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- 2. March 16, 2023 (C) Copyright 2021 2 Disposable & Portable Scope to peek inside abdomen using local anesthesia Dr Adarsh M Patil
- 3. PROBLEM Surgery is required to peek inside abdomen Diagnostic Laparoscopy Or Laparotomy • Hospital Admission, Anesthesia & Surgery • Painful, Inconvenient ,Expensive
- 4. SOLUTION Scope to peek inside abdomen using local anesthesia • Ambulatory Procedure • Local Anesthesia • Painless • Convenient • Cost-effective
- 5. POTENTIAL APPLICATIONS Onco • Peritoneal Secondaries • Staging Gastro • Tuberculosis of abdomen Adhesions • Chronic abdominal pain of unknown origin Critical Care • Patients in ICU – Not Fit for surgery or shifted to imaging Trauma & Military & Rural • Blunt abdominal injury – Penetrating Injury – Blast Injury Sequential monitoring • Postoperative bleeding or anastomotic leak Procedures • Liver Biopsy , Adhesiolysis, etc • Future • Local Chemo & Radiotherapy
- 6. SUPPORTING STUDY Peritoneoscopy for surgeons*- Prof UDWADIA Annals of the Royal College of Surgeons of England (1986) 14 years and over 2,500 peritoneoscopy in a Surgical Unit, Peritoneoscopy has its greatest value in the diagnosis of liver pathology, in ascites, jaundice, malignancy and tuberculosis especially if non- invasive scanning techniques are not available. Surgeons will be gratified to find the extent to which the PeritoneoScope can help arrive at an early histological diagnosis, plan surgery, reduce morbidity by avoiding unnecessary surgery and shorten hospitalization.
- 7. SUPPORTING STUDY • Bedside diagnostic laparoscopy to diagnose intraabdominal pathology in the intensive care unit – Prof Adriano Peris -2008 • Intensive Care Unit University of Florence Italy • 30 patients • Bedside diagnostic laparoscopy represents a safe and accurate technique for diagnosing intraabdominal pathology in an ICU setting and should be taken into consideration when patient transfer to radiology or the operating room is considered unsafe, or when routine radiological examinations are not conclusive enough to reach a definite diagnosis
- 8. IS ATMOSPHERIC AIR IN ABDOMEN SAFE ? Preoperative Progressive Pneumoperitoneum (PPP) is a technique well described for the repair of giant ventral and incisional hernias with loss of domain allowing for gradual enlargement of the abdominal cavity
- 9. COMPARISON. CT, MRI, USG, PET Scan Peritoneoscope Single dimension view, 2-dimensional view Black & White & Static Colour & Live Feed No Biopsy Biopsy Forceps Does Not differentiate between Pus, blood, or Ascitic Fluid Can differentiate between Pus, blood or Ascitic Fluid Does not pick up micro disease Can pick up micro disease Early anastomotic leak cannot be identified Can be identified investment and maintenance. Cost effective, portable, Disposable May require contrast Does not require contrast Fixed patient has to be brought to the machine, Bedside Risk of Radiation No Radiation
- 10. SAFETY OF THE DEVICE • Port is FDA cleared- Used routinely • Camera FDA Approved – Used in disposable scopes
- 11. March 16, 2023 (C) Copyright 2021 11 Founder Surgeon • Laparoscopic & Bariatric Surgeon • 15 Years experience with Scopes • Entrepreneur • Inventor Dr Adarsh M Patil MD TEAM Co Founder Hrishikesh Gadagkar Engineer • 30 Years of MedTech experience • Product development • Regulatory Landscape
- 12. March 16, 2023 (C) Copyright 2021 12 THANK YOU www. Oui-Medical.com ap@oui-medical.com Paradigm shift in Endoscopy