Hand Instruments

Similar issues are applicable to the working instruments, in which case, short instruments may put the hands too close together for comfortable work. It may be very challenging to perform suturing. Of course, too long an instrument, with the ports at a larger working angle, will put the handles at a wide spread, also limiting the efficiency of the operator.

When using pediatric instruments, one should avoid using instruments of differing lengths, as this creates further asymmetry of the surgeon's arm position, one arm being close, the other distant from the patient.

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