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Application of Hemostatic Devices in Laparoscopic Hepatectomy
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OneShot-M: A New Device for Close Laparoscopy Pneumoperitoneum.
Giovanni Cassata1, Vincenzo Palumbo2,3, Luca Cicero1
11 "A. Mirri" Sicily Zooprophilactic Institute, Palermo, Italy.
Surgical Innovation
|September 11, 2018
Summary
A novel device simplifies laparoscopic surgery by enabling rapid and safe pneumoperitoneum creation. This method reduces complications associated with Veress needle insertion, offering a faster alternative to traditional techniques.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
Background:
- Pneumoperitoneum induction is critical in laparoscopy, carrying risks of vascular and visceral complications.
- The closed technique for pneumoperitoneum can lead to surgical complications.
- Current methods for Veress needle insertion pose risks.
Purpose of the Study:
- To overcome complications associated with Veress needle insertion.
- To improve the use of Veress needles for pneumoperitoneum.
- To facilitate rapid creation of pneumoperitoneum.
Main Methods:
- A modified plunger allowed passage of a 15-cm Veress needle.
- The technique was applied to 26 laparoscopic procedures in pigs.
- Thirty large white female pigs were utilized in the study.
Main Results:
- The OneShot-M device achieved pneumoperitoneum quickly in all attempts.
- No intraoperative or postoperative complications related to Veress needle use were observed.
- The device facilitated safe abdominal entry.
Conclusions:
- The proposed device offers rapid pneumoperitoneum induction, comparable to standard laparoscopic entry.
- The patented device is cost-effective and ensures safe abdominal entry.
- Abdominal entry using this device is faster than the classic open technique.
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