1. Specialized Surgical Instruments & Techniques Endoscopy and Laparoscopy CTVT 1154-55
Objective: Properly identify specialized instruments and all of their parts, and understand the set up, care, and maintenance of each.

2. Endoscopy The technique of examining internal
anatomy using optical instrumentation
View internal body structures via
an orifice ; not an incision
Examine tissues directly; remove foreign
bodies; biopsy organs
General anesthesia needed; intubation
required for oral procedures

3. Types of Endoscopes
Flexible

5. Endoscope Capabilities
4 way distal tip deflection
Water flushing channel
Air insufflation channel
Suction power
Accessory channel

6. Common Endoscopic Procedures

7. Types of Endoscopes Flexible Fiber optic Endoscope
Eyepiece for direct viewing
Can attach a camera

8. Types of Endoscopes Flexible Video Endoscope
Do not have a direct viewing lens and eye piece
All images are seen on a
monitor
Can take photos or video

9. Types of Endoscopes Rigid Endoscope
For procedures involving a direct pathway that are better viewed with a straight or direct line of sight
Otoscopy, rhinoscopy, cystoscopy, arthroscopy, laparoscopy

10. Endoscopy Preparation
Veterinary technician is responsible for prep:
Hook up endoscope
Enter patient data on computer
Turn on machine and check light source
Set up distilled water for flushing
Test machine
Press the water valve
Submerge tip, cover the air valve, check for bubbles
Leave tip submerged in water and press suction valve

11. Endoscopy Room

12. Endoscopy Room

13. Endoscopy Cabinet Store endoscopes in a designated
cabinet in a hanging position
Safe keeping; longer life;
allows proper drying
Do not store in original padded case

14. Handling the Endoscope

15. Biopsy Sampling Flexible biopsy forceps obtain the sample
1.8- to 2.4-mm cup for specimens
Use 25-27g needle to gently get sample out of the cups
Sample storage?

16. Endoscopy Accessories
Biopsy forceps, wired snares,
wire baskets, pronged grasping
forceps, cytology brushes

17. Colonoscopy Patient preparation:
Perform fecal sampling before beginning procedure
Fast for 24 to 36 hours; NPO for 4 hours
Remove fecal material
Lavage solutions given orally
Lavage colon (enema)
Do all tests prior to administering the lavage solution

18. Endoscope Cleaning Clean immediately with an enzymatic solution
May use soapy distilled water

19. Endoscope Cleaning
All channels must be cleaned and sterilized!