Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Awake microlaparoscopy with the Insuflow device.

Oscar D Almeida1

  • 1Department of Obststrics and Gynecology, University of South Alabama College of Medicine and Providence Park OB-GYN, PC, Mobile, USA. odalmeida@aol.com

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|August 9, 2002
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Robotic hysterectomy strategies in the morbidly obese patient.

JSLS : Journal of the Society of Laparoendoscopic Surgeons·2013
Same author

Fimbrial ectopic pregnancy following tubal anastomosis.

JSLS : Journal of the Society of Laparoendoscopic Surgeons·2012
Same author

Microlaparoscopy and a GnRH agonist: a combined minimally invasive approach for the diagnosis and treatment of occlusive salpingitis isthmica nodosa associated with endometriosis.

JSLS : Journal of the Society of Laparoendoscopic Surgeons·2005
Same author

Microlaparoscopic-assisted vaginal hysterectomy in the morbidly obese patient.

JSLS : Journal of the Society of Laparoendoscopic Surgeons·2004
Same author

Microlaparoscopic conscious pain mapping in the evaluation of chronic pelvic pain: a case report.

JSLS : Journal of the Society of Laparoendoscopic Surgeons·2002
Same journal

Assessing Perioperative Risk According to Surgical Route in Hysterectomy for Very Large Uteri.

JSLS : Journal of the Society of Laparoendoscopic Surgeons·2026
Same journal

Thoracoscopic Intrathoracic Double-Flap Technique for EGJC.

JSLS : Journal of the Society of Laparoendoscopic Surgeons·2026
Same journal

Surgical Treatment Experience of Intestinal Endometriosis.

JSLS : Journal of the Society of Laparoendoscopic Surgeons·2026
Same journal

Office Hysteroscopy: Treating Intrauterine Pathology and Avoiding the Operating Room.

JSLS : Journal of the Society of Laparoendoscopic Surgeons·2026
Same journal

Totally Extramucosal Hand-Sewn Robotic Gastrojejunostomy for Roux-en-Y Gastric Bypass.

JSLS : Journal of the Society of Laparoendoscopic Surgeons·2026
Same journal

Elements Affecting Quality of Life in Individuals With Gastroesophagel Reflux Disease.

JSLS : Journal of the Society of Laparoendoscopic Surgeons·2026
See all related articles

Heating and humidifying carbon dioxide gas during awake microlaparoscopic procedures significantly reduced patient shoulder pain and shivering. This technique also decreased microlaparoscope lens fogging, improving the surgical experience.

Area of Science:

  • Minimally invasive surgery
  • Laparoscopy
  • Anesthesiology

Background:

  • Post-laparoscopy shoulder pain and shivering are common patient complaints.
  • Awake microlaparoscopic procedures are increasingly utilized.
  • Standard carbon dioxide insufflation may contribute to patient discomfort.

Purpose of the Study:

  • To evaluate the efficacy of a heated and humidified carbon dioxide system (Insuflow device) during awake microlaparoscopy.
  • To assess the impact of conditioned insufflation gas on patient-reported outcomes and device performance.

Main Methods:

  • Awake microlaparoscopic procedures were conducted using the Insuflow device for conditioned carbon dioxide insufflation.
  • A control group received standard dry carbon dioxide insufflation.

Related Experiment Videos

  • Patient-reported shoulder pain and shivering were primary outcome measures.

    • Main Results:

    • The incidence of shoulder pain was significantly lower in the Insuflow group (5%) compared to the dry CO2 group (40%).
    • Shivering was completely eliminated in the Insuflow group, versus 55% in the control group.
    • Microlaparoscope lens fogging was notably reduced with the Insuflow device.

    Conclusions:

    • Heating and humidifying carbon dioxide for pneumoperitoneum effectively reduces post-laparoscopy shoulder pain and shivering in awake procedures.
    • The Insuflow device improves visualization by decreasing lens fogging.
    • Conditioned insufflation gas enhances patient comfort and procedural efficiency in awake microlaparoscopy.