Which instruments are essential to have on the sterile field during a laparoscopic procedure?

During a laparoscopic procedure, having the appropriate instruments on the sterile field is crucial for the success of the surgery. Trocars and a Veress needle are specifically designed tools that facilitate access to the abdominal cavity in minimally invasive surgeries.

The Veress needle is used initially to create a pneumoperitoneum by insufflating carbon dioxide, allowing for an expanded working space within the abdomen. Once adequate pneumoperitoneum is established, trocars are inserted through small incisions to allow for the introduction of other instruments needed for the laparoscopic procedure, such as graspers, scissors, and cameras.

This combination of instruments is vital for establishing the laparoscopic work environment and ensuring safe access to the operating site without excessive trauma, which is inherent to laparoscopic techniques. While other instruments, such as surgical scissors, electrosurgical pencils, and scalpels, have their uses, they are not as foundational for the initial steps and ongoing process of a laparoscopic operation as trocars and a Veress needle.