HANDMADE BAG FOR LAPAROSCOPIC SURGERY

Laparoscopic surgery is the best approach to many surgical pathologies. The removal of the cancer part should be done in a protected manner to decrease the rate of infection, part rupture or spread of cancer cells to healthy tissue. There are commercial collector scholarships in the market, with high costs, difficulty in the release of use by medical agreements and their absence in the public health system. Manual bag collection with affordable and available materials is a positive alternative for use in laparoscopic surgery. The technique of producing a bag made of soft and transparent material using the video cover made in the surgical field was developed immediately before the beginning of the surgery. A blind background knot is made at the end of the video cover. It is important that the knot is tight enough to allow material to enter into 10mm trocar. Bevel cutting is performed with reinforcement of the edges with sterile microporous tape followed by suturing in flat and tying the ends of the thread to each other. It is possible to estimate the final volume of the bag according to the expected to be found, which is not feasible when making bags made with gloves. The diagonal cut (bevelled) is intended to increase the area of entry to the bag, facilitating the entry of the surgical part. The reinforcement allows increased traction at the time of removal of the piece, aided by suture, which allows the bag to close at the time of removal as well as prevents the bag from being opened with inadvertent traction of only one of the threads. The collection bag made with video cover is easy to perform and presents satisfactory results in the retention of oncologic surgical specimens.

 

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Artikel online veröffentlicht:
23. Oktober 2019