OneShot-M: A New Device for Close Laparoscopy Pneumoperitoneum

Giovanni Cassata, Giuseppe Damiano, Salvatore Buscemi, Vincenzo Davide Palumbo, Attilio Ignazio Lo Monte, Giovanni Cassata, Luca Cicero, Salvatore Fazzotta, Antonino De Luca, Vincenzo Palumbo

Research output: Contribution to journalArticle

Abstract

INTRODUCTION: The induction of pneumoperitoneum is the first and most critical phase of laparoscopy, due to the significant risk of serious vascular and visceral complications. The closed technique for the creation of pneumoperitoneum could lead to several surgical complications. The present study aimed to overcome the complications associated with the insertion of Veress needle, improving its use, and facilitating the rapid creation of pneumoperitoneum.METHODS: Thirty large white female pigs were enrolled in our study. A common plunger was modified in order to allow the passage of a 15-cm long Veress needle. This method was applied to 26 laparoscopic procedures (26 pigs) of several specialist branches.RESULTS: OneShot-M close laparoscopy pneumoperitoneum creation device allowed us to obtain pneumoperitoneum quickly in all attempts, without any intraoperative and postoperative complications related to the use of the Veress needle.CONCLUSION: The use of the proposed device showed an induction time as quick as the standard laparoscopic closed abdominal entry. The patented device is cheap and allows a safe abdominal entry. In addition, abdominal entry is much faster than the classic open technique.
Original languageEnglish
Pages (from-to)570-577
Number of pages8
JournalSurgical Innovation
Volume25
Publication statusPublished - 2018

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Pneumoperitoneum
Laparoscopy
Equipment and Supplies
Needles
Swine
Intraoperative Complications
Blood Vessels

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

OneShot-M: A New Device for Close Laparoscopy Pneumoperitoneum. / Cassata, Giovanni; Damiano, Giuseppe; Buscemi, Salvatore; Palumbo, Vincenzo Davide; Lo Monte, Attilio Ignazio; Cassata, Giovanni; Cicero, Luca; Fazzotta, Salvatore; De Luca, Antonino; Palumbo, Vincenzo.

In: Surgical Innovation, Vol. 25, 2018, p. 570-577.

Research output: Contribution to journalArticle

Cassata, G, Damiano, G, Buscemi, S, Palumbo, VD, Lo Monte, AI, Cassata, G, Cicero, L, Fazzotta, S, De Luca, A & Palumbo, V 2018, 'OneShot-M: A New Device for Close Laparoscopy Pneumoperitoneum', Surgical Innovation, vol. 25, pp. 570-577.
Cassata, Giovanni ; Damiano, Giuseppe ; Buscemi, Salvatore ; Palumbo, Vincenzo Davide ; Lo Monte, Attilio Ignazio ; Cassata, Giovanni ; Cicero, Luca ; Fazzotta, Salvatore ; De Luca, Antonino ; Palumbo, Vincenzo. / OneShot-M: A New Device for Close Laparoscopy Pneumoperitoneum. In: Surgical Innovation. 2018 ; Vol. 25. pp. 570-577.
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AU - Cassata, Giovanni

AU - Damiano, Giuseppe

AU - Buscemi, Salvatore

AU - Palumbo, Vincenzo Davide

AU - Lo Monte, Attilio Ignazio

AU - Cassata, Giovanni

AU - Cicero, Luca

AU - Fazzotta, Salvatore

AU - De Luca, Antonino

AU - Palumbo, Vincenzo

PY - 2018

Y1 - 2018

N2 - INTRODUCTION: The induction of pneumoperitoneum is the first and most critical phase of laparoscopy, due to the significant risk of serious vascular and visceral complications. The closed technique for the creation of pneumoperitoneum could lead to several surgical complications. The present study aimed to overcome the complications associated with the insertion of Veress needle, improving its use, and facilitating the rapid creation of pneumoperitoneum.METHODS: Thirty large white female pigs were enrolled in our study. A common plunger was modified in order to allow the passage of a 15-cm long Veress needle. This method was applied to 26 laparoscopic procedures (26 pigs) of several specialist branches.RESULTS: OneShot-M close laparoscopy pneumoperitoneum creation device allowed us to obtain pneumoperitoneum quickly in all attempts, without any intraoperative and postoperative complications related to the use of the Veress needle.CONCLUSION: The use of the proposed device showed an induction time as quick as the standard laparoscopic closed abdominal entry. The patented device is cheap and allows a safe abdominal entry. In addition, abdominal entry is much faster than the classic open technique.

AB - INTRODUCTION: The induction of pneumoperitoneum is the first and most critical phase of laparoscopy, due to the significant risk of serious vascular and visceral complications. The closed technique for the creation of pneumoperitoneum could lead to several surgical complications. The present study aimed to overcome the complications associated with the insertion of Veress needle, improving its use, and facilitating the rapid creation of pneumoperitoneum.METHODS: Thirty large white female pigs were enrolled in our study. A common plunger was modified in order to allow the passage of a 15-cm long Veress needle. This method was applied to 26 laparoscopic procedures (26 pigs) of several specialist branches.RESULTS: OneShot-M close laparoscopy pneumoperitoneum creation device allowed us to obtain pneumoperitoneum quickly in all attempts, without any intraoperative and postoperative complications related to the use of the Veress needle.CONCLUSION: The use of the proposed device showed an induction time as quick as the standard laparoscopic closed abdominal entry. The patented device is cheap and allows a safe abdominal entry. In addition, abdominal entry is much faster than the classic open technique.

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