Safety and efficacy of AirSeal® continuous pressure insufflator for pneumoperitoneum maintenance in minimally invasive pediatric urologic surgery.

Nicole Ronczkowski¹, Lilley Jack², Omar Hayek³, Arun Srinivasan⁴, Sameer Mittal⁵, Sahar Eftekharzadeh⁶, Aznive Aghababian⁷, Bruce Ramshaw⁸, Aseem Shukla⁹, Bradley Morganstern¹⁰

¹Current Institution: University of Wisconsin-Madison, 600 Highland Ave, Madison, WI 53792, USA. Electronic address: nronczkowski@uwhealth.org.

²Cooper University Health Care, One Cooper Plaza, Camden, NJ 08103, USA. Electronic address: ljack@augusta.edu.

³University of Alabama at Birmingham, 1710 University Blvd, Birmingham, AL 35294, USA. Electronic address: oehayek@uabmc.edu.

⁴Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA. Electronic address: srinivasanA3@chop.edu.

⁵Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA. Electronic address: mittals3@chop.edu.

⁶Einstein Healthcare Network, 5501 Old York Rd, Philadelphia, PA 19141, USA. Electronic address: Sahar.eftekharzadeh@jefferson.edu.

⁷Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA. Electronic address: aghababiaa@chop.edu.

⁸Caresyntax, 900 Larkspur Landing, Suite 120, Larkspur, CA 94939, USA. Electronic address: bruce.ramshaw@caresyntax.com.

⁹Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA. Electronic address: shuklaA@chop.edu.

¹⁰Children's Hospital of Georgia, 1446 Harper St, Augusta, GA 30912, USA. Electronic address: bmorganstern@augusta.edu.

PubMed DOI

Abstract

INTRODUCTION: The AirSeal® Continuous Pressure Insufflator is an "intelligent" alternative to traditional insufflation (TI), offering theoretically lower and more stable intraperitoneal pressure during laparoscopic surgery. Although FDA-approved for patients weighing 20 kg or more, evidence for its use in children under 20 kg is limited. We hypothesized that AirSeal® confers similar safety and eff…

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