II. Technological Evolution of Modern Soft Tissue Instruments. With the widespread adoption of Minimally Invasive Surgery (MIS) and robotic surgery, soft tissue instruments are undergoing the following transformations: **Control Method:** Traditional manual instruments are operated by the surgeon under direct vision, relying on tactile feedback; modern/smart instruments utilize robotic assistance (e.g., the da Vinci system) and support multi-angle wrist articulation. **Trauma Area:** Traditional methods involve open incisions with extensive tissue exposure; MIS employs laparoscopic techniques, accessing the site through small (millimeter-scale) ports. **Hemostasis Efficiency:** Traditional methods rely on manual ligation and suturing, which are time-consuming; smart energy platforms automatically sense tissue impedance and adjust energy output accordingly. III. Core Principles for Clinical Use and Maintenance. **Strict Prohibition of Mixed Use:** Tissue scissors must never be used to cut sutures or dressings; doing so dulls the blades, which can cause tissue tearing during subsequent use. **Gentle Handling:** When grasping the gastrointestinal tract, blood vessels, or nerves, atraumatic forceps (such as DeBakey forceps) must be used to prevent tissue necrosis caused by excessive pressure. **Meticulous Cleaning:** Soft tissue instruments often feature serrations and hinged joints where blood residue easily accumulates. Immediate post-operative soaking in enzymatic cleaner followed by ultrasonic cleaning is required to prevent cross-infection and instrument rusting.
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