Use of a novel multi-purpose sponge for laparoscopic surgery: Does it have special relevance to robotically-assisted laparoscopic surgery?

Luca Morelli, Simone Guadagni, Elena Troia, Gregorio Di Franco, Matteo Palmeri, Giovanni Caprili, Cristiano D'Isidoro, Andrea Moglia, Roberta Pisano, Andrea Pietrabissa, Alfred Cuschieri, Franco Mosca

Research output: Contribution to journalArticle

Abstract

Background: The STAR System (Ekymed SpA) is a novel multipurpose sponge developed for conventional manual laparoscopic surgery. Materials and Methods: Between December 2012 and December 2014, we successfully used the sponge in ten robot-assisted and ten direct manual laparoscopic operations to achieve haemostasis, for blunt dissections, for atraumatic lifting of solid organs, to check for bile leaks, for cleaning the surgical field thus avoiding frequent use of suction or the application of haemostatic agents. The reason of the insertion (RI), the main use (MU) and any further use (FU), once inserted, were registered for each operation and compared between the two groups. Results: The principal RI was haemostasis for minor bleeding, without differences between the two groups (P = not significant). Regard to MU, in the robotic group cleaning the surgical field was utilised more than laparoscopic group (100% vs. 60%; P = 0.03). About FU, atraumatic solid organs lifting was more frequent during robotically assisted surgery than with laparoscopy (50% vs. 0%; P = 0.01). A statistically more frequent use of the sponge was registered during standard laparoscopy for the blunt dissection (30% vs. 80%; P = 0.03). Conclusions: The STAR System was beneficial in both approaches, but it imparts added benefit during robotically-assisted laparoscopic surgery organs because of the lack of tactile feedback and because the operating surgeon is remote from the patient, and has to rely on the assisting surgeon in the sterile field for dealing with bleeding episodes, cleansing/mopping the operative field when necessary, who may not be experienced or completely proficient.

Original languageEnglish
Pages (from-to)315-320
Number of pages6
JournalJournal of Minimal Access Surgery
Volume12
Issue number4
DOIs
Publication statusPublished - Oct 1 2016

Fingerprint

Porifera
Laparoscopy
Hemostasis
Dissection
Hemorrhage
Suction
Touch
Robotics
Hemostatics
Bile
Surgeons

Keywords

  • Blunt dissection
  • direct manual laparoscopic surgery
  • haemostasis
  • robotically-assisted laparoscopic surgery
  • surgical tampon

ASJC Scopus subject areas

  • Surgery

Cite this

Use of a novel multi-purpose sponge for laparoscopic surgery : Does it have special relevance to robotically-assisted laparoscopic surgery? / Morelli, Luca; Guadagni, Simone; Troia, Elena; Di Franco, Gregorio; Palmeri, Matteo; Caprili, Giovanni; D'Isidoro, Cristiano; Moglia, Andrea; Pisano, Roberta; Pietrabissa, Andrea; Cuschieri, Alfred; Mosca, Franco.

In: Journal of Minimal Access Surgery, Vol. 12, No. 4, 01.10.2016, p. 315-320.

Research output: Contribution to journalArticle

Morelli, L, Guadagni, S, Troia, E, Di Franco, G, Palmeri, M, Caprili, G, D'Isidoro, C, Moglia, A, Pisano, R, Pietrabissa, A, Cuschieri, A & Mosca, F 2016, 'Use of a novel multi-purpose sponge for laparoscopic surgery: Does it have special relevance to robotically-assisted laparoscopic surgery?', Journal of Minimal Access Surgery, vol. 12, no. 4, pp. 315-320. https://doi.org/10.4103/0972-9941.182654
Morelli, Luca ; Guadagni, Simone ; Troia, Elena ; Di Franco, Gregorio ; Palmeri, Matteo ; Caprili, Giovanni ; D'Isidoro, Cristiano ; Moglia, Andrea ; Pisano, Roberta ; Pietrabissa, Andrea ; Cuschieri, Alfred ; Mosca, Franco. / Use of a novel multi-purpose sponge for laparoscopic surgery : Does it have special relevance to robotically-assisted laparoscopic surgery?. In: Journal of Minimal Access Surgery. 2016 ; Vol. 12, No. 4. pp. 315-320.
@article{50cd5c939831449c8d72c583bec7f12c,
title = "Use of a novel multi-purpose sponge for laparoscopic surgery: Does it have special relevance to robotically-assisted laparoscopic surgery?",
abstract = "Background: The STAR System (Ekymed SpA) is a novel multipurpose sponge developed for conventional manual laparoscopic surgery. Materials and Methods: Between December 2012 and December 2014, we successfully used the sponge in ten robot-assisted and ten direct manual laparoscopic operations to achieve haemostasis, for blunt dissections, for atraumatic lifting of solid organs, to check for bile leaks, for cleaning the surgical field thus avoiding frequent use of suction or the application of haemostatic agents. The reason of the insertion (RI), the main use (MU) and any further use (FU), once inserted, were registered for each operation and compared between the two groups. Results: The principal RI was haemostasis for minor bleeding, without differences between the two groups (P = not significant). Regard to MU, in the robotic group cleaning the surgical field was utilised more than laparoscopic group (100{\%} vs. 60{\%}; P = 0.03). About FU, atraumatic solid organs lifting was more frequent during robotically assisted surgery than with laparoscopy (50{\%} vs. 0{\%}; P = 0.01). A statistically more frequent use of the sponge was registered during standard laparoscopy for the blunt dissection (30{\%} vs. 80{\%}; P = 0.03). Conclusions: The STAR System was beneficial in both approaches, but it imparts added benefit during robotically-assisted laparoscopic surgery organs because of the lack of tactile feedback and because the operating surgeon is remote from the patient, and has to rely on the assisting surgeon in the sterile field for dealing with bleeding episodes, cleansing/mopping the operative field when necessary, who may not be experienced or completely proficient.",
keywords = "Blunt dissection, direct manual laparoscopic surgery, haemostasis, robotically-assisted laparoscopic surgery, surgical tampon",
author = "Luca Morelli and Simone Guadagni and Elena Troia and {Di Franco}, Gregorio and Matteo Palmeri and Giovanni Caprili and Cristiano D'Isidoro and Andrea Moglia and Roberta Pisano and Andrea Pietrabissa and Alfred Cuschieri and Franco Mosca",
year = "2016",
month = "10",
day = "1",
doi = "10.4103/0972-9941.182654",
language = "English",
volume = "12",
pages = "315--320",
journal = "Journal of Minimal Access Surgery",
issn = "0972-9941",
publisher = "Medknow Publications and Media Pvt. Ltd",
number = "4",

