Question

What is the use of the instrument given in the image below ?

• A. Laparoscopic sterilisation
• B. Removal of ectopic pregnancy
• C. Termination of pregnancy
• D. Laparoscopic procedures to create pneumoperitoneum

Answer 1

The Correct Option is A

The instrument shown in the image is used for laparoscopic sterilisation. This procedure is a form of permanent contraception for females, where the fallopian tubes are occluded or severed to prevent eggs from reaching the uterus for fertilization.

• Step 1: Preparation and Setup
  The patient is prepared for surgery, and the instrument is used to create small incisions to insert the laparoscope and other instruments into the abdominal cavity.
• Step 2: Insufflation
  The abdomen is inflated with carbon dioxide gas to create a pneumoperitoneum, allowing better visualisation and working space.
• Step 3: Visualisation
  The laparoscope provides a visual of the interior organs, with special focus on the fallopian tubes.
• Step 4: Occlusion
  The instrument, typically a filshie clip applicator or a cautery device, occludes or severs the fallopian tubes.
• Step 5: Confirmation
  Ensure proper occlusion of tubes and absence of bleeding.

This procedure effectively prevents pregnancy by blocking the path that sperm would normally take to fertilize an egg. Although it is reversible in some cases, it should be considered a permanent solution.