Comparision between camera lens Fogging due to carbon dioxide Insufflation while using the insufflator Port vs the non-insufflator port in a Patient undergoing laparoscopic Cholecystectomy

Abstract

ABSTRACT Introduction: To execute minimally invasive treatments and replicate the vision that would often be provided with open surgery, laparoscopic surgery uses a high- definition camera to give the Surgeon a clear and precise viewing field. Laparoscopic Lens fogging (LLF) has been one of the most persistent problems with laparoscopic visibility. The human intraperitoneal cavity is over 37°C (and more than 85% relative humidity), in contrast to surgical rooms, which are typically maintained at a dry temperature between 20°C and 24°C. The moisture in the pneumoperitoneum around the laparoscope rises to its dew point—the temperature at which moisture from the air will condense and turn into a liquid—due to the scope's temperature fluctuation when it is positioned inside the intraperitoneal cavity. Condensation forms on the lens and the scope shaft as a result of this temperature, which is influenced by air pressure and relative humidity. Additionally, during an operation, modifications to the intraperitoneal environment, like tissue cauterization, result in changes in heat and moisture that could still have an impact on the scope's lens. Aim of the Study: To compare camera lens fogging due to carbon dioxide insufflation between the insufflator port and non-insufflator port in a patient undergoing Laparoscopic Cholecystectomy (LC).