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Case Reports
. 2013 Jan-Mar;17(1):135-8.
doi: 10.4293/108680812X13517013317239.

Transvaginal liver surgery using a tethered magnet and a laparoscopic rein

Daniel Alberto Tsin  1 , Guillermo Dominguez, Fausto Davila, Juan Manuel Alonso-Rivera, Brad Safro, Andrea Tinelli
Affiliations
Case Reports

Transvaginal liver surgery using a tethered magnet and a laparoscopic rein

Daniel Alberto Tsin et al. JSLS. 2013 Jan-Mar.

Abstract

Introduction: A novel technique was used to remove a large liver cyst via culdolaparoscopy.

Case description: We used laparoscopic instruments, a gastroscope, a laparoscopic rein, and magnets. The magnets consist of an external magnet and a specially modified tethered neodymium internal magnet, safe for use in transvaginal endoscopic surgery.

Discussion: These technologies offer some advantages when they are used together: magnets and the rein to aid in exposure, traction-retraction, and triangulation. Previous reports have been published on the removal of benign liver lesions transvaginally, but none to date has involved the use of magnets. This article reports on the role of magnets and reins in an incision reduction approach to the removal of a liver cyst.

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Figures

Figure 1.
Figure 1.
The external magnet inside a tubular stockinet.
Figure 2.
Figure 2.
Tethered magnet holding the cyst wall.
Figure 3.
Figure 3.
A magnet, rein exposure.
Figure 4.
Figure 4.
Transvaginal magnet and cyst wall extraction.
See this image and copyright information in PMC

References

    1. Tsin DA, Bumaschny E, Helman M, et al. Culdolaparoscopic oophorectomy with vaginal hysterectomy: an optional minimal-access surgical technique. J Laparoendoscope Adv Surg Tech A. 2002;12:269–271 - PubMed
    1. Castro-Pérez R, Dopico-Reyes E, Acosta-González LR. Minilaparoscopic-assisted transvaginal approach in benign liver lesions. Rev Esp Enferm Dig. 2010;102(6):357–364 - PubMed
    1. Tsin DA, Dominguez G, Jesus R, Aguilar S, Davila F. Transvaginal cholecystectomy using magnetic graspers. Paper presented at: 37th Annual Meeting of the American Association of Gynecologic Laparoscopists; October 28-November 1, 2008; Las Vegas, NV
    1. Padilla BE, Dominguez G, Millan C, Martinez-Ferro M. The use of magnets with single-site umbilical laparoscopic surgery. Semin Pediatr Surg. 2011;20(4):224–231 - PubMed
    1. Davila FJ, Tsin DA, Gutierrez LS, Lemus J, Jesus R, Davila MR, Torres-Morales J. Transvaginal single port cholecystectomy surgical laparoscopy. Surg Laparosc Endosc Percutan Tech. 2011;21(3):203–206 - PubMed

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