Medical statement for the question:
"Why does it take so long to establish gasless Laparoscopy"
By Steven Eubanks, MD, Professor of surgery in: "Much Remains to Be Learned"
"Gasless laparoscopy received significant attention in the early 1990s but failed to receive widespread acceptance. The lack of popularity of gasless laparoscopy was partially the result of the fact that the working space created by gasless retraction devices was inferior to that created by pneumoperitoneum."
This is what we at EndoGyn have changed in the past 15 years by developing an abdominal wall lifting system, that enables the surgeon the same vision as at laparoscopy with Carbondioxide, namely the Abdo-Lift™
"A greater factor in the reluctance to adopt gasless techniques was the belief by most surgeons that there were few clinically significant deleterious effects of carbon dioxide pneumoperitoneum. Many of these negative effects were known but rarely observed by individual surgeons. This situation is somewhat analogous to the time during which deep venous thrombosis (DVT) prophylaxis was less common, and many surgeons would claim hundreds or thousands of cases performed without witnessing a DVT or pulmonary embolus in any patient. Careful follow up, objective studies, and published results provided the surgical community with a more thorough understanding of the magnitude of the problem. This understanding subsequently led to widespread use of prophylactic measures for patients at risk for DVT.
"One would hope that studies such as this (Laparoscopic associated hypercoagulable state leads to thrombosis, Ikeda et al, 2004) would inspire clinicians and investigators to pursue a deeper understanding of an approach that affects several hundred thousand patients each year.
We truly have much yet to learn.
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