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How to clean , disinfect and sterilize laparoscopic instruments?

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Processing of Laparoscopic Instruments                Glutaraldehyde formulations are the most popular chemical germicides for high-level disinfection of laparoscopic and endoscopic equipment.   Optimal processing of LI involves several steps that reduce the risk of transmitting infection. These are : 1) Dismantling  Dismantle all removable parts for thorough cleaning.  2)Decontamination  The procedure begins in the theatre itself using the nursing staff wiping off visible blood tissue and body fluids in the instruments with a damp sterile sponge. At the conclusion of this all soiled or contaminated instruments should be placed in a container containing a disinfectant solution such as 0.5% chlorine and allowing them to soak for Ten minutes. 3) Precleaning  Following the instruments reach the sterile supplies processing area, which is preferably a controlled environment, a pre-cleaning treatment with an enzymatic method ( protease, amylase, lipase etc.) is recommended   4) Cleaning  Ul