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Simplified abdominal wall-lifting device for gasless laparoscopy
H Tintara1, R Leetanaporn, C Getpook
1Faculty of Medicine, Department of Obstetrics and Gynecology, Prince of Songkla University, Thailand.
Summary
A new simplified device enables gasless laparoscopy by lifting the abdominal wall. This technique proved safe and effective in 40 procedures, offering potential benefits for minimally invasive surgery.
Area of Science:
- Minimally Invasive Surgery
- Surgical Devices
- Laparoscopy
Background:
- Traditional laparoscopy often relies on pneumoperitoneum, which can cause complications.
- Gasless laparoscopy offers an alternative to pneumoperitoneum.
- Developing effective and simple devices for gasless laparoscopy is crucial.
Purpose of the Study:
- To develop and evaluate a simplified, reusable abdominal wall-lifting device for gasless laparoscopy.
- To assess the feasibility and safety of the device in clinical procedures.
Main Methods:
- The device utilizes an electric-power actuator, sliding arm, and abdominal wall-retractor for planar displacement.
- Valveless ports and conventional/laparoscopic instruments were used without gas leakage.
- The device is composed of reusable parts.
Main Results:
- The device was successfully used in 40 gasless laparoscopic procedures, including hysterectomy, cystectomy, and diagnostic laparoscopy.
- No surgical complications or abdominal wall trauma were reported.
- The operative field was comparable to pneumoperitoneum, except in morbidly obese patients.
Conclusions:
- The simplified abdominal wall-lifting device is efficient for gasless laparoscopy.
- Gasless laparoscopy using this device shows potential advantages.
- Further modifications and applications are needed to fully realize the benefits, particularly in developing countries.