Effect of heating insufflation tube of AirSeal system on laparoscopic surgery
Abstract The AirSeal system (CONMED, NY, USA) can outstandingly keep pneumoperitoneum stable. However, water droplets form on the access port, impairing the performance of comfortable surgical procedures because of the resultant wet surgical field. This study was performed to clarify the mechanism o...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2024-01-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-50321-y |
| _version_ | 1797363431320322048 |
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| author | Gumpei Yoshimatsu Kurumi Sahara Ryo Ohno Ryuji Kajitani Taro Munechika Yoshiko Matsumoto Hideki Nagano Toshifumi Watanabe Naoya Aisu Yoichiro Yoshida Suguru Hasegawa |
| author_facet | Gumpei Yoshimatsu Kurumi Sahara Ryo Ohno Ryuji Kajitani Taro Munechika Yoshiko Matsumoto Hideki Nagano Toshifumi Watanabe Naoya Aisu Yoichiro Yoshida Suguru Hasegawa |
| author_sort | Gumpei Yoshimatsu |
| collection | DOAJ |
| description | Abstract The AirSeal system (CONMED, NY, USA) can outstandingly keep pneumoperitoneum stable. However, water droplets form on the access port, impairing the performance of comfortable surgical procedures because of the resultant wet surgical field. This study was performed to clarify the mechanism of water droplet formation and to prevent it. Condensation was observed on the AirSeal system. A heater was wrapped around the tri-lumen tube, and the heating effect was assessed. The simulator experiments revealed that condensation formed in the tri-lumen tube and on the wall of the access port. The accumulated weight of the condensation on the wall of the access port was 41.6 g in the Heated group, 138.2 g in the Control group, and 479.4 g in the Cooled group. In the clinical assessment, the accumulated volume of the condensation attached to the inside wall was significantly smaller in the Heated group than in the Unheated group (111.7 g vs. 332.9 g, respectively). We clarified that the volume of condensation attached to the wall of the access port depended on the temperature of the tri-lumen tube. The clinical study revealed that the condensation on the access port was reduced by heating the tri-lumen tube. The development of a novel heating device for the insufflation tube would be effective and useful. |
| first_indexed | 2024-03-08T16:21:16Z |
| format | Article |
| id | doaj.art-3c219a4b1c9b41b1a0e424a7a2c67d3e |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-08T16:21:16Z |
| publishDate | 2024-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-3c219a4b1c9b41b1a0e424a7a2c67d3e2024-01-07T12:19:50ZengNature PortfolioScientific Reports2045-23222024-01-011411710.1038/s41598-023-50321-yEffect of heating insufflation tube of AirSeal system on laparoscopic surgeryGumpei Yoshimatsu0Kurumi Sahara1Ryo Ohno2Ryuji Kajitani3Taro Munechika4Yoshiko Matsumoto5Hideki Nagano6Toshifumi Watanabe7Naoya Aisu8Yoichiro Yoshida9Suguru Hasegawa10Department of Gastroenterological Surgery, Fukuoka University HospitalDepartment of Gastroenterological Surgery, Fukuoka University HospitalDepartment of Gastroenterological Surgery, Fukuoka University HospitalDepartment of Gastroenterological Surgery, Fukuoka University HospitalDepartment of Gastroenterological Surgery, Fukuoka University HospitalDepartment of Gastroenterological Surgery, Fukuoka University HospitalDepartment of Gastroenterological Surgery, Fukuoka University HospitalDepartment of Gastroenterological Surgery, Fukuoka University HospitalDepartment of Gastroenterological Surgery, Fukuoka University HospitalDepartment of Gastroenterological Surgery, Fukuoka University HospitalDepartment of Gastroenterological Surgery, Fukuoka University HospitalAbstract The AirSeal system (CONMED, NY, USA) can outstandingly keep pneumoperitoneum stable. However, water droplets form on the access port, impairing the performance of comfortable surgical procedures because of the resultant wet surgical field. This study was performed to clarify the mechanism of water droplet formation and to prevent it. Condensation was observed on the AirSeal system. A heater was wrapped around the tri-lumen tube, and the heating effect was assessed. The simulator experiments revealed that condensation formed in the tri-lumen tube and on the wall of the access port. The accumulated weight of the condensation on the wall of the access port was 41.6 g in the Heated group, 138.2 g in the Control group, and 479.4 g in the Cooled group. In the clinical assessment, the accumulated volume of the condensation attached to the inside wall was significantly smaller in the Heated group than in the Unheated group (111.7 g vs. 332.9 g, respectively). We clarified that the volume of condensation attached to the wall of the access port depended on the temperature of the tri-lumen tube. The clinical study revealed that the condensation on the access port was reduced by heating the tri-lumen tube. The development of a novel heating device for the insufflation tube would be effective and useful.https://doi.org/10.1038/s41598-023-50321-y |
| spellingShingle | Gumpei Yoshimatsu Kurumi Sahara Ryo Ohno Ryuji Kajitani Taro Munechika Yoshiko Matsumoto Hideki Nagano Toshifumi Watanabe Naoya Aisu Yoichiro Yoshida Suguru Hasegawa Effect of heating insufflation tube of AirSeal system on laparoscopic surgery Scientific Reports |
| title | Effect of heating insufflation tube of AirSeal system on laparoscopic surgery |
| title_full | Effect of heating insufflation tube of AirSeal system on laparoscopic surgery |
| title_fullStr | Effect of heating insufflation tube of AirSeal system on laparoscopic surgery |
| title_full_unstemmed | Effect of heating insufflation tube of AirSeal system on laparoscopic surgery |
| title_short | Effect of heating insufflation tube of AirSeal system on laparoscopic surgery |
| title_sort | effect of heating insufflation tube of airseal system on laparoscopic surgery |
| url | https://doi.org/10.1038/s41598-023-50321-y |
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