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 J
King’s College Endometriosis Centre, King’s College Hospital, London UK
Background
During laparoscopic excisional surgery for deeply infiltrating endometriosis, the need for a near–field 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 in–service 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 surgeon–activated 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.