Publication:

Retroactive analytical study by one surgeon using air in operative laparoscopy - exitus acta probat

Background This is a retroactive analysis that presents and discusses practical issues relating to ambient air (AA) in operative laparoscopy (OL) and Author used AA perforce in OL with good result after using CO2.

Methods Patient pool from North Eastern India and adjoining countries is presented with use of AA in OL. Technique was verses needle first in majority cases irrespective of their American Society of Anesthesiologists (ASA) status or previous abdominal surgery.

Results A total 233 procedures carried out unselectively are presented with results from ASA Grades I to V, along with surgical difficulties and complications observed. There was no mortality, no clinical evidence of embolism or wound infection.

Conclusions This first study of use of AA in OL analyses that it is safe, useful sans side effects of CO2. Gas embolism (GE), CO2 embolism, air embolism(AE) are interchangeably used. The mechanism of death in GE or AE is gas lock or air lock and traffic jam in right heart and pulmonary tree (PT) along with ill understood PT immunopathological events.