Correct use of the gasless LaparoTenser system

Hemodynamic and pulmonary changes during open, carbon dioxide pneumoperitoneum, and abdominal wall-lifting cholecystectomy

“…Other complications include hypercapnia and acidemia [5]+ gas embolism [18], mesenteric ischemia [7], decreased hepatic and renal blood flow [ 11,12], increased intracranial pressure [101, and enhancement of intra-abdominal tumor spread and implantation [8]. To obviate the consequences of PP, alternative methods, such as abdominal wall lifting (AWL), have been proposed recently [2,4,15]. Basically, AWL techniques provide abdominal exposure with a low-pressure pneumoperitoneum or even without pneumoperitoneum (so-called gasless taparoscopy [4]), and probably with no or insignificant effects on cardiorespiratory functions [13,19].…”

Safety and efficacy of laparoscopic cholecystectomy during pregnancy: A comparative study between low-pressure and gasless laparoscopy

“…Different instruments and techniques have been used in order to accomplish the gasless space away from the potential side effects of pneumoperitoneum and the insufflation of CO 2 such as: Laparolift™ and laparofan, 27 Laparotenser® device, 28,29 traction on straight metal rods, 30 traction on Foley's catheter, 31 the use of a semi-loop-shaped abdominal retractor 32 and the use of towel clips with a ceilingmounted laplift. 33 Some of these instruments are complex, expensive and are not available in all hospitals; others are tedious to mount and assemble with loss of extra time or need extra stab wounds.…”