Constant high-level visual acuity during total laparoscopic hysterectomy using the OpClear^® system.

Area of Science:

• Minimally Invasive Surgery
• Surgical Technology
• Ophthalmology in Surgery

Background:

• Laparoscopic surgery vision is often impaired by lens condensation and debris.
• The OpClear system uses saline and CO2 to maintain lens clarity.
• This prevents the need for scope removal for cleaning during procedures.

Purpose of the Study:

• To evaluate the OpClear system's efficacy in maintaining visual acuity during laparoscopic hysterectomy.
• To assess the system's utility by examining its impact on operative duration.

Main Methods:

• A retrospective audit compared cases before and after OpClear implementation.
• Thirty-three cases were reviewed pre-OpClear and 82 cases post-OpClear.
• All cases were routine total laparoscopic hysterectomies (TLH) performed by the same surgeon.

Main Results:

• OpClear ensured consistent high-level visual acuity throughout procedures.
• Scope removals for lens cleaning were virtually eliminated.
• OpClear usage reduced operative time by an average of 17 minutes per case.

Conclusions:

• The OpClear system provides continuous high-level vision in laparoscopic hysterectomy.
• Reduced non-productive time due to scope cleaning led to shorter operating times.
• The system may enhance surgical safety, theatre utilization, and reduce surgical stress.