Evolution of Hepatic Endo-retractors in Incision Reduction Anti-reflux Surgery

Fausto J Dávila, MD, Daniel Tsin, MD, Guillermo Domínguez, MD, Martha R Dávila, MD, Jose Lemus, MD, Ramiro Jesus, MD. Hosp Regional de Poza Rica, Ver. Mex. Mount Sinai Hospital Queens, NY .USA Fundación Hospitalaria. Buenos Aires. Arg. Hosp Gral Dr. Manuel Gea Gonzalez.DF, Mex. Hosp Reg Zona PEMEX. Poza Rica, Ver Mex Universidad Nacional Autonoma de Mexico. DF. M


 The objective of this work is to show different forms of liver retraction by avoiding the use of additional ports and instruments thus reducing abdominal trauma as well as improving the cosmetic results, beyond traditional laparoscopy.

Material and Methods:
From July 2004 to July 2010 we conducted a retrospective study that included 32 patients, 8 men and 24 women in need of anti-reflux surgery. Patients with a BMI>30 were excluded. The instruments used for liver retraction are from 0.5 to 2 mm in diameter, developed specifically for this purpose. A 2 mm angled rod was used in 6 cases, a needle hook in 14, a retraction alligator also known as secured independent tool in 2, a laparoscopy rein (hereinafter referred to as "endolifter") in 7, and a double needle endolifter in 3. All surgeries were successfully done with no complications.

The above described mini liver retractors have the advantage of reducing abdominal trauma, with good cosmetic results and low cost. More cases are needed to validate these results.

Session Number: Poster – Poster Presentations
Program Number: P404
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