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Laparoscopic surgery in middle- and low-income countries: gasless lift laparoscopic surgery
J Gnanaraj1, M Rhodes2,3
1SEESHA Ministries, Surgical Services Intiative, Coimbatore, India.
Introduction:
Surgically treatable conditions are an increasing burden in low- and middle-income countries, and recent studies suggest they have overtaken the "big three" (malaria, tuberculosis and HIV) as a cause of mortality.
Aim:
In this context, we have worked to modify standard laparoscopic equipment to allow laparoscopy in remote areas without support services such as bottled gases or disposable instruments.
Results:
A simple and reliable system of gasless laparoscopy has been developed using robust reusable instruments, widening the potential availability of laparoscopic surgery in remote and rural areas.
Conclusion:
Our findings suggest that, using this equipment, appropriately trained surgeons can provide minimally invasive surgery in even the most remote locations.
