How to use a Surgical Microscope as an Operating Room Nurse

A guide for operating room nurses using a surgical microscope for microsurgery

Surgical microscopes play an essential role in the modern microsurgery procedures. It provides the surgeon, assistant and operating room staff with a magnified and illuminated high-quality image of the small structures. Today, surgical microscopes are used for different clinical applications such as Neurosurgery, ENT Surgery & Consultation, Reconstructive Surgery, Dentistry, Orthopedics, Ophthalmology…

As key members of the operating team, nurses are frequently required to use them. To do so, they need to have in-depth knowledge on their features and the different steps before, during and after the surgical procedure.


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Adam Da Costa Lopes is an Operating Room Nurse Manager at the Necker - Enfants Malades Hospital in Paris, the leading French pediatric hospital. He has acquired extensive experience in the use of surgical microscopes. In the guide accessible below, he shares his expertise and provides the essential information for operating room nurses to be able to operate a surgical microscope.

Discover the components of a microscope and the common settings across models and brands. Understand what needs to be done at each step of surgery and fully master the use of a surgical microscope.

Overview of the chapters

Written and illustrated by Adam Da Costa Lopes in collaboration with Leica Microsystems.

  • Introduction
  • Microsurgery
  • Getting to know the surgical microscope
    • Microscope anatomy
    • Microscope settings
    • Special cases
    • What makes a good surgical microscope?

  • Operations and checks to be performed by the operating room nurse
    • Before any surgical procedure
    • During the procedure
    • After the procedure
    • Tips and advice

  • Conclusion

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The statements and explanations of the healthcare professional in this guide reflect only his opinion and personal experience. They do not necessarily reflect the opinion of any institution with whom he is affiliated.

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