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.
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.
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.
-To remove the cannula at the end of a laparoscopy, the surgeon pulls on the cannula with increasing force. How does the frictional force vary with the applied pulling force before and after the cannula begins to slide?
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