanced functionality. It enhances performance and reliability in demanding surgical-laparoscopy environments.

    Irrigation Pump: Diasurge Irrigation pump for endoscopy the new software and technical enhancements make FLUID CONTROL ideal for diagnostic and therapeutic interventions.

    Suction irrigation Pump: Diasurge suction irrigation pump optimum adjustment of pressure and flow parameters allows for effective tissue rinsing and effective aspiration of fluid during laparoscopic procedures

    These are a few products amongst many by Diasurge Medical. Consider only Diasurge Medical for all your future and forthcoming requirements.

    Tags:

    rigid endoscope

    Hysteroscopy

    • Flexible Endoscope

    • Endoscopy

    CO2 Insuffilator

    Irrigation Pump

    Suction irrigation Pump

    5October 2018

    Low-cost laparoscopic appendectomy: How to teach?

    Dr. Kamal ArefConsultant General Surgery and Laparoscopic SurgeryNMC Royal Hospital, Khalifa City, Abu Dhabi, United Arab Emirates Laparoscopic appendectomy must be the gold standard.Nowadays, many centers still continue to go on with McBurney’s incisions. Why? Expensive devices may be a reason.Low cost appendectomy allows for a diagnostic laparoscopy and offers a therapeutic option with the lowest price.On the other hand, residents must begin the learning curve in laparoscopy as soon as possible not only with a training center (training in cadaveric or animals) but they must also start practicing on humans with watchful surgeon/teacher’s eyes.My aim is to demonstrate that low-cost laparoscopic appendectomy is feasible not only for surgeons but also for residents operating with an expert.

    1) Introduction;

    Appendicectomy is the most frequent surgery in emergency cases. Nowadays the laparoscopic approach is the golden standard. As the economic crisis has become a tough reality, it is crucial to minimize the cost of surgery. It includes how to create the pneumoperitoneum, the material used, how to control the appendiceal artery and base, as well as the way to take the specimen out of the abdomen.This can be applied with 3 clinical cases(a- Phlegmonous appendicitis, b- Retrocaecal appendicitis, c- Perforated appendicitis)

    It will be as follow;

    1-Peumoperitoniem

    2- Instrumentation

    3- Appendiceal artery control

    4- Appendiceal base control

    5- Specimen extraction

    6- Three clinical cases;

    – Phlegmonous appendicitis

    – Retrocaecal appendicitis

    – Perforated appendicitis

    2) Instrumentation;

    2- position of the patient= same as classical for Laparoscopic appendicectomy

    3- position of the team= same as classical for Laparoscopic appendicectomy

    4- position of the canulas= use Hassan method(open method)

    5- How to create Peumoperitoniem= no change as the usual method

    6- Examples;

    6.1- Phlegmonous appendicitis

    6.2- Retrocaecal appendicitis

    6.3- Perforated appendicitis

    Three ports are required and introduced in an atraumatic way without their blade;

    -A simple Mosquito opens the peritoneum; a 10mm, 30-degree optic is used.

    -All the instrumentation is reusable.

    -Six threads of 3/0 PDS line are required.

    -A finger of a sterilized glove is prepared with silk suture around it.

    2- Position of the patient;

    The patient lies in a supine position with the justify arm tucked alongside the body to provide both surgeon and assistant with a comfortable space.The Surgeon stands directly across the right iliac fossa facing the primary monitor,The camera holder stands on the surgeon’s right.

    3- position of the team;

    The Surgeon stands against Lt iliac fossa facing the primary monitor and the camera holder assistant stands on his right position.

    4- position of the canulas;

    One 10mm port is placed on the midline over the pubis, and the last 5mm port is placed in the inferior justify quadrant.

    5- How to create Peumoperitoniem;

    Establishment of the pneumoperitoneum is the most critical step of the surgery. A 10mm skin incision is performed, and after opening the underlying fascia and peritoneum, a canula without its blade is introduced in an atraumatic way.

    6- How to perform the procedure/surgery;

    After CO2 insufflation of peritoneum, the identification of the colon, caecum will lead us to the appendix and mesoappendix, You can hold the tip of appendix up by other insstrument or fixed by sling stitching through abdominal wall on mosquito outside the abdomen.By cautery make a window at the appendix near the base of appendix make adouble knots by using ligature and cut inbetween.Make a double knots by using ligature and cut in between at the base of appendix 1cm from the caecal junction with the base of the appendix,The next step is specimen extraction; finger of a sterilized glove is prepared with silk suture around it, by which appendix is extracted via the 10mm trocar.Suction irrigation to be done using reusable suction irrigation instrument,Desufflation and suturing the wounds.

    13February 2018

    Check Diasurge Solutions

    As from the year 2002, ETS International and group of companies, became involved in the biomedical field through sincere commitment to quality and adherence to the best practices in service of our clients.

    DiaSurge Medical NL, part of the holding company ETS International of the Netherlands, and in pursuance of the full understanding of the requirements of our clients, established a strong R&D team to build the first laparoscope & laparoscopy/endoscopy products to meet the needs of both the physician and the patient.