Absorbable Laparoscopic Cigarette Sponge

OBJECTIVES Minor intraoperative bleeding during laparoscopy poses a significant challenge to the minimally invasive urologist. We report on our improvement of the previously reported laparoscopic cigarette sponge with absorbable materials. METHODS The sponge was constructed from a strip of absorbable gelatin sponge wrapped in oxidized regenerated cellulose and secured with absorbable suture. This device can be inserted into the laparoscopic field through a standard 12-mm laparoscopic port and similarly removed. It can also remain intracorporeally if left behind following surgery. RESULTS The sponge has proven to be very effective at controlling minor hemorrhage and aiding with dissection and retraction. CONCLUSION This device has improved operative safety and provides a useful alternative when laparoscopic bleeding occurs.