Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

Electrostatic precipitation is a novel way of maintaining visual field clarity during laparoscopic surgery: a prospective double-blind randomized controlled pilot study

Ansell, James, Warren, Neil, Wall, Pete, Cocks, Kim, Goddard, Stuart, Whiston, Richard, Stechman, Michael, Scott-Coombes, David and Torkington, Jared 2014. Electrostatic precipitation is a novel way of maintaining visual field clarity during laparoscopic surgery: a prospective double-blind randomized controlled pilot study. Surgical Endoscopy 28 (7) , pp. 2057-2065. 10.1007/s00464-014-3427-8

Full text not available from this repository.

Abstract

Background Ultravision™ is a new device that utilizes electrostatic precipitation to clear surgical smoke. The aim was to evaluate its performance during laparoscopic cholecystectomy. Methods Patients undergoing laparoscopic cholecystectomy were randomized into “active (device on)” or “control (device off).” Three operating surgeons scored the percentage effective visibility and three reviewers scored the percentage of the procedure where smoke was present. All assessors also used a 5-point scale (1 = imperceptible/excellent and 5 = very annoying/bad) to rate visual impairment. Secondary outcomes were the number of smoke-related pauses, camera cleaning, and pneumoperitoneum reductions. Mean results are presented with 95 % confidence intervals (CI). Results In 30 patients (active 13, control 17), the effective visibility was 89.2 % (83.3–95.0) for active cases and 71.2 % (65.7–76.7) for controls. The proportion of the procedure where smoke was present was 41.1 % (33.8–48.3) for active cases and 61.5 % (49.0–74.1) for controls. Operating surgeons rated the visual impairment as 2.2 (1.7–2.6) for active cases and 3.2 (2.8–3.5) for controls. Reviewers rated the visual impairment as 2.3 (2.0–2.5) for active cases and 3.2 (2.8–3.7) for controls. In the active group, 23 % of procedures were paused to allow smoke clearance compared to 94 % of control cases. Camera cleaning was not needed in 85 % of active procedures and 35 % of controls. The pneumoperitoneum was reduced in 0 % of active cases and 88 % of controls. Conclusions Ultravision™ improves visibility during laparoscopic surgery and reduces delays in surgery for smoke clearance and camera cleaning.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Publisher: Springer
ISSN: 0930-2794
Last Modified: 13 Mar 2019 13:29
URI: http://orca.cf.ac.uk/id/eprint/71944

Citation Data

Cited 6 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item Edit Item