Please use this identifier to cite or link to this item: https://repository.southwesthealthcare.com.au/swhealthcarejspui/handle/1/3798
Journal Title: Vacuum stabilization of the spleen in laparoscopic splenectomy
Authors: Gan, Philip S. L.
SWH Author: Gan, Philip S. L.
Keywords: Bleeding
Case Report
Comparative Effectiveness
Dissection
Exposure
Human
Human Tissue
Laparoscopy
Organ Injury
Retractor
Spleen
Splenectomy
Surgery
Vacuum
Issue Date: 2016
Date Accessioned: 2023-04-12T02:10:02Z
Date Available: 2023-04-12T02:10:02Z
Url: https://dx.doi.org/10.4293/JSLS.2016.00013
Description Affiliation: P.S.L. Gan, Suite 7, 136 Botanic Road, Warrnambool, VIC 3280, Australia. E-mail: philip.gan@mac.com
Gan, Philip S L. Department of General Surgery, Southwest Healthcare, Warrnambool, Victoria, Australia.
Format Startpage: e2016.00013
Source Volume: 20
Issue Number: 1
DOI: https://dx.doi.org/10.4293/JSLS.2016.00013
Date: 2016
Abstract: Background and Objectives: Recovery from laparoscopic splenectomy is greatly enhanced when compared with recovery from the laparotomy approach, yet a minority of spleens are removed laparoscopically. The spleen is smooth, rounded, and vascular, making it difficult to directly grasp, stabilize, or retract laparoscopically. The LiVac Retractor is a laparoscopic liver retractor comprising a soft silicone open ring that apposes 2 substantially planar surfaces when a vacuum is applied. It was evaluated for its efficacy in stabilization of the spleen during 2 laparoscopic splenectomies. Method(s): The 2 patients gave consent for laparoscopic splenectomy with splenic retraction using the LiVac Retractor. The entire 3-port laparoscopic procedure was video recorded, with the resected spleens weighed as wet specimens. The patients' postoperative courses are described. Result(s): The spleen was retracted securely for the duration of the hilar dissection in both patients. Exposure of the splenic hilum was excellent. There were no visible signs of injury to either spleen and recovery of both patients was unremarkable. Conclusion(s): The LiVac Retractor provided stable retraction and excellent exposure of the splenic hilum during both laparoscopic splenectomies, without organ injury. Early hilar dissection with vascular control was facilitated, reducing the risk of bleeding from other components of the dissection. Copyright © 2016 by JSLS, Journal of the Society of Laparoendoscopic Surgeons.
URI: https://repository.southwesthealthcare.com.au/swhealthcarejspui/handle/1/3798
Journal Title: Journal of the Society of Laparoendoscopic Surgeons
Type: Journal Article
Appears in Collections:SWH Staff Publications

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