General Surgery Solutions

Postoperative metrics prove that operating at low pressure with AirSeal® delivers:

50% reduction in hospital length of stay1-8

33% reduction in PACU1-8

Reduced postoperative pain1-8

Reduced postoperative ileus rates9

We see much less reported pain associated with trapped CO2, especially in the shoulder regions. In my practice, I have standardized AirSeal® and have seen a clear benefit in patient outcomes. Almost all of the operations are now completely at a pressure of 10mmHg or less, and the average is approximately 6-8mmHg.

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Sudeep Burman, DO

With AirSeal®, I know that my pressure will stay where I set it. When I can maintain that environment, it affects everything: predictable respiratory metrics, reduced tissue trauma, and stable visual field.

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Philip Woodworth, MD 

AirSeal® for Hernia Repair

AirSeal® not only allows the surgeon to easily decrease pneumoperitoneum during closure, but also enables the entire procedure to be performed at ultra-low pressure to gain further patient benefits. In addition, AirSeal® provides smooth, constant pressure for surgeon visualization of the rectrorectus space.

We employ AirSeal® in all of our eTEP hernia repairs when visualization is extremely important in the small working area. The operation is started at a pressure of 15mmHg and then quickly reduced below 10mmHg. At the time of closure, our average pressure is 5-7mmHg, which allows for a nice tension-free closure.

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Sudeep Burman, DO

AirSeal® for Cholecystectomy

AirSeal® allows for laparoscopic and robotic-assisted cholecystectomies to be performed at ultra-low pressure without the loss of visualization. When a surgeon works in the triangle of calot, visualization can be maintained at low pressure - even during acute gall bladder procedures where heavy suction often occurs. Also, AirSeal® easily overcomes extreme smoke and fog created in difficult cases of dissection of the gall bladder off the liver bed.

Experience the Benefits of Argon Beam Coagulation Technology with HelixAR™

  • Rapid superficial hemostasis
  • Less tissue damage
  • Focused RF energy
  • Clear visualization

View a Mastectomy Technique Using ABC®

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1 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
2 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/s11701-020-01104-4c
3 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
4 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
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;124(2):308-313. doi:10.1111/ bju.14682
6 Ramshaw B, Vetrano V, Jagadish M, Forman B, Heidel 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
7 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
8 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
9 Reduction in postoperative ileus rates utilizing lower pressure pneumoperitoneum in robotic-assisted radical prostatectomy. Rohloff M, Cicic A, Christensen C, Maatman TK, Lindberg J, Maatman TJ. J Robot Surg. 2019 Jan 2. doi: 10.1007/s11701-018-00915-w.