Surgically treatable conditions are an increasing burden in low- and middle-income countries, and recent studies suggest they have overtaken the “big three” (malaria, tuberculosis and HIV) as a cause of mortality.
In this context, we have worked to modify standard laparoscopic equipment to allow laparoscopy in remote areas without support services such as bottled gases or disposable instruments.
A simple and reliable system of gasless laparoscopy has been developed using robust reusable instruments, widening the potential availability of laparoscopic surgery in remote and rural areas.
Our findings suggest that, using this equipment, appropriately trained surgeons can provide minimally invasive surgery in even the most remote locations.
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Michael Rhodes and Jesudian Gnanaraj have no conflict of interest and no relationships with any pharmaceutical or device company.
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Gnanaraj, J., Rhodes, M. Laparoscopic surgery in middle- and low-income countries: gasless lift laparoscopic surgery. Surg Endosc 30, 2151–2154 (2016). https://doi.org/10.1007/s00464-015-4433-1
- General < technical
- Instruments < technical
- Surgical < technical