Rapidly reversible closure of mini-laparotomy during laparoscopic colorectal surgery.
Fiche publication
Date publication
octobre 2007
Auteurs
Membres identifiés du Cancéropôle Est :
Pr MARESCAUX Jacques
Tous les auteurs :
Jamali FR, Folscher DJ, Bailey CM, Leroy J, Marescaux J
Lien Pubmed
Résumé
Specimen extraction has been described as the "Achilles heel" of laparoscopic colonic surgery. In most cases, this extraction is performed via a tailored, appropriately placed mini-laparotomy incision. Immediate closure of this mini-laparotomy following specimen extraction wastes operative time and prevents the incision from being used for access later on in the procedure. The use of hand assist devices to allow reversible closure has been reported, not without its own drawbacks including cost and difficulty of use. We hereby describe a technique of creating a rapidly reversible closure of the mini-laparotomy incision using a simple wound protector. This technique is simple, easily reproducible, inexpensive, and effective, leading to time savings in the operating room when applied properly.
Référence
Am J Surg. 2007 Oct;194(4):556-8.