Ukuguquguquka komhlaba wonke kumathuluzi e-Laparoscopic esimeme, asebenza kahle kakhulu kuqhuba isidingo esikhulayo se-Reusable Maryland Forceps, ithuluzi eliguquguqukayo elisetshenziswa kabanzi kuzo zonke izici zokuhlinza ezingangeneleli kancane. Njengoba izibhedlela nezikhungo zokuhlinza zibheke ukunciphisa izindleko zokusebenza ngenkathi kuthuthukiswa ukunemba nokuphepha, ama-forceps ase-Maryland angasetshenziswa kabusha avele njengengxenye ebalulekile kumasethi wethuluzi le-laparoscopic esizukulwaneni esilandelayo.
Iyaziwa ngemihlathi egobile, ecijile kanye nekhono lokubambelela kahle, amandla asetshenziswa kabusha aseMaryland adlala indima ebalulekile ekuhlinzeni izindiza zezicubu, ukubamba izakhiwo, kanye nokwenza imisebenzi ethambile yokuhlangana. Idizayini yabo ye-ergonomic ivumela odokotela abahlinzayo ukuthi bazulazule ezindaweni eziqinile ze-anatomical ngokuzinza nokunemba — inzuzo ebaluleke kakhulu njengoba izinqubo ziba inkimbinkimbi futhi amasu angangeneleli kancane eqhubeka nokuvela.
Amandla esimanje aseMaryland asebenziseka kabusha akhiqizwa ngensimbi engagqwali yezinga lezokwelapha noma ama-alloys athuthukisiwe aklanyelwe ukumelana nemijikelezo yokuvala inzalo ephindaphindiwe ngaphandle kokuphazamisa ukusebenza. Lokhu kuqina akunciphisi nje kuphela izindleko zesikhathi eside zamathuluzi kodwa futhi kusekela imigomo yezibhedlela ’ yokusimama ngokunciphisa udoti olahlwayo emakamelweni okuhlinza.
Intuthuko yakamuva kwezobunjiniyela nobuchwepheshe bokukhiqiza ithuthukise ukwethembeka kwalawa mathuluzi. Amamodeli amasha afaka izindlela eziqinisiwe zamahinge, ukufakwa okuthuthukisiwe kokuhambisana ne-electrosurgical, kanye nokucwenga kwemihlathi okunikeza ukubamba kwezicubu ezivikelekile kodwa ezithambile. Lokhu kuthuthukiswa kusiza amaqembu ahlinzayo ukuthi afinyelele ukuhamba komsebenzi okushelelayo, okusebenza kahle kakhulu phakathi nezinqubo ze-laparoscopic.
Ama-forceps ase-Maryland asebenzisekayo kabusha asejwayelekile ezintweni eziningi ezikhethekile, okuhlanganisa ukuhlinzwa okuvamile, i-gynecology, ukuhlinzwa kwe-colorectal, kanye ne-urology. Amakhono abo emisebenzi eminingi abenza babaluleke kakhulu ezinqubweni ezifana ne-cholecystectomy, appendectomy, myomectomy, kanye nokulungisa i-hernia. Njengoba izinhlelo zokuqeqesha zigcizelela ukubaluleka kokunemba nokuguquguquka kwezinsimbi, odokotela abahlinzayo abasebasha baya ngokuya bethembela ku-forcep yaseMaryland njengethuluzi labo lokuhlukanisa.
Abahlaziyi bezimboni balindele ukuthi imakethe yamathuluzi e-laparoscopic angasetshenziswa kabusha ukuthi aqhubeke nendlela yawo yokukhula eqinile, eqhutshwa ukukhuphuka kwamavolumu okuhlinzwa, ukucindezela komhlaba wonke kokunakekelwa kwezempilo okungabizi kakhulu, kanye nentuthuko kubuchwepheshe obungena kakhulu. Ngokuhlala kwawo okuphakeme, ukusebenza okuthuthukisiwe, kanye nendima ebalulekile ekuhlinzeni kwesimanje, ama-forceps ase-Maryland angasetshenziswa kabusha asekulungele ukuhlala eyitshe legumbi emakamelweni okuhlinza emhlabeni wonke.