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Microbial Colonization of Laparoscopic Gas Delivery Systems: A Qualitative Analysis

OBJECTIVE: Laparoscopic procedures utilize a pneumoperitoneum to distend and separate the abdominal wall from the intra-abdominal structures. Carbon dioxide is commonly used for this purpose, although this study is inclusive of any gas used for abdominal distention. The gas is delivered from cylinde...

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Autor principal: Ott, Douglas E.
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 1997
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3016751/
https://www.ncbi.nlm.nih.gov/pubmed/9876697
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author Ott, Douglas E.
author_facet Ott, Douglas E.
author_sort Ott, Douglas E.
collection PubMed
description OBJECTIVE: Laparoscopic procedures utilize a pneumoperitoneum to distend and separate the abdominal wall from the intra-abdominal structures. Carbon dioxide is commonly used for this purpose, although this study is inclusive of any gas used for abdominal distention. The gas is delivered from cylinders through a gas insufflation delivery system. The purpose of this study is to determine if laparoscopic gas delivery systems composed of gas cylinders and insufflators used for laparoscopy have microbes present. METHODS: Gas delivery systems were evaluated for the presence of microbial growth using standard techniques. External connection sites, gas cylinders and the internal conduit tubing of insufflators were cultured. Fifty two (52) insufflators and sixty (60) gas cylinders were evaluated. RESULTS: Twelve (12) of the sixty cylinders (20%) and fifty four (54) of the sixty insufflators (92.3%) were culture positive. The organisms identified are significant and a varied spectrum. CONCLUSIONS: Recognition that gas cylinders, insufflation attachments and internal components of insufflators quantitatively contain microbes is demonstrated. Reduction of microbial exposure from insufflation apparatus is achieved by cleansing external ports and use of a 0.3 micron filter for abdominal pneumoperitoneum.
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spelling pubmed-30167512011-02-17 Microbial Colonization of Laparoscopic Gas Delivery Systems: A Qualitative Analysis Ott, Douglas E. JSLS Scientific Papers OBJECTIVE: Laparoscopic procedures utilize a pneumoperitoneum to distend and separate the abdominal wall from the intra-abdominal structures. Carbon dioxide is commonly used for this purpose, although this study is inclusive of any gas used for abdominal distention. The gas is delivered from cylinders through a gas insufflation delivery system. The purpose of this study is to determine if laparoscopic gas delivery systems composed of gas cylinders and insufflators used for laparoscopy have microbes present. METHODS: Gas delivery systems were evaluated for the presence of microbial growth using standard techniques. External connection sites, gas cylinders and the internal conduit tubing of insufflators were cultured. Fifty two (52) insufflators and sixty (60) gas cylinders were evaluated. RESULTS: Twelve (12) of the sixty cylinders (20%) and fifty four (54) of the sixty insufflators (92.3%) were culture positive. The organisms identified are significant and a varied spectrum. CONCLUSIONS: Recognition that gas cylinders, insufflation attachments and internal components of insufflators quantitatively contain microbes is demonstrated. Reduction of microbial exposure from insufflation apparatus is achieved by cleansing external ports and use of a 0.3 micron filter for abdominal pneumoperitoneum. Society of Laparoendoscopic Surgeons 1997 /pmc/articles/PMC3016751/ /pubmed/9876697 Text en © 1997 by the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Ott, Douglas E.
Microbial Colonization of Laparoscopic Gas Delivery Systems: A Qualitative Analysis
title Microbial Colonization of Laparoscopic Gas Delivery Systems: A Qualitative Analysis
title_full Microbial Colonization of Laparoscopic Gas Delivery Systems: A Qualitative Analysis
title_fullStr Microbial Colonization of Laparoscopic Gas Delivery Systems: A Qualitative Analysis
title_full_unstemmed Microbial Colonization of Laparoscopic Gas Delivery Systems: A Qualitative Analysis
title_short Microbial Colonization of Laparoscopic Gas Delivery Systems: A Qualitative Analysis
title_sort microbial colonization of laparoscopic gas delivery systems: a qualitative analysis
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3016751/
https://www.ncbi.nlm.nih.gov/pubmed/9876697
work_keys_str_mv AT ottdouglase microbialcolonizationoflaparoscopicgasdeliverysystemsaqualitativeanalysis