A system and method for providing a novel trans-abdominal gastric access device for surgical instruments by means of a percutaneous abdominal-gastric cannula with internal bolster that is positioned endoscopically similar to a standard pull-through percutaneous endoscopic gastrostomy technique. The TAGSS® device has several major components which include the following
- Working TAGSS® endoscopic-laparoscopic port with the ability to pass all generic 5mm laparoscopic instruments.
- Cap with insufflation capability that is readily affixed to the TAGSS® cannula.
- An adjustable external disc to secure the TAGSS® cannula against the anterior abdominal wall prior to surgical instrumentation, which also contains pre-positioned sutures to enable rapid and effective closure of gastro-cutaneous or gastro-peritoneal openings.
- Internal bumper adjacent to the gastric wall to effectively position TAGSS.®
TAGSS® allows for the potential treatment of a large variety of intragastric, abdominal and pelvic diseases in easier, safer and more cost-effective ways than currently available methods provide. Many procedures performed with the TAGSS® platform can be accomplished with a single, very small incision. This is possible because of the simultaneous use of standard or interventional endoscopy. Additional TAGSS® placement(s) can also be easily accomplished per the need for enhanced triangulation or trans-gastric laparoscopic procedures. The surgical team then has direct access to the esophagus, stomach and duodenum.