scholarly journals Correction to: Characterisation of trocar associated gas leaks during laparoscopic surgery

2021 ◽  
Author(s):  
Daniel Robertson ◽  
Frank Sterke ◽  
Willem van Weteringen ◽  
Alberto Arezzo ◽  
Yoav Mintz ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Associated Gas ◽  
Gas Leaks

scholarly journals Characterisation of trocar associated gas leaks during laparoscopic surgery

2021 ◽  
Author(s):  
Daniel Robertson ◽  
Frank Sterke ◽  
Willem van Weteringen ◽  
Alberto Arezzo ◽  
Yoav Mintz ◽  
...  
Keyword(s):  
Health Hazard ◽  
Abdominal Cavity ◽  
Surgical Instruments ◽  
Potential Health ◽  
Surgical Smoke ◽  
Associated Gas ◽  
Laparoscopic Equipment ◽  
Potential Health Hazard ◽  
Surgical Teams ◽  
Gas Leaks

Abstract Background During laparoscopy, the abdominal cavity is insufflated with carbon dioxide (CO2) that could become contaminated with viruses and surgical smoke. Medical staff is potentially exposed when this gas leaks into the operating room through the instruments and past trocar valves. No detailed studies currently exist that have quantified these leakage pathways. Therefore, the goal of this study was to quantify the gas leakages through trocars and instruments, during minimally invasive procedures. Methods A model of the surgical environment was created, consisting of a rigid container with an interface for airtight clamping of laparoscopic equipment such as trocars and surgical instruments. The model was insufflated to 15 mm Hg using a pressure generator and a pneumotachograph measured the equipment gas leak. A protocol of several use cases was designed to simulate the motions and forces the surgeon exerts on the trocar during surgery. Results Twenty-three individual trocars and twenty-six laparoscopic instruments were measured for leakage under the different conditions of the protocol. Trocar leakages varied between 0 L/min and more than 30 L/min, the instruments revealed a range of leakages between 0 L/min and 5.5 L/min. The results showed that leakage performance varied widely between trocars and instruments and that the performance and location of the valves influenced trocar leakage. Conclusions We propose trocar redesigns to overcome specific causes of gas leaks. Moreover, an international testing standard for CO2 leakage for all new trocars and instruments is needed so surgical teams can avoid this potential health hazard when selecting new equipment.

scholarly journals Simultaneous Laparoscopic Surgery during Deep Inferior Epigastric Artery Perforator Flap Elevation: A Case Report

2020 ◽  
Vol 25 (2) ◽  
pp. 146-150
Author(s):  
Jaemin Lee ◽  
Hyung Chul Lee ◽  
Byung-Il Lee ◽  
Seung-Ha Park ◽  
Eul-Sik Yoon
Keyword(s):  
Laparoscopic Surgery ◽  
Perforator Flap ◽  
Laparoscopic Hysterectomy ◽  
Diep Flap ◽  
Inferior Epigastric Artery ◽  
Epigastric Artery ◽  
Deep Inferior Epigastric Artery ◽  
Gas Leaks ◽  
Flap Elevation ◽  
Artery Perforator

As deep inferior epigastric artery perforator (DIEP) flap surgery is gaining popularity, more patients including BRCA-positive patients need simultaneous laparoscopic surgery. We share our experience on a patient who underwent concurrent laparoscopic hysterectomy during flap elevation with a novel method. A patient diagnosed with a right breast cancer also required laparoscopic hysterectomy due to multiple uterine myoma. After perforator mapping was performed, flap elevation through external oblique fascia level was carried out first, sparing the periumbilical perforator and superficial inferior epigastric vein. Three ports were inserted for laparoscopy on posterior fascia level in the periumbilical area, left upper quadrant area and suprapubic area. The surgery was completed without any complication, gas leaks or vascular injury with the advantage of reduced risk of vascular damage and less surgical incision.

1168: Wound Complications after Hand-Assisted Laparoscopic Surgery (HALS)

2005 ◽  
Vol 173 (4S) ◽  
pp. 317-317 ◽  
Author(s):  
Jeffrey S. Montgomery ◽  
Willam K. Johnston ◽  
J. Stuart Wolf
Keyword(s):  
Laparoscopic Surgery ◽  
Wound Complications

899: Hans Christian Jacobaeus the Pioneer of Laparoscopic Surgery

2005 ◽  
Vol 173 (4S) ◽  
pp. 243-243
Author(s):  
Martin Hatzinger ◽  
Jasmin K. Badawi ◽  
Axel Häcker ◽  
Stefan Kamp ◽  
Achim Lusch
Keyword(s):  
Laparoscopic Surgery

Hand-assisted laparoscopic surgery

2000 ◽  
Vol 7 (3) ◽  
pp. 185-194 ◽  
Author(s):  
R. Ernest Sosa ◽  
Michael Seiba ◽  
Steve Shichman
Keyword(s):  
Laparoscopic Surgery

Laparoscopic surgery of colorectal malignancies

2009 ◽  
Vol 47 (05) ◽  
Author(s):  
Z Simonka ◽  
A Paszt ◽  
S Ábrahám ◽  
R Rokszin ◽  
J Pieler ◽  
...  
Keyword(s):  
Laparoscopic Surgery
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