Bipolar instruments also are connected to the ESU but have both electrodes integrated into their design; in some instances, one of the electrodes is designed to be "dispersive" and not create a tissue effect, while in others, such as grasping forceps
, both electrodes are "active" because they focus the current, thereby contributing to the impact on tissue.
We utilize reusable and disposable bipolar coagulating forceps, as well as reusable instruments with monopolar electrosurgical capability, including dissecting and grasping forceps
, scissors, hook, and spatula.
A flexible 5F grasping forceps
(67161T; Karl Storz) was passed down the instrument channel of the operating sheath to assess the mass.
The girl was taken to the operating room, and the safety pin was removed under direct vision with a rigid bronchoscope and optical grasping forceps
This legislation defines "dismemberment abortion" as "knowingly dismembering a living unborn child and extracting such unborn child one piece at a time from the uterus through the use of clamps, grasping forceps
, tongs, scissors or similar instruments that, through the convergence of two rigid levers, slice, crush or grasp a portion of the unborn child's body in order to cut or rip it off ..."
After visual inspection of internal organs, a 5 mm cranial telescope guided instrument port (for click line grasping forceps
, 5 mm, 36 cm) was created about 3 cm cranial to umbilicus on mid line.
The fundus of the gallbladder is identified and held by a pair of grasping forces being introduced via the 5 mm anterior axillary port and the other grasping forceps
being applied at the neck.
I use the flexible cystoscope and grasping forceps
to overcome this problem.
The nodes are removed using the same technique as for pelvic lymphadenectomy, with bipolar forceps used as a grasping forceps
and for coagulation of the small blood vessels and unipolar forceps used for cutting and achieving hemostasis for these vessels (Fig.
Endoscopy through a left lateral approach facilitated visualization of the bullet, which was then removed with a pair of flexible grasping forceps
. This minimally invasive approach enabled removal of the foreign body without damage to vessels or internal organs.
An attempt to remove the object with grasping forceps
only tended to push it posteriorly.