Clinical Data

The Efficacy and User Operability of an Intrabdominal Optical Lens Cleaning Device During Laparoscopic Excisional Surgery for Deeply Infiltrating Endometriosis: a Video Presentation 
22 May 2019

The Efficacy and User Operability of an Intrabdominal Optical Lens Cleaning Device During Laparoscopic Excisional Surgery for Deeply Infiltrating Endometriosis: a Video Presentation

Ahmed J, Hulme E, Bansal J, Bidmead

King’s College Endometriosis Centre, King’s College Hospital, London UK 

Background 

During laparoscopic excisional surgery for deeply infiltrating endometriosis, the need for a nearfield view of the operative site deep within the endopelvic fossae poses challenges. Bleeding, condensation, smears from neighbouring fatty structures and plume spatter from ultrasonic dissection necessitates removal and reinsertion of the laparoscope for lens cleaning, prolonging surgical time and requiring reorientation of the surgical view

Methods 

In this video presentation, we demonstrate our inservice pilot study of a proprietary device (OpClear, Cipher Surgical, Coventry UK) to determine its user operability. The device comprises a thin sheath placed over the laparoscope delivering a fluid supply to the optical tip, automatically defogging the lens during use and permitting surgeonactivated cleaning without laparoscope removal from the abdomen

These video cases demonstrate how intrabdominal lens cleaning permits the operating surgeon to maintain the laparoscope in position during crucial points of the deep pelvic dissection facilitating uninterrupted excision

Conclusions 

The use of an intrabdominal lens cleaning device permits laparoscopic excisional surgery for deep endometriosis without repeated removal, cleaning and reinsertion

The efficacy and user operability of a intrabdominal optical lens cleaning device during laparoscopic excisional surgery for deeply infiltrating endometriosis