Novel Laparoscopic Access Device (LAD)

Perspective

Ann Surg Perioper Care. 2024; 9(1): 1063.

Novel Laparoscopic Access Device (LAD)

George Alex, MBBS, MRCS, Ed MCh*

Department of Surgery Jiwan Jyoti Christian Hospital Robertsganj Sonbhadra District Uttar Pradesh India

*Corresponding author: George Alex Department of Surgery Jiwan Jyoti Christian Hospital Robertsganj Sonbhadra District Uttar Pradesh India. Email: drgeorgealex@doctors.org.uk

Received: December 13, 2023 Accepted: January 17, 2024 Published: January 22, 2024

Perspective

A large of complications to do with laparoscopic surgery have to do with laparoscopic access1. The current common modes of access include the Open Hasson, Closed Veress needle, and Optical Trocar techniques. These are known to be associated with the following risks and disadvantages:

1. The Open Hasson technique - risk of air leak [2]

2. Veress Needle - risk of injury to intra-abdominal structures owing to it being a “blind” procedure [3,4]

3. Optical trocar - risk of injury to intra-abdominal structures as tip not completely blunt respectively [5]

The Novel Laparoscopic Access Device seeks to provide a safe mode of laparoscopic entry.

Novel Laparoscopic Access Device – Parts

• Tip - Completely blunt i.e. hemispherical hence lesser risk of injury to intra-abdominal structures. Has openings to let in insufflating gas i.e. CO2

• Shaft - Has spirals/threads starting well away from tip. Diameter can be as small as the smallest available borescope/endoscope i.e. 1mm

• Proximal End (External) - Has 2 openings; one to put in endoscope and other for insufflation.

Novel Laparoscopic Access Device – Features

• Tiny incision lessening risk of air leak

Citation: Alex G. Novel Laparoscopic Access Device (LAD). Ann Surg Perioper Care. 2024; 9(1): 1063.