All about trocars


In recent years, there has been a significant advancement in laparoscopic access methods. It has been a long journey from reusable bladed trocars to disposable bladed and bladeless trocars, from dilating trocars to bladeless optical-view trocars that allow the surgeon to see the trocar as it goes through the abdominal wall on a layer-by-layer basis. Everything has been done with the same aim in mind: establishing a safe entrance and leaving the smallest possible defect in the abdominal wall fascia after the trocar has been removed, which has been accomplished through various modifications.

Addler’s trocars require less force to be inserted than those of conventional trocars, resulting in less damage to the fascia and other tissues. If there is as little stress as possible during the insertion process, the more probable it is that the tissue will recover properly once the surgery is completed. New developments in trocar design by Addler have also resulted in a significant reduction in the number of injuries sustained during trocar implantation.

Because of advancements in instrumentation and laparoscope design, we are now able to employ smaller diameter trocars in the vast majority of surgical procedures. Smaller incisions assist to minimize the incidence of hernias and can result in reduced post-operative discomfort.

Because of all of the evolution, there are a plethora of options available. We (Addler) deal in all kinds of freshly new, hygienic, outclass Trocars with no match all over India or the world.


Some of our Trocars include the following:

Dilating trocars

Trocars that dilate the wound instead of slicing the tissue are called dilation trocars. The advantage, in this case, is that less tissue damage occurs as the trocar passes through.

The benefit of using a dilating trocar is that you don’t have to seal the bigger 12mm ports, which you have to do with the cut-down approach and other trocars of the same diameter. Dilating trocars are useful in any situation where a stapler, endo catch bag, suturing device, or any other equipment that only fits through a trocar 12mm or bigger is required, such as mesh for hernia repairs.

Hasson and balloon trocars

These are non-bladed trocars that are introduced through the skin using the open or direct-cut technique. Direct cut laparoscopic access is one of the most frequent and safest techniques of gaining access to the abdomen. The surgeon dissects the layers of tissue to ensure that he or she may safely enter the abdomen. Following that, the trocar is implanted under direct vision. A Hasson trocar would be used in any procedure in which the trocar would be placed at the umbilicus, such as laparoscopic cholecystectomy, Nissen fundoplication, or splenectomy, among other procedures.

For the Hasson trocar to remain in place, sutures anchored in the abdominal wall fascia must be used. These Hasson trocars are often only available in 12mm diameters, which is unusual. Although reusable Hasson trocars were formerly prevalent, disposable ones are now preferred by the majority of surgeons.

Bladed trocars

During insertion, a sharp blade is used to cut through the tissue with precision. The fact that they do not provide visual feedback means that they should not be utilized as the initial trocar. Many surgeons have shied away from using these trocars because of the significant risk of damage to the abdominal wall and abdominal organs that might result from them. Bladed trocars, on the other hand, continue to be used in laparoscopic surgery. Using a bladed trocar to create a hole in the fascia large enough for an instrument or a specimen to pass through might be beneficial when you know you’re going to seal a fascial defect and need a trocar that will accommodate a certain instrument or a specimen to be extracted.

Non-bladed, non-optiview trocars

These trocars work similarly to dilating trocars in that they push the tissue out of the way as the obturator advances. Pushing a blunt trocar through tissue and fascia needs greater force than pushing a dilating trocar through the same tissue and fascia. Even though they are commonly referred to as “bladeless,” blunt trocars nevertheless cut a small amount of tissue. Trocars with blunt tips, on the other hand, are less stressful than trocars with blades in general.

They are handy as secondary ports since they are very cheap. They are often less expensive than optical trocars since they do not require optical guidance. As long as the original trocar insertion is successful, they may be utilized in virtually any position and cause relatively little in the way of fascial abnormalities. They are now available in three different sizes: 5mm, 10mm, and 12mm.

Single-use vs. reusable

The majority of trocars used in surgical facilities are single-use devices. Many trocar systems, on the other hand, are available in reposable (reusable) configurations. Reusable trocars and obturators are often constructed of metal that can be recycled, such as titanium, to reduce waste. Some reposable systems are equipped with a disposable component that must be replaced regularly. Some surgeons and facility administrators are concerned about the sharpness of the obturator tip in responsible trocars, and this is a legitimate issue. Reusable trocars, like other cannulas, require specific care and attention during the reprocessing process.

Optical access trocars

Until the invention of trocars, the surgeon had to enter the abdomen “blind,” with no way of seeing where the advancing tip of the obturator was going. Consequently, the danger of problems was larger in the past than it is now. Optical access trocars are designed to allow you to put a laparoscopic camera into the hollow obturator of the trocar. In addition, the laparoscope allows the surgeon to observe the trocar as it travels through the various layers of tissue on its way into the abdomen during the insertion process. During the dissection of the trocar via the fascia and peritoneum, the surgeon may see it enter the abdominal cavity, which aids in the prevention of organ damage.

Addler’s is the only name you can trust in the field of medical equipment, especially trocars. Feel free to contact us.

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