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the port," she says. "The longer length
removes you from the patient and gives you
space."
Inside and outside
Internal retraction is an advance that Drs.
Curcillo, Ross and Ponsky all see as potentially making a huge difference in efficiency for
the single-incision surgeon.
The exhibit hall at a recent general surgery
conference saw the introduction of 2 internal
retraction products deployed through ports,
neither of which monopolizes trocars the way
manual retractors or graspers do. One of
them, a single-use device, lifts and holds
organs against the abdominal wall through
the use of articulating, atraumatic clips. The
other is a dynamic system that uses a removable 5mm device to manipulate tissue at the
site through adjusting internal tension lines.
"If you can eliminate hand-held retraction,"
says Dr. Curcillo, "it gives you more room to
work."
Dr. Ross agrees. "If you're doing dissection
during gastric reflux reconstruction, you don't
have enough trocar ports to retract the fat.
Internal retractors can make the work a lot
easier." OSM
E-mail dbernard@outpatientsurgery.net.
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O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E | D E C E M B E R 2013
