The Twin Forceps: A New Instrument for SILS

Area of Science:

• Minimally Invasive Surgery
• Surgical Instrumentation

Background:

• Single Incision Laparoscopic Surgery (SILS) is increasingly preferred over traditional Laparoscopic Surgery (LAP) due to reduced postoperative pain, hospitalization, blood loss, and infection rates.
• Despite advantages, SILS presents challenges including limited instrument triangulation and a restricted workspace, demanding higher surgeon skill.

Purpose of the Study:

• To introduce a novel laparoscopic instrument designed to enhance surgical performance during SILS procedures.
• To present innovative double-grasper forceps designs that simplify construction and operation for SILS.

Main Methods:

• Development and presentation of various designs for a novel double-grasper laparoscopic forceps.
• Evaluation of the instrument's usability through laboratory-based training programs using a laparoscopic box-trainer with experienced surgeons and assistants.

Main Results:

• The developed innovative forceps with double graspers aim to address the workspace and triangulation limitations in SILS.
• Initial laboratory experience indicates the instrument simplifies both the construction and operation of SILS procedures.

Conclusions:

• The novel double-grasper forceps show promise in mitigating the ergonomic challenges associated with SILS.
• Further investigation and clinical application are warranted to validate the benefits of this new instrument in SILS operations.