Use of the Valveless Trocar System Reduces Carbon Dioxide Absorption During Laparoscopy When Compared With Standard Trocars

Herati, Amin S.; Andonian, Sero; Rais‐Bahrami, Soroush; Atalla, Mohamed A.; Srinivasan, Arun K.; Richstone, Lee; Kavoussi, Louis R.

doi:10.1016/j.urology.2010.06.052

Cited by 58 publications

(49 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One of the main advantages of the AirSeal System, in fact, is its ability to minimize fluctuations in intra-abdominal pressure compared with standard trocars (16). Advantages of stable intra-abdominal pressure include minimization of derangements in hemodynamic and pulmonary parameters, such as blood pressure and airway pressures.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Otorrhagia after Robotically Assisted Gynecologic Surgery in the Setting of a Reduced Trendelenburg Position and Low-Pressure Pneumoperitoneum: A Case Report and Review of the Literature

Aloisi

Pesce

Paraghamian

et al. 2017

Journal of Minimally Invasive Gynecology

View full text Add to dashboard Cite

Perioperative otorrhagia in association with non-otolaryngologic surgery is rare. The cause is typically attributed to the physiologic derangements associated with the Trendelenburg position and pneumoperitoneum during laparoscopic surgery. The most well-accepted etiology is an increase in arterial and venous pressures causing the rupture of subcutaneous capillaries, although the exact etiology remains unclear. We present the first reported case of bilateral spontaneous otorrhagia associated with robotically assisted laparoscopic surgery involving a reduced Trendelenburg position and low-pressure pneumoperitoneum. Perioperative hypertension, female gender, advanced age, and increased bleeding risk may contribute to the development of this rare complication.

show abstract

Section: Discussionmentioning

confidence: 99%

Bilateral Otorrhagia after Robotically Assisted Gynecologic Surgery in the Setting of a Reduced Trendelenburg Position and Low-Pressure Pneumoperitoneum: A Case Report and Review of the Literature

Aloisi

Pesce

Paraghamian

et al. 2017

Journal of Minimally Invasive Gynecology

View full text Add to dashboard Cite

show abstract

“…This device might be advantageous for extraperitoneal and retroperitoneal approaches, where pressureloss episodes could lead to a complete collapse of the surgical site 25 . Use of a valveless trocar significantly reduced CO 2 consumption (P <0.01), CO 2 elimination (P <0.05) and absorption (P <0.05) during transperitoneal laparoscopy compared with the standard trocar after 16 minutes of insufflation 24 . In a prospective comparison with a standard Versaport® Plus V2 (United States Surgical Corporation, USA) trocar, only one episode of pressure loss <8 mmHg occurred using the AirSeal® system, but 38 pressureloss episodes were recorded in the Versaport® group (P <0.0001).…”

Section: Key Pointsmentioning

confidence: 96%

“…Herati et al 24 published data regarding the use of a valveless trocar in laparoscopic renal surgery. The AirSeal® (SurgiQuest Inc., USA) trocar works by creating and maintaining a gas pressure barrier in the proximal end of the trocar, enabling a considerably more stable pneumoperitoneum and pneumoextra peritoneum than standard port systems.…”

Section: Key Pointsmentioning

confidence: 99%

Advances in laparoscopic surgery in urology

Rassweiler

Teber

2016

Nat Rev Urol

View full text Add to dashboard Cite

In the past 10 years, laparoscopy has been challenged by robotic surgery; nevertheless, laparoscopic techniques are subject to continuous change. Ultrahigh definition is the next development in video technology, it delivers fourfold more detail than full high definition resulting in improved fine detail, increased texture, and an almost photographic emulsion of smoothness of the image. New 4K ultrahigh-definition technology might remove the current need for the use of polarized glasses. New devices for laparoscopy include advanced sealing devices, instruments with six degrees of freedom, ergonomic platforms with armrests and a chest support, and camera holders. A manually manipulated robot-like device is still at the experimental stage. Robot-assisted surgery has substantially revolutionized laparoscopy, increasing its distribution; however, robot-assisted surgery is associated with considerable costs. All technical improvements of laparoscopic surgery are extremely valuable to further simplify the use of classical laparoscopy.

show abstract

“…[15][16] Several studies have evaluated its use in contrast to that of conventional systems, with some finding reduced operative times, improved pressure maintenance, and lower CO2 consumption in favor of the Airseal® system. [16][17] A prospective trial focusing on patients undergoing robot-assisted radical prostatectomy found improved insufflation pressure stability and reduced number of trocar manipulations amongst the Airseal® arm. However, overall surgical time and CO2 consumption did not differ between the groups.…”

Section: Valve-less Trocarmentioning

confidence: 99%

Trocars: Site Selection, Instrumentation, and Overcoming Complications

Gaunay

Elsamra

Richstone

2016

Journal of Endourology

Self Cite

View full text Add to dashboard Cite

In recent years, laparoscopy and robot-assisted procedures have become more commonplace in urology. Incorporation of these techniques into clinical practice requires extensive knowledge of the surgical approaches and complex instrumentation unique to minimally invasive surgery. In this review, focus will be directed to laparoscopic trocars including differing subtypes, placement in select urologic procedures, and proper use with emphasis on the avoidance of complications. Differing methods for the development of pneumoperitoneum and the associated risks of each will be discussed. The aim of this article is to provide a complete review of laparoscopic trocar use for the practicing urologist.

show abstract

Use of the Valveless Trocar System Reduces Carbon Dioxide Absorption During Laparoscopy When Compared With Standard Trocars

Cited by 58 publications

References 22 publications

Bilateral Otorrhagia after Robotically Assisted Gynecologic Surgery in the Setting of a Reduced Trendelenburg Position and Low-Pressure Pneumoperitoneum: A Case Report and Review of the Literature

Bilateral Otorrhagia after Robotically Assisted Gynecologic Surgery in the Setting of a Reduced Trendelenburg Position and Low-Pressure Pneumoperitoneum: A Case Report and Review of the Literature

Advances in laparoscopic surgery in urology

Trocars: Site Selection, Instrumentation, and Overcoming Complications

Contact Info

Product

Resources

About