Abstract Objectives: The use of gasless laparoscopy with an abdominal wall-lifting device for benign gynecological diseases was compared to conventional laparoscopy with CO2 pneumoperitoneum. Thirty-two women underwent gasless laparoscopic surgery and 44 women underwent pneumoperitoneum laparoscopic surgery. Results: Diverse pathologies, including adnexal cyst, uterine myoma and ectopic pregnancy, were treated successfully with gasless laparoscopic surgery. No severe intraoperative or postoperative complications were found in either group, except for one case of laparotomic conversion in the pneumoperitoneum group due to dense pelvic adhesions. Conclusion: Our preliminary results demonstrated that the laparoscopic procedure using the gasless technique was a safe, effective method to treat benign gynecological diseases. Moreover, it was easy to master.
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Epub Jun 6. Gasless laparoscopic surgery during pregnancy: evaluation of its role and usefulness. Electronic address: Francesco. Sesti uniroma2. The minimally invasive laparoscopic approach in the surgical treatment of diseases during pregnancy has become progressively more accepted and applied. In an attempt to overcome the potential adverse effects of pneumoperitoneum on the fetus, gasless laparoscopic surgery GLS has been developed.
This article reviews the evidence available for the role and effectiveness of GLS in pregnancy. Eleven case reports or retrospective series were identified. A total of 44 pregnant women underwent GLS for various surgical indications.
In all cases, the procedures were carried out without complication, and the women were discharged from hospital with a continuing pregnancy.
GLS in pregnancy has comparable outcomes to conventional CO2 laparoscopy, but it is associated with some advantages. Hypercarbia and increased intraperitoneal pressure due to CO2 insufflation are avoided. The use of high-pressure continuous suction may prevent the problems that are potentially associated with intra-abdominal smoke generated by electrosurgery, which can increase the risk of fetal exposure to elevated levels of toxic gases. Because this procedure may be performed under regional anesthesia, avoiding general anesthesia, there is a minimal transplacental passage of anesthetic drugs to the fetus.
The surgeon must be expert in advanced laparoscopic procedures. All rights reserved.
Gasless balloon laparoscopy
Nalcescu str. In these cases timely diagnosis and management is of great importance, while the anesthetic risk is high. The combination of the risk of an open laparotomy and the relative high likelihood of negative findings when performed, creates the need for a better approach. The alternative actually exists since when Eruheim made the first gasless laparoscopy.
The role of gasless laparoscopy in differential diagnosis of acute abdomen
By Dr. Gnanaraj Published: Oct What is wrong with laparoscopic surgeries? Like the discovery of anesthesia, laparoscopic surgeries were one of the landmark innovations in making surgeries minimally invasive. However, there are few drawbacks. Namely: There is a very small but definite risk of complications that can be fatal. The carbon dioxide that is used causes several physiological changes that make anesthesia more complex and increase post-operative morbidity. Several factors, like the need for general anesthesia, and the cost of the equipment and disposables or hand instruments make laparoscopic surgeries expensive.
Gasless laparoscopic surgery during pregnancy: evaluation of its role and usefulness.
Received Aug 27; Accepted Nov The pneumoperitoneum is replaced by a transparent balloon, which is positioned in front of the optical system. It shall be shown that with this arrangement diagnostic LSC can be performed outside of the operating room without requiring general anesthesia. Twelve patients were examined in general anesthesia before laparoscopic surgery. Results On a scale of 1—5, the general impression was rated 1.