FLS Module 3 - basic laparoscopic procedures Exam Questions and Answers 100% Pass

FLS Module 3 - basic laparoscopic procedures Exam Questions and Answers 100% Pass What are some of the newest developments in laparoscopic surgery? - Robotic assistance, single port site procedures, Natural Orifice Translumenal Endoscopic Surgery (NOTES), and intrauterine fetal surgery List 5 laparoscopic procedures that are performed on newborn infants - appendectomy, undescended testes, anti-reflux surgery, pectus repair, PDA, intestinal atresia, pyloromyotomy, and surgery for Hirschsprung's disease Indications for diagnostic laparoscopy - elective - cancer staging, chronic abdominal pain urgent - small bowel obstruction, vs ileus Emergent - trauma, suspected iatrogenic injury, perforated viscous During what procedures could you inadvertently enter the peritoneal cavity and subsquently need to perform a diagnostic laparoscopy? - hysteroscopy, endoscopy 2Katelyn Whitman, All Rights Reserved © 2025 Key elements of performing a lysis of adhesions - Use both blunt and sharp dissection with gentle traction on tissue. Be cautious and sparingly use energy sources for hemostasis to avoid thermal spread What is the best position for patients getting surgery on the upper abdomen? - Arms on arm boards, reverse trendelenburg position with a footboard and safety strap on lower thighs to keep patient from sliding. Monitors placed at head of table for viewing operative field. What is the key to patient positioning? Where would you place your initial port for a diagnostic lap where you need to view the entire abdomen? After your initial port, where do you place additional ones? - Maximize the ergonomics of the surgeon and assistant. Usually initiate access in LUQ and 2 additional ports can also be placed in the left abdomen (then surgeon and assistant can stand on left side together). This allows the entire abdomen to be visualized except for immediately below the ports or lateral to the ports. General principles of diagnostic lap of the liver - Angled scope Tools for biospy and hemostasis May need ultrasound to visualize structures under the surface. To see anteriorly: may need adhesiolysis To see posteriorly: may need special liver retractor or careful use of blunt instruments 3Katelyn Whitman, All Rights Reserved © 2025 Why would you do a diagnostic lap of the anterior abdominal wall? What area should you enter the abdomen? What degree scope should you use? - To look for evidence of post-op bleeding, adhesions, hernia or tumor. Left upper quadrant, unless the area of interest is in the LUQ. 30 degree scope Best position and port placement for diagnostic pelvic laparoscopy - - Tucked arms so surgeon can be ergonomically favorable