Novel Technique for Defogging and Cleaning the Laparoscope Lens uring Minimally Invasive Surgery

Background

Condensation on the lens of the laparoscope resulting from differences between room temperature and intra-abdominal temperature is a disturbing problem for laparoscopic surgeons. Anti lens condensation solutions prevent fogging in the intra-abdominal environment, but are troublesome to apply to the scope. We describe a technique that allows the antifogging solution to be applied to the endoscope without removing it from the patient.

Methods

A simple technique is described for cleaning the lens with anti-fogging solution without the need to remove the laparoscope from the abdomen, using a syringe and cheap plastic sheath introduced through a laparoscopic port.

Results

The technique described is a cost-effective and time-efficient way to maintain the correct laparoscope temperature while cleaning and de-fogging the lens as required throughout laparoscopic procedures.

Conclusion

The use of a syringe and cheap plastic sheath can allow application of antifog solution to the laparoscope lens without removing it from the body cavity, overcoming the main issues associated with maintaining lens clarity during laparoscopic surgery.