da Vinci hot shears

I use the da Vinci hot shears in my dominant (right) hand. I find it useful to take down adhesions from the sigmoid to the pelvis by cutting.
It provides excellent hemostasis by using cautery for the bladder neck or seminal vesicles, and is an excellent scissor to open the endopelvic fascia and to release the neurovascular bundle.
The only negative is the increased production of smoke that happens with this instrument compared to the hook.
For non-nerve sparing procedures, I still use the hook cautery.

Search

+