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Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
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Tips for using forceps during uniportal video-assisted thoracoscopic surgery.

Yasushi Mizukami1, Ryunosuke Maki1, Miho Aoyagi1

  • 1Department of Thoracic Surgery, National Hospital Organization, Hokkaido Cancer Center, Japan.

Multimedia Manual of Cardiothoracic Surgery : MMCTS
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Summary

This video tutorial presents techniques for uniportal video-assisted thoracoscopic surgery. It focuses on using bent-tip thoracoscopic forceps and a 30° thoracoscope to improve instrument handling and dissection.

Keywords:
Uniportal VATS

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Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Surgery
  • Surgical Techniques

Background:

  • Uniportal video-assisted thoracoscopic surgery (UVATS) typically uses ultrasonic devices and suction tools.
  • Instrument crowding within the single port is a common challenge in UVATS.
  • Dissecting vessel sheaths often necessitates countertraction, which can be difficult with standard instruments.

Discussion:

  • This tutorial demonstrates optimized instrument use in UVATS.
  • Utilizing bent-tip thoracoscopic forceps can enhance countertraction capabilities.
  • A 30° video thoracoscope may offer improved visualization and instrument manipulation.

Key Insights:

  • Bent-tip forceps provide better countertraction for vessel sheath dissection in UVATS.
  • The 30° thoracoscope aids in navigating the confined space of the single port.
  • These techniques aim to reduce instrument interference and improve surgical efficiency.

Outlook:

  • Further adoption of specialized instruments like bent-tip forceps could refine UVATS procedures.
  • Training with these modified techniques may enhance surgeon proficiency in UVATS.
  • Future research could explore the impact of these tips on patient outcomes.