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Video of Demonstration of Laparoscopic Insufflator: Regulating Pneumoperitoneum for Safe Minimal Access Surgery
For Surgeon / Apr 11th, 2025 4:37 am     A+ | a-
In this video, we will discuss that A crucial component of any laparoscopic surgery is the creation and maintenance of a safe and stable pneumoperitoneum—the insufflation of carbon dioxide gas into the abdominal cavity to lift the abdominal wall and create a working space for the surgeon. In this video, titled "Demonstration of Laparoscopic Insufflator: Regulating Pneumoperitoneum for Safe Minimal Access Surgery," we offer a hands-on explanation of how a laparoscopic insufflator functions, its key components, and the safety measures associated with its use.

Understanding the Role of the Laparoscopic Insufflator

The laparoscopic insufflator is a gas-regulating device that delivers controlled amounts of CO₂ gas through a Veress needle or trocar to create intra-abdominal pressure. This pressure lifts the abdominal wall away from the internal organs, providing the surgeon with enhanced visualization, instrument mobility, and operative safety.

What This Video Demonstrates

Device Setup and Components

The video walks through how the insufflator is connected to a medical-grade CO₂ cylinder and how the tubing is secured to the trocar or Veress needle. The various display parameters such as pressure, flow rate, and total gas volume are explained in detail.

Setting Insufflation Pressure and Flow

Demonstrators show how to set intra-abdominal pressure (commonly 12–15 mmHg in adults) and adjust gas flow rate (usually between 1–6 L/min) for optimal abdominal expansion without compromising cardiovascular or respiratory function.

Safety Features

The insufflator’s built-in alarms and auto shut-off systems are highlighted. These include overpressure protection, high flow rate warnings, and leak detection—ensuring patient safety during the entire procedure.

Real-Time Monitoring

The importance of continuously monitoring pressure levels and gas usage is emphasized, allowing the surgical team to make immediate adjustments if needed.

Clinical Importance of Pneumoperitoneum

Adequate pneumoperitoneum not only provides a clear surgical field but also reduces the risk of inadvertent organ injury, facilitates easier instrument movement, and enhances overall efficiency of laparoscopic procedures.

Applications in Surgery

Laparoscopic insufflators are indispensable in procedures such as:
Laparoscopic cholecystectomy
Appendectomy
Hernia repair
Gynecologic surgeries like TLH and ovarian cystectomy
Colorectal and bariatric surgeries

Conclusion

This demonstration of the laparoscopic insufflator provides a fundamental understanding of how pneumoperitoneum is safely established and maintained throughout minimal access surgery. Mastery of this device is essential for every laparoscopic surgeon and operating room staff member to ensure optimal procedural outcomes and patient safety.

Watch the full video to learn how a laparoscopic insufflator functions in real-time and discover why it is a cornerstone of safe and effective laparoscopic surgery. Don’t forget to like, comment, and subscribe for more surgical training videos and operating room insights.
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Cyber City
Gurugram, NCR Delhi, 122002
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World Journal of Laparoscopic Surgery



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