FLS (Fundamentals of Laparoscopic
Surgery) Written Exam includes accurate
and verified questions covering
laparoscopic techniques, patient safety,
surgical anatomy, instrumentation,
procedural knowledge, and clinical
decision-making. Designed for med
When is zero degree scope most useful
when working in a small area directly in line with the scope and ports,
like the pelvis
how to check fiber optics light connection
black dots= broken fibers
why does it fog up?
temperature and humidity discrepancy between the OR and body
tools for defogging
FRED antifog (must dry before putting back in), put laparoscope in hot
water
methods to clean a smudged lens
gently wipe on clean tissue (liver, uterus, bowel), remove scope and
clean with hot water and gauze
Insufflation gas type and reasoning
CO2- readily available, inexpensive, non combustable, warmed and
humidified better
high flow insufflation
10 or more L per minute
preventing loss of pneumo with suctioning
keep suction tip below the fluid level
most common light source
, 300W xenon lamp
Troubleshooting steps: gas preOP
1. check that co2 tank is full
2. check co2 tank gasket is secured
3. check that spare co2 tank is available in the OR
troubleshooting steps: image
1. check that the monitor is plugged in and turned on 2. check that all
cables are connected securely
troubleshooting steps: loss of working space: insufflator
settings: measured pressure is the same or higher than the preset
pressure
1. the patient may not be adequately relaxed or there is a mechanical
block of gas flow
2. inspect abdomen for rhythmic muscle contraction and palpate the
abdomen for firmness
3. check port valves to make sure they are open
4. check for kinks in tubing and make sure no one is standing on them
troubleshooting steps: loss of working space: insufflator
settings: low pressure and high flow rate
1. there is a leak in the insufflation circuit
2. check that the tubing has not become disconnected from insufflator
or port
3. check that all valves are closed
4. check all port sites for leaking co2
5. check for foley catheter bag distention or bowel distention
troubleshooting steps: loss of working space: insufflator
settings: low pressure and no flow
1. make sure that the insufflator power is on
2. check gas level in the tank
troubleshooting steps: loss of working space: complete loss of
operative image
1. check for disconnected power cords, video cables
2. check for blown light source bulb
3. check for disconnected light cable
Describe a monopolar energy route? - ANSWER>>-electrode > tissue > patient >
return pad
Surgery) Written Exam includes accurate
and verified questions covering
laparoscopic techniques, patient safety,
surgical anatomy, instrumentation,
procedural knowledge, and clinical
decision-making. Designed for med
When is zero degree scope most useful
when working in a small area directly in line with the scope and ports,
like the pelvis
how to check fiber optics light connection
black dots= broken fibers
why does it fog up?
temperature and humidity discrepancy between the OR and body
tools for defogging
FRED antifog (must dry before putting back in), put laparoscope in hot
water
methods to clean a smudged lens
gently wipe on clean tissue (liver, uterus, bowel), remove scope and
clean with hot water and gauze
Insufflation gas type and reasoning
CO2- readily available, inexpensive, non combustable, warmed and
humidified better
high flow insufflation
10 or more L per minute
preventing loss of pneumo with suctioning
keep suction tip below the fluid level
most common light source
, 300W xenon lamp
Troubleshooting steps: gas preOP
1. check that co2 tank is full
2. check co2 tank gasket is secured
3. check that spare co2 tank is available in the OR
troubleshooting steps: image
1. check that the monitor is plugged in and turned on 2. check that all
cables are connected securely
troubleshooting steps: loss of working space: insufflator
settings: measured pressure is the same or higher than the preset
pressure
1. the patient may not be adequately relaxed or there is a mechanical
block of gas flow
2. inspect abdomen for rhythmic muscle contraction and palpate the
abdomen for firmness
3. check port valves to make sure they are open
4. check for kinks in tubing and make sure no one is standing on them
troubleshooting steps: loss of working space: insufflator
settings: low pressure and high flow rate
1. there is a leak in the insufflation circuit
2. check that the tubing has not become disconnected from insufflator
or port
3. check that all valves are closed
4. check all port sites for leaking co2
5. check for foley catheter bag distention or bowel distention
troubleshooting steps: loss of working space: insufflator
settings: low pressure and no flow
1. make sure that the insufflator power is on
2. check gas level in the tank
troubleshooting steps: loss of working space: complete loss of
operative image
1. check for disconnected power cords, video cables
2. check for blown light source bulb
3. check for disconnected light cable
Describe a monopolar energy route? - ANSWER>>-electrode > tissue > patient >
return pad
