J Gnanaraj1, M Rhodes2,3. 1. SEESHA Ministries, Surgical Services Intiative, Coimbatore, India. 2. Honorary Reader in Surgery, University of East Anglia, Norwich, UK. mr@lapsurgeon.co.uk. 3. Department of Surgery, Musgrove Park Hospital, Taunton, Somerset, UK. mr@lapsurgeon.co.uk.
Abstract
INTRODUCTION: 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. AIM: 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. RESULTS: 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. CONCLUSION: Our findings suggest that, using this equipment, appropriately trained surgeons can provide minimally invasive surgery in even the most remote locations.
INTRODUCTION: 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. AIM: 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. RESULTS: 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. CONCLUSION: Our findings suggest that, using this equipment, appropriately trained surgeons can provide minimally invasive surgery in even the most remote locations.
Authors: Robin T Petroze; Reinou S Groen; Francine Niyonkuru; Melissa Mallory; Edmond Ntaganda; Shahrzad Joharifard; Thomas M Guterbock; Adam L Kushner; Patrick Kyamanywa; J Forrest Calland Journal: Surgery Date: 2012-12-17 Impact factor: 3.982
Authors: Nakul P Raykar; Rachel R Yorlets; Charles Liu; Roberta Goldman; Sarah L M Greenberg; Meera Kotagal; Paul E Farmer; John G Meara; Nobhojit Roy; Rowan D Gillies Journal: BMJ Glob Health Date: 2016-12-16
Authors: N Aruparayil; W Bolton; A Mishra; L Bains; J Gnanaraj; R King; T Ensor; N King; D Jayne; B Shinkins Journal: Surg Endosc Date: 2021-08-16 Impact factor: 4.584
Authors: N Aruparayil; J Gnanaraj; S Maiti; M Chauhan; A Quyn; A Mishra; L Bains; G Mathew; C Harris; B Cundill; A Fellows; K Gordon; B Dawkins; B Shinkins; J Brown; D Jayne Journal: Int J Surg Open Date: 2021-09
Authors: William S Bolton; Noel K Aruparayil; Manish Chauhan; William R Kitchen; Kevin J N Gnanaraj; Alice M Benton; Sophie E Hutchinson; Joshua R Burke; Jesudian Gnanaraj; David G Jayne; Peter R Culmer Journal: Surg Innov Date: 2020-10-06 Impact factor: 2.058