RESUMO
BACKGROUND: We describe our experience using a new self-retaining atraumatic abdominal retractor for minilaparotomy performed either alone or in conjunction with laparoscopy. TECHNIQUE: Minilaparotomy was performed by a conventional technique and the self-retaining abdominal wall retractor (Dexterity Protractor) was placed for the duration of the open surgery. EXPERIENCE: The device was employed in 72 consecutive cases in which minilaparotomy was performed either alone or in conjunction with laparoscopy. Indications for minilaparotomy included extensive myomectomies and tubal ligation reversals in fertility patients, hysterectomies, adnexal surgery, appendicitis, and either planned or incidental concomitant bowel surgery. No allergic reactions to the plastic device were noted. Postoperative evaluation demonstrated no evidence of wound infections, nerve injuries, seromas or dehiscence in the short term, nor hernia formation or other complications in the long term. CONCLUSION: The Dexterity Protractor permitted effective retraction of the abdominal wall. The device provided gentle retraction around the entire incision, excellent surgical exposure, and a barrier to specimens containing bacterial or potentially malignant cells. The method of application was uncomplicated and well-suited to abdominal walls of varying thickness. The utilization of this device was not associated with wound-related complications in this study of patients.
