Introduction Module 2 – Instrumentation and OR Setup

Why This Module Matters

Successful biportal endoscopic surgery relies not only on surgical skill but also on the correct selection, configuration, and handling of equipment. Understanding how each component of the system works—and how these components interact within the operating room environment—is essential for achieving optimal visualization, efficient workflow, and safe surgical execution.

This module provides a comprehensive overview of the instruments, technologies, and operating room setup required for Unilateral Biportal Endoscopy (UBE). Participants will learn how to organize the surgical environment, optimize ergonomics, and avoid common technical pitfalls that may compromise efficiency or increase the risk of complications.

Mastering these principles establishes the foundation upon which all endoscopic procedures are built.

What You Will Learn

• Understand the role and function of each component of the biportal endoscopic system.
• Identify the essential instruments required for endoscopic decompression procedures.
• Configure camera, optics, monitor, and recording systems for optimal visualization.
• Understand irrigation systems, fluid management strategies, and pressure control principles.
• Design an efficient operating room setup based on surgeon positioning and procedural goals.
• Optimize surgical ergonomics to improve precision and reduce fatigue.
• Develop effective instrument handling and hand-eye coordination strategies.
• Recognize common equipment-related problems and learn practical troubleshooting solutions.

Learning Outcome

Upon completion of this module, participants will be able to independently set up and optimize the operating room environment for biportal endoscopic surgery, ensuring safe, efficient, and reproducible surgical performance.