An original and effective technique to improve exposure in open surgery

E Nohuz,G Chêne

doi:10.1186/s10397-017-1013-5

E Nohuz, G Chêne

Open Access

https://doi.org/10.1186/s10397-017-1013-5

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Abstract

BackgroundExposure, especially when the organs are enlarged, remains one of the most important issue in open surgery. Considering this constraint appears critical in the progress of the surgical procedure. We highlight our technique which affords optimal exposure and improves manipulation and extraction of enlarged organs.ResultsThis original and effective technique is derived from an obstetrical device used to perform an assisted vaginal delivery. It improves exposure, reduces tissue manipulation, and enhances removal of the surgical specimen during hysterectomies and myomectomies. It can be similarly helpful sometimes to grasp and remove (by mini laparotomy) enlarged adnexa during laparoscopic procedures. Moreover, this trick appears particularly suited in case of obese patients.ConclusionThis new technique procures a real benefit for both the patient and the surgeon in terms of ergonomics and safety.

Highlights

Exposure, especially when the organs are enlarged, remains one of the most important issue in open surgery
Surgical technique (Additional file 1) We use a device of 50-mm diameter which provides the exposure of voluminous uterus during hysterectomies performed by laparotomy (Fig. 1)
The vacuum cup is positioned on the fundus of the uterus to tract it, through the parietal incision

Summary

Introduction

Especially when the organs are enlarged, remains one of the most important issue in open surgery Considering this constraint appears critical in the progress of the surgical procedure. Results: This original and effective technique is derived from an obstetrical device used to perform an assisted vaginal delivery. It improves exposure, reduces tissue manipulation, and enhances removal of the surgical specimen during hysterectomies and myomectomies. It can be helpful sometimes to grasp and remove (by mini laparotomy) enlarged adnexa during laparoscopic procedures. This trick appears suited in case of obese patients. Conclusion: This new technique procures a real benefit for both the patient and the surgeon in terms of ergonomics and safety

Methods

Results

Conclusion