14. The insufflator

This chapter covers the importance of the insufflator. This is a key tool that creates a pneumoperitoneum. There is no optimal insufflation gas. Currently, CO₂ is considered to be the best option, although exceptions can be made for patients with lung disease. Gasless laparoscopic surgery is also possible. The method and materials used to create a pneumoperitoneum are described here and why high pressure should be avoided. Pressure control can be managed with the insufflator. The risks of insufflation, the technical issues that can be confronted, and how to avoid issues are also covered. Finally, this chapter addresses what steps can be taken in the future to optimize insufflation technics.