}

TY - JOUR

T1 - Use of a novel multi-purpose sponge for laparoscopic surgery

T2 - Does it have special relevance to robotically-assisted laparoscopic surgery?

AU - Morelli, Luca

AU - Guadagni, Simone

AU - Troia, Elena

AU - Di Franco, Gregorio

AU - Palmeri, Matteo

AU - Caprili, Giovanni

AU - D'Isidoro, Cristiano

AU - Moglia, Andrea

AU - Pisano, Roberta

AU - Pietrabissa, Andrea

AU - Cuschieri, Alfred

AU - Mosca, Franco

PY - 2016/10/1

Y1 - 2016/10/1

N2 - Background: The STAR System (Ekymed SpA) is a novel multipurpose sponge developed for conventional manual laparoscopic surgery. Materials and Methods: Between December 2012 and December 2014, we successfully used the sponge in ten robot-assisted and ten direct manual laparoscopic operations to achieve haemostasis, for blunt dissections, for atraumatic lifting of solid organs, to check for bile leaks, for cleaning the surgical field thus avoiding frequent use of suction or the application of haemostatic agents. The reason of the insertion (RI), the main use (MU) and any further use (FU), once inserted, were registered for each operation and compared between the two groups. Results: The principal RI was haemostasis for minor bleeding, without differences between the two groups (P = not significant). Regard to MU, in the robotic group cleaning the surgical field was utilised more than laparoscopic group (100% vs. 60%; P = 0.03). About FU, atraumatic solid organs lifting was more frequent during robotically assisted surgery than with laparoscopy (50% vs. 0%; P = 0.01). A statistically more frequent use of the sponge was registered during standard laparoscopy for the blunt dissection (30% vs. 80%; P = 0.03). Conclusions: The STAR System was beneficial in both approaches, but it imparts added benefit during robotically-assisted laparoscopic surgery organs because of the lack of tactile feedback and because the operating surgeon is remote from the patient, and has to rely on the assisting surgeon in the sterile field for dealing with bleeding episodes, cleansing/mopping the operative field when necessary, who may not be experienced or completely proficient.

AB - Background: The STAR System (Ekymed SpA) is a novel multipurpose sponge developed for conventional manual laparoscopic surgery. Materials and Methods: Between December 2012 and December 2014, we successfully used the sponge in ten robot-assisted and ten direct manual laparoscopic operations to achieve haemostasis, for blunt dissections, for atraumatic lifting of solid organs, to check for bile leaks, for cleaning the surgical field thus avoiding frequent use of suction or the application of haemostatic agents. The reason of the insertion (RI), the main use (MU) and any further use (FU), once inserted, were registered for each operation and compared between the two groups. Results: The principal RI was haemostasis for minor bleeding, without differences between the two groups (P = not significant). Regard to MU, in the robotic group cleaning the surgical field was utilised more than laparoscopic group (100% vs. 60%; P = 0.03). About FU, atraumatic solid organs lifting was more frequent during robotically assisted surgery than with laparoscopy (50% vs. 0%; P = 0.01). A statistically more frequent use of the sponge was registered during standard laparoscopy for the blunt dissection (30% vs. 80%; P = 0.03). Conclusions: The STAR System was beneficial in both approaches, but it imparts added benefit during robotically-assisted laparoscopic surgery organs because of the lack of tactile feedback and because the operating surgeon is remote from the patient, and has to rely on the assisting surgeon in the sterile field for dealing with bleeding episodes, cleansing/mopping the operative field when necessary, who may not be experienced or completely proficient.

KW - Blunt dissection

KW - direct manual laparoscopic surgery

KW - haemostasis

KW - robotically-assisted laparoscopic surgery

KW - surgical tampon

UR - http://www.scopus.com/inward/record.url?scp=84987802476&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84987802476&partnerID=8YFLogxK

U2 - 10.4103/0972-9941.182654

DO - 10.4103/0972-9941.182654

M3 - Article

AN - SCOPUS:84987802476

VL - 12

SP - 315

EP - 320

JO - Journal of Minimal Access Surgery

JF - Journal of Minimal Access Surgery

SN - 0972-9941

IS - 4

ER -