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AirSeal^® FAQs

(Frequently Asked Questions)

What does AirSeal^® provide besides smoke evacuation and stable pneumoperitoneum?

Aside from these important benefits, there have been 36 peer-reviewed studies proving numerous clinical benefits when operating at low pressure.^1-9 AirSeal^® helps improve patient outcomes.

Can using AirSeal^® at low pressure reduce insufflation-related complications?

Yes, peer-reviewed studies show that AirSeal^® decreases these insufflation-related complications.^1-9

Is AirSeal^® only for robotic-assisted laparoscopic surgery?

No, AirSeal^® is for every laparoscopic surgery in the abdominal and thoracic cavities for both adult and pediatric patients.

Must you use the AirSeal^® trocar and tubing for every procedure?

AirSeal^® is an all-in-one insufflator, but three tube sets are offered. These include ones for AirSeal^® mode, smoke evacuation mode, and standard insufflation mode.

Does high-flow conventional insufflation provide stability and improve patient outcomes?

No, there is no evidence that suggests high-flow conventional insufflation improves stability or patient outcomes. AirSeal^® is the only insufflation system backed by clinical data showing improve patient outcomes at low pressure.^1-9

Do new insufflators on the market offer precision at low pressure and are they the "same" as AirSeal^®?

No. AirSeal^® has a proprietary cannula design that ensures uninterrupted CO₂ flow and simultaneous smoke evacuation, creating a responsive gas barrier that delivered pressure precision and excellent surgical visualization.¹⁰

¹ Abaza R, Martinez O, Ferroni MC, Bsatee A, Gerhard RS. Same Day Discharge after Robotic Radical Prostatectomy. J Urol. 2019;202(5):959-963. doi:10.1097/JU.0000000000000353
² Buda A, Di Martino G, Borghese M, et al. Low-Pressure Laparoscopy Using the AirSeal System versus Standard Insufflation in Early-Stage Endometrial Cancer: A Multicenter, Retrospective Study (ARIEL Study). Healthcare (Basel). 2022;10(3):531. Published 2022 Mar 14. doi:10.3390/healthcare10030531
³ Celarier S, Monziols S, Célérier B, et al. Low-pressure versus standard pressure laparoscopic colorectal surgery (PAROS trial): a phase III randomized controlled trial. Br J Surg. 2021;108(8):998-1005. doi:10.1093/bjs/znab069
⁴ Feng TS, Heulitt G, Islam A, Porter JR. Comparison of valve-less and standard insufflation on pneumoperitoneum-related complications in robotic partial nephrectomy: a prospective randomized trial. J Robot Surg. 2021;15(3):381-388. doi:10.1007/s11701-020- 01117-z 2.
⁵ Ferroni MC, Abaza R. Feasibility of robot-assisted prostatectomy performed at ultra-low pneumoperitoneum pressure of 6 mmHg and comparison of clinical outcomes vs standard pressure of 15 mmHg. BJU Int. 2019 Aug;124(2):308-313. doi: 10.1111/ bju.14682. Epub 2019 Feb 7. PMID: 30653808
⁶ Foley CE, Ryan E, Huang JQ. Less is more: clinical impact of decreasing pneumoperitoneum pressures during robotic surgery. J Robot Surg. 2021;15(2):299-307. doi:10.1007/s11701-020-01104-4
⁷ Ramshaw B, Forman B, Heidel E, Dean J, Gamenthaler A, Fabian M. A Clinical Quality Improvement (CQI) Project to Improve Pain After Laparoscopic Ventral Hernia Repair. Surg Technol Int. 2016;29:125-130
⁸ Ramshaw B, Vetrano V, Jagadish M, Forman B, HeideACl E, Mancini M. Laparoscopic approach for the treatment of chronic groin pain after inguinal hernia repair : Laparoscopic approach for inguinodynia. Surg Endosc. 2017;31(12):5267-5274. doi:10.1007/ s00464-017-5600-3
⁹ Saway JP, McCaul M, Mulekar MS, McMahon DP, Richards WO. Review of Outcomes of Low Verses Standard Pressure Pneumoperitoneum in Laparoscopic Surgery. Am Surg. 2022;88(8):1832-1837. doi:10.1177/00031348221084956 5.
¹⁰ Bucur P, Hofmann M, Menhadji A, et al. Comparison of Pneumoperitoneum Stability Between a Valveless Trocar System and Conventional Insufflation: A Prospective Randomized Trial. Urology. 2016;94:274- 280. doi:10.1016/j.urology.2016.04.022
¹¹ 16 Desroches B, Porter J, Bhayani S, Figenshau R, Liu PY, Stifelman M. Comparison of the Safety and Efficacy of Valveless and Standard Insufflation During Robotic Partial Nephrectomy: A Prospective, Randomized, Multi-institutional Trial. Urology. 2021 Jul;153:185-191. doi: 10.1016/j.urology.2021.01.047. Epub 2021 Feb 10. PMID: 33577899
¹² Covotta M, Claroni C, Torregiani G, et al. A Prospective, Randomized, Clinical Trial on the Effects of a Valveless Trocar on Respiratory Mechanics During Robotic Radical Cystectomy: A Pilot Study. Anesth Analg. 2017;124(6):1794-1801. doi:10.1213/ANE.0000000000002027
¹³ Desroches B, Porter J, Bhayani S, Figenshau R, Liu PY, Stifelman M. Comparison of the Safety and Efficacy of Valveless and Standard Insufflation During Robotic Partial Nephrectomy: A Prospective, Randomized, Multi-institutional Trial. Urology. 2021;153:185-191. doi:10.1016/j.urology.2021.01.047
¹⁴ Sroussi J, Elies A, Rigouzzo A, et al. Low pressure gynecological laparoscopy (7mmHg) with AirSeal® System versus a standard insufflation (15mmHg): A pilot study in 60 patients. J Gynecol Obstet Hum Reprod. 2017;46(2):155-158. doi:10.1016/j.jogoh.2016.09.003