Ga., and Daytona Beach, Fla.
To help reduce shoulder pain and the pain associated with abdomi-
nal distention, Dr. Ramshaw has had success with a low-pressure
pneumoperitoneum system (AirSeal by Surgiquest). The technology
provides continuous smoke evacuation and valve-free access to the
abdominal cavity as well as a stable pneumoperitoneum.
6
Hemodynamics monitoring
An innovation that helps preclude the need for potentially
problematic pulmonary artery catheters and central venous
lines, hemodynamics monitoring enables the same information moni-
toring with a non-invasive arterial line or, in many cases, a device that
resembles a pulse oximeter and which fits on the patient's finger.
7
New robotics
The recently released DaVinci XI system, designed for more gen-
eral surgical applications and greater versatility, represents an
intriguing prospect, say several members of our panel.
Among other things, it acknowledges the proponents of the LESS
approach with a single-site configuration that can be used in chole-
cystectomy, benign hysterectomy and salpingo-oophorectomy pro-
cedures.
8
Intragastric balloon system
Also attracting attention is the recently FDA-approved Orbera
intragastric balloon weight-loss system, which is placed into
the stomach through the mouths of patients under mild sedation and
then filled with saline, so it takes up space and helps patients feel less
hungry. One key will be whether patients maintain weight loss, since
it must be removed after 6 months.
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