Gynaecological Surgery
Figure 5: TriPod™ System by Olympus® (left) and SILS™ by Covidien (right)
Figure 9: EndoEYE™ by Olympus With the Distally Built Charge-coupled Device Camera Tip
Figure 6: S-Portal® (left) and X-cone® From Karl Storz™
Figure 10: Anubis® Multifunction Platform for Endoluminal and Transluminal Procedures by Karl Storz™
Figure 7: Distally and Proximally Curved Instruments (right pane) and the Use of Endocone® Access System by Karl Storz™
Figure 11: Single-port Instrument Delivery Extended Reach by TransEnterix Inc.
Figure 8: Endocameleon® Telescope by Karl Storz™, Allowing Instantaneous Change Between 0° and 120° Viewing Angle
SPIDER® = single-port instrument delivery extended reach.
motions and better visualisation in cases where access space is limited and the exchange of different angles and different telescopes is time consuming and technically difficult (see Figure 8 and Figure 9). Bringing together the latest laparoscopic and telescopic equipment, moving hands away from collision planes and allowing different angles for viewing and manipulation – all this is designed to advance endoscopic surgery to the next level of intricacy and success.
Even more exciting is the new development of fully integrated multifunctional access devices that will allow a single port (potentially NOTES) with the passage of multiple instruments and working channels. Excellent image quality combined with at least three
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working instruments and the ability to provide insufflation are the hallmarks of the experimental device of the future in minimally invasive gynaecological surgery (see Figure 10).
Another example of the future in instrumentation is the single-port instrument delivery extended reach (SPIDER®). The prototype,13 designed and developed specifically to overcome the obstacles of single-port surgery of triangulation, visualisation and retraction, is thought to improve cosmesis with minimal tissue and fascial trauma at the insertion site (see Figure 11).
A modern experiment in the field of minimally invasive surgery is the fusion of current robotic systems with technology that already exists,
EUROPEAN OBSTETRICS & GYNAECOLOGY
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