WHAT ARE YOUR COMMON CHALLENGES IN SURGERY?

Evolap 3mm instrument with its tip facing to the left

Port site hernias

Solution
PrimaPad used on the operating table to maintain patient stability

Pressure sores

Solution
Evolap 3mm instrument with its tip facing to the left

Postoperative pain

Solution
AirSeal 3 in 1 insufflation system that is used to maintain a low and stable pneumoperitoneal pressure during laparoscopic surgery

Inconsistent surgical vision

Solution
CST Stapler at a 3/4 angle

Inconsistent formation of staple lines

Solution
PrimaPad used on the operating table to maintain patient stability

Pressure sores from operating table

Solution
Circular Stapler Curved used for creation of anatomises within the bowel

Inconsistent anastomotic doughnut formation

Solution
PrimaPad used on the operating table to maintain patient stability

Patient stability on the operating table

Solution
CST Stapler at a 3/4 angle

Crossed staple lines

Solution
AirSeal 3 in 1 insufflation system that is used to maintain a low and stable pneumoperitoneal pressure during laparoscopic surgery

Shoulder tip pain

Solution
CST Stapler at a 3/4 angle

Staple misfire

Solution
Evolap 3mm instrument with its tip facing to the left

Port site wound closure

Solution
CST Stapler at a 3/4 angle

Uncertainty that stapler has fired

Solution
PrimaPad used on the operating table to maintain patient stability

Patient positioning time

Solution
AirSeal 3 in 1 insufflation system that is used to maintain a low and stable pneumoperitoneal pressure during laparoscopic surgery

Inconsistent surgical vision at low pneumoperitoneal pressures

Solution

Unnecessary diagnostic laparoscopy for endometriosis

Solution
AirSeal 3 in 1 insufflation system that is used to maintain a low and stable pneumoperitoneal pressure during laparoscopic surgery

Patient ventilation in steep Trendelenburg

Solution
Evolap 3mm instrument with its tip facing to the left

Port site wound closure

Solution
AirSeal 3 in 1 insufflation system that is used to maintain a low and stable pneumoperitoneal pressure during laparoscopic surgery

Patient ventilation in steep Trendelenburg

Solution
AirSeal 3 in 1 insufflation system that is used to maintain a low and stable pneumoperitoneal pressure during laparoscopic surgery

PACU capacity

Solution

Patient stability in steep Trendelenberg

Solution
Evolap 3mm instrument with its tip facing to the left

Port site wound closure

Solution

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References

1. de’Angelis N, Petrucciani N, Giannandrea G, Brunetti F. The protocol of low-impact laparoscopic cholecystectomy: the combination of mini-laparoscopy and low-pressure pneumoperitoneum. Updates Surg. 2018;70(4):553-556. doi:10.1007/s13304-018-0591-8.
2. Sroussi J, Elies A, Rigouzzo A, et al. Low pressure gynecological laparoscopy (7mmHg) with AirSeal® System versus a standard insufflation (15mmHg): A pilot study in 60 patients. Journal of Gynecology Obstetrics and Human Reproduction. 2017;46(2):155-158. doi:10.1016/j.jogoh.2016.09.003.
3. Buda A, Di Martino G, Borghese M, et al. Low-Pressure Laparoscopy Using the AirSeal System versus Standard Insufflation in Early-Stage Endometrial Cancer: A Multicenter, Retrospective Study (ARIEL Study). Healthcare. 2022;10(3):531. doi:10.3390/healthcare10030531.
4. Madueke-Laveaux OS, Advincula A, Grimes CL, et al. Comparison of Carbon Dioxide Absorption Rates in Gynecologic Laparoscopy with a Valveless versus Standard Insufflation System: Randomized Controlled Trial. Journal of Minimally Invasive Gynecology. 2020;27(1):225-234. doi:10.1016/j.jmig.2019.05.005.
5. George AK, Wimhofer R, Viola KV, et al. Utilization of a novel valveless trocar system during robotic-assisted laparoscopic prostatectomy. World J Urol. 2015;33(11):1695-1699. doi:10.1007/s00345-015-1521-8.
6. Ramshaw B, Vetrano V, Jagadish M, Forman B, Heidel E, Mancini M. Laparoscopic approach for the treatment of chronic groin pain after inguinal hernia repair : Laparoscopic approach for inguinodynia. Surg Endosc. 2017;31(12):5267-5274. doi:10.1007/s00464-017-5600-3.
7. Nepple KG, Kallogjeri D, Bhayani SB. Benchtop evaluation of pressure barrier insufflator and standard insufflator systems. Surg Endosc. 2013;27(1):333-338. doi:10.1007/s00464-012-2434-x.
8. Primiano M, Friend M, McClure C, et al. Pressure Ulcer Prevalence and Risk Factors among Prolonged Surgical Procedures in the OR. AORN J. 2011;94(6):555-566. doi:10.1016/j.aorn.2011.03.014.
9. Data on file.
10. Pressure ulcers: revised definition and measurement. Summary and recommendations. Published online June 2018.