Hand-Assist Laparoscopic Surgery for the Gynecologic Surgeon

Hand-assisted laparoscopic surgery (HALS) has not been extensively used in gynecologic surgery. This approach may offer a safe, viable alternative for gynecological cases that might otherwise require a large laparotomy incision

Diagnostic Laparoscopy and Adhesiolysis: Does It Help with Complex Abdominal and Pelvic Pain Syndrome (CAPPS) in General Surgery?

This study was conducted to determine if lysis of bowel adhesions has a role in the surgical management of adhesions for treating complex abdominal and pelvic pain syndrome

Elimination of Laparoscopic Lens Fogging Using Directional Flow of CO2

Background and Objectives: Surgeons constantly struggle with the formation of condensation on the lens of a. laparoscope, which prolongs procedures and reduces visibility of the abdominal cavity. The goal of this project was to build a device, that would direct a flow of carbon dioxide (CO2) into an open chamber surrounding the lens of a laparoscope, acting to keep moisture away from the lens and eliminate condensation. Methods: The device isolates the lens of the laparoscope from the humid environment of the intraperitoneal cavity by creating a microenvironment of dry CO2. This was accomplished by building a communicating sleeve that created an open chamber around the distal 2 to 3 cm of the scope. Into this cavity, dry cool CO2 was pumped in from an insufflator so that the path of the gas would surround the lens of the scope and escape through a single outlet location through which the scope views the intraperitoneal cavity. This chamber is proposed to isolate the lens with a high percentage of dry CO2 and low humidity. The device was tested in 7 different adverse conditions that were meant to challenge the ability of the device to maintain the viewing field with no perceptible obstruction. Results: In all of the conditions tested 25 trials total he device successfully prevented and/or eliminated laparoscopic lens fogging. Conclusions: The device designed for this project points to the potential of a simple and effective mechanical method for eliminating laparoscopic lens fogging