Objectives: This study aims to evaluate the safety, efficacy, and cost-effectiveness of the Laparoscopic Organ Suspension (OS) sec. Angioni, an innovative approach to transient OS in laparoscopic gynecological procedures. Recognizing the need to enhance surgical site access and overcome limitations of existing organ retraction methods, the study investigates a novel, in-theater constructed OS device. Design: This retrospective observational study was conducted from March 2019 to May 2021 and included 330 patients who underwent multiport or single-site-port laparoscopic surgery employing Angioni’s technique for transient pelvic OS. Participants/Materials, Setting, Methods: Participants included individuals undergoing surgery for conditions such as endometriosis, ovarian cancer, endometrial cancer, pelvic prolapse, and benign ovarian cysts. The Laparoscopic OS sec. Angioni utilizes a segment of a Foley catheter connected to a Polyglactin suture to provide adjustable tension, minimizing the need for reconfiguration during surgery. Results: The application of this OS technique resulted in an average suspension time of 1.9 min, with no significant difference between senior and junior surgeons. The method proved more time-efficient for posterior peritoneum suspension than other published methods and showed no additional risks of organ damage, bleeding, conversion to laparotomy, or OS-related complications. The secondary outcomes revealed reduced hospital stays and minimal blood loss, highlighting the procedure’s overall efficiency. Limitations: Given its retrospective and single-center nature, the study’s results may not be widely generalizable. Prospective multicentric comparative studies are recommended to further validate Angioni’s technique. Conclusions: Laparoscopic OS sec. Angioni is introduced as a straightforward, safe, and cost-effective method that significantly streamlines the surgical process. Its adaptability and ease of use suggest that it could be a valuable addition to current gynecological surgical practices, with potential implications for increasing efficiency and reducing procedural costs. Future studies are required to confirm these results across diverse clinical environments.

Our study investigates a new, simple method for holding organs in place during laparoscopic gynecological surgery. Typically, this surgery is minimally invasive, but surgeons can face difficulties in moving and securing organs out of the way for clear access and visibility. Laparoscopic Organ Suspension sec. Angioni uses a small segment of a commonly available catheter attached to a suture with a needle to lift and hold the organs gently. This technique is easy to implement, reduces the time needed for such procedures, and minimizes the risk of organ damage. It also shows promise in making surgeries more cost-effective by avoiding the need for expensive equipment. Our findings suggest that this approach could be widely adopted and improve the efficiency and safety of surgical procedures in this field.

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