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Passage Laparoscopy Is a Minimally Invasive Surgical Procedure Where Small Surgical

Question 193

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Laparoscopy is a minimally invasive surgical procedure where small surgical instruments are inserted into the body through cannulas (hollow tubes 0.5 to 1.0 cm in diameter) .  A cannula is inserted into the skin while sleeved around a trocar (Figure 1) .  The skin incision can be made directly with a sharp-tipped trocar as it is being inserted with the cannula.  If a blunt-tipped trocar is used, the incision is made beforehand with a surgical blade.  After insertion, the trocar is removed, leaving the cannula as an access point for laparoscopic procedures.
Passage Laparoscopy is a minimally invasive surgical procedure where small surgical instruments are inserted into the body through cannulas (hollow tubes 0.5 to 1.0 cm in diameter) .  A cannula is inserted into the skin while sleeved around a trocar (Figure 1) .  The skin incision can be made directly with a sharp-tipped trocar as it is being inserted with the cannula.  If a blunt-tipped trocar is used, the incision is made beforehand with a surgical blade.  After insertion, the trocar is removed, leaving the cannula as an access point for laparoscopic procedures.    <strong>Figure 1</strong>  Cannula, trocar, and two types of tipsLow-friction trocars increase surgical precision and reduce postoperative scarring.  Friction between the skin and trocar tip is tested with synthetic skin and a stationary ramp whose surface is made of the same material as the trocar.  For testing, the synthetic skin is pressed against the ramp's surface by a load, weighted to allow the skin to slide down at a constant speed (Figure 2) .  In this setup, the weight of the synthetic skin layer is negligible.    <strong>Figure 2</strong>  Experimental setup to test the friction between trocar and skin Adapted from W. Firme-Gustavo et al., (C) 2015 Society of Laparoendoscopic Surgeons. -Which of the following expressions gives the magnitude of the work done by the frictional force F if the synthetic skin slides down the entire length L of the ramp and then is pushed back up to its original position? A) 0 B) (F) (L)  C) (F) (2L)  D) (F) (3L) Figure 1  Cannula, trocar, and two types of tipsLow-friction trocars increase surgical precision and reduce postoperative scarring.  Friction between the skin and trocar tip is tested with synthetic skin and a stationary ramp whose surface is made of the same material as the trocar.  For testing, the synthetic skin is pressed against the ramp's surface by a load, weighted to allow the skin to slide down at a constant speed (Figure 2) .  In this setup, the weight of the synthetic skin layer is negligible.
Passage Laparoscopy is a minimally invasive surgical procedure where small surgical instruments are inserted into the body through cannulas (hollow tubes 0.5 to 1.0 cm in diameter) .  A cannula is inserted into the skin while sleeved around a trocar (Figure 1) .  The skin incision can be made directly with a sharp-tipped trocar as it is being inserted with the cannula.  If a blunt-tipped trocar is used, the incision is made beforehand with a surgical blade.  After insertion, the trocar is removed, leaving the cannula as an access point for laparoscopic procedures.    <strong>Figure 1</strong>  Cannula, trocar, and two types of tipsLow-friction trocars increase surgical precision and reduce postoperative scarring.  Friction between the skin and trocar tip is tested with synthetic skin and a stationary ramp whose surface is made of the same material as the trocar.  For testing, the synthetic skin is pressed against the ramp's surface by a load, weighted to allow the skin to slide down at a constant speed (Figure 2) .  In this setup, the weight of the synthetic skin layer is negligible.    <strong>Figure 2</strong>  Experimental setup to test the friction between trocar and skin Adapted from W. Firme-Gustavo et al., (C) 2015 Society of Laparoendoscopic Surgeons. -Which of the following expressions gives the magnitude of the work done by the frictional force F if the synthetic skin slides down the entire length L of the ramp and then is pushed back up to its original position? A) 0 B) (F) (L)  C) (F) (2L)  D) (F) (3L) Figure 2  Experimental setup to test the friction between trocar and skin
Adapted from W. Firme-Gustavo et al., (C) 2015 Society of Laparoendoscopic Surgeons.
-Which of the following expressions gives the magnitude of the work done by the frictional force F if the synthetic skin slides down the entire length L of the ramp and then is pushed back up to its original position?


A) 0
B) (F) (L)
C) (F) (2L)
D) (F) (3L)

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