A new scope warmer/cleaner for laparoscopic surgery: a disposable hot pack.

IF 1.7 4区医学 Q2 SURGERY

Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-04-01 Epub Date: 2023-12-04 DOI:10.1080/13645706.2023.2286519

Yuto Kubo, Takayuki Yasui, Yuko Matsuda, Yasutomo Takahashi, Kotaro Yamashita, Takuro Saito, Koji Tanaka, Tomoki Makino, Tsuyoshi Takahashi, Yukinori Kurokawa, Hidetoshi Eguchi, Yuichiro Doki, Kiyokazu Nakajima

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引用次数: 0

Abstract

Background: Fogging and staining of a laparoscope lens negatively impact surgical visualization. We hypothesized that the disposable hot pack could not only warm but also clean laparoscopes. Hence, this study verified and developed the disposable hot pack with anti-fogging and cleaning function.

Material and methods: The laparoscope was inserted into a swine abdominal cavity for five minutes. Then, the laparoscopic tip was heated with 65 °C saline or the folded disposable hot pack with nonwoven fabric coated surfactant for ten seconds (n = 15). Also, a laparoscopic tip with dirt was wiped with the prototype or conventional gauze for 10 s (n = 10). The dirt, fogging, and temperature of the laparoscopic tip were respectively evaluated after the laparoscope was inserted into the abdominal cavity.

Results: The laparoscopic tip temperature five minutes after insertion into the abdominal cavity was similar (31.1 °C vs 31.2 °C, p = 0.748) and there was no fogging in both methods. The conventional gauze had significantly less temperature of the laparoscopic tip after cleaning and higher fogging occurrence than the prototype (29.5 °C vs 34.0 °C, p < 0.001, 30% vs 0%, p = 0.030, respectively), although there was no dirt left after both methods.

Conclusion: The disposable hot pack has a strong potential as an anti-fogging and cleaning device for use during laparoscopic surgery.

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一种用于腹腔镜手术的新范围加热/清洁:一次性热敷包。

背景:腹腔镜晶状体的雾化和染色对手术可视化有负面影响。我们假设一次性热敷袋不仅可以温暖而且可以清洁腹腔镜。因此，本研究验证并开发了具有防雾和清洁功能的一次性热敷袋。材料与方法:将腹腔镜插入猪腹腔5分钟。然后，用65℃生理盐水或折叠后的一次性热敷包覆表面活性剂的无纺布加热10s (n = 15)。同时，用原型或常规纱布擦拭有污垢的腹腔镜针尖10s (n = 10)。将腹腔镜插入腹腔后，分别评价腹腔镜尖端的脏污、雾化、温度。结果:腹腔镜针尖插入腹腔5 min后温度相似(31.1°C vs 31.2°C, p = 0.748)，两种方法均无雾化现象。传统纱布清洗后的腹腔镜针尖温度明显低于原型纱布(29.5°C vs 34.0°C, p p = 0.030)，但两种方法均未留下污垢。结论:一次性热敷袋在腹腔镜手术中具有良好的防雾清洁效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minimally Invasive Therapy & Allied Technologies 医学-外科

CiteScore

3.80

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： Minimally Invasive Therapy and Allied Technologies (MITAT) is an international forum for endoscopic surgeons, interventional radiologists and industrial instrument manufacturers. It is the official journal of the Society for Medical Innovation and Technology (SMIT) whose membership includes representatives from a broad spectrum of medical specialities, instrument manufacturing and research. The journal brings the latest developments and innovations in minimally invasive therapy to its readers. What makes Minimally Invasive Therapy and Allied Technologies unique is that we publish one or two special issues each year, which are devoted to a specific theme. Key topics covered by the journal include: interventional radiology, endoscopic surgery, imaging technology, manipulators and robotics for surgery and education and training for MIS.