COVID-19 | Update regarding aerosol exposure to your operating team

We would like to inform you about the recent recommendations of SAGES and EAES regarding surgical response to the COVID-19 crisis.

 The article states the following:

  • Incisions for ports should be as small as possible to allow for the passage of ports but not allow for leakage around ports.
  • CO2 insufflation pressure should be kept to a minimum and an ultra-filtration (smoke evacuation system or filtration) should be used, if available.
  • All pneumoperitoneum should be safely evacuated via a filtration system before closure, trocar removal, specimen extraction or conversion to open

Click here to read the full report.

 In laparoscopic surgery, the creation of an artificial pneumoperitoneum may increase the risk of aerosol exposure to the operating team.

Specific evidence relating to the presence of SARS-CoV-2 virus in the peritoneal cavity and thus its transmission during laparoscopic surgery is lacking,
but theoretical risks may be extrapolated from previous pandemics and viral infections.

Therefore, we would like to give you an important update on 2 products within our range regarding Smoke Evacuation and Filtration:

Laparascopic Smoke Filter Alesi

Medical PTFE and Carbon Filters – Fairmont

The Fairmont Medical Lapview is a passive and on demand smoke evacuation filter which is used where surgical plume is generated inside the abdomen of patients during laparoscopic procedures.

Fairmont has released a document that shows that Fairmont filters, despite not being specifically tested for Corona virus, may provide a similar filter efficiency when challenged with COVID-19.

Please be aware that information surrounding the features of COVID-19 largely remain unknown and the information above is based on recently published data, we have not conducted testing against COVID-19 virus and caution shall be taken.

Alesi Ultravision

Ultravision smoke evacuation system - Alesi Surgical

Ultravision™ uses the proven process of electrostatic precipitation to eliminate surgical smoke and provide a continuously clear visual field during laparoscopic surgery without the need for CO2 exchange.

The SAGES and EAES article states the following about the the ‘Ultravision’-system:

SAGES and EAES do not endorse any of the following products. This is a working list of commercially available products that could potentially be used to filter CO2 gas or smoke evacuated during open, laparoscopic, and endoscopic procedures. […]  In addition to smoke evacuation products, the Ultravision system may minimize aerosolized particles within pneumoperitoneum.

Click the link below to read the full article concerning “Smoke & Gas Evacuation during open, Laparoscopic, and Endoscopic procedures”

www.sages.org/resources-smoke-gas-evacuation-during-open-laparoscopic-endoscopic-procedures/

More info

If you have additional questions concerning this topic, do not hesitate to contact us by clicking the button below.

Take care of yourself and others