A Novel Mechanism for Pneumoperitoneum and Aerosol Diffusion in Laparoscopy during COVID-19

Abstract

Aims: In current period of Novel Coronavirus SARS-CoV-2 pandemic, there have been concerns regarding safety of surgeons and operation theatre staff during laparoscopic procedures. Most of the concerns are regarding surgical fumes/aerosol generated during the procedures which may be potentially infective. We propose a simple solution using existing standard equipment to safeguard the medical personnel during Laparoscopic procedures. Methodology: Initial pneumoperitoneum was created with a Veress needle. Gas cable connected to insufflator was attached to the main port. An additional Gas cable was attached to another operating port which was attached to central suction. This was used evacuate surgical smoke whenever needed. Meticulous care while operating ensured that pneumoperitoneum was created during the whole duration of surgery in a closed system thus decreasing the risk of exposure of operating staff to operating fumes. Conclusion: Even though risk of contracting COVID 19 disease via surgical fumes and aerosol generated during laparoscopy is debated, it is advisable to reduce the exposure of surgeon and operating room staff to the extent possible. Presently there are many new devices available which have been developed for this specific purpose. We propose a simple solution using existing standard equipment for this purpose.