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. 2024 Jul 19:51:e20243765.
doi: 10.1590/0100-6991e-20243765-en. eCollection 2024.

Low-cost wound protector for laparoscopic surgeries

[Article in English, Portuguese]
Carlos Augusto Metidieri Menegozzo  1 , Cristiane Prestes DA Rosa Oliveira  1 , Roberto Rasslan  1 , Felipe Kfouri  1 , Alberto Bitran  1 , Renato Silveira Leal  1 , Sergio Henrique Bastos Damous  1 , Edivaldo Massazo Utiyama  1
Affiliations

Low-cost wound protector for laparoscopic surgeries

[Article in English, Portuguese]
Carlos Augusto Metidieri Menegozzo et al. Rev Col Bras Cir. .

Abstract
in English, Portuguese

The role of wound protectors in laparoscopic surgeries is highly controversial in the literature. Some studies demonstrate their benefit in reducing the rate of surgical site infections; however, these results are not reproducible across all procedures. In addition to protecting the operative wound, these devices can be used at sites of surgical specimen extraction in laparoscopic procedures. Several commercially available devices serve this purpose but are scarcely available in resource-limited settings. One of the reasons for this limitation is the cost of the device. In this technical note, we aim to provide a cost-effective option utilizing materials readily available in the operating room and with a simple fabrication process.

O papel dos protetores de ferida operatória em cirurgias laparoscópicas é bastante controverso na literatura. Alguns estudos demonstram seu benefício na redução da taxa de infeções de sítio cirúrgico, porém esses resultados não são reprodutíveis em todos os procedimentos. Além da proteção da ferida operatória, esses dispositivos podem ser utilizados nos sítios de extração de peças cirúrgicas em procedimentos laparoscópicos. Há vários dispositivos comercialmente disponíveis para esse fim, entretanto são pouco disponíveis nos serviços com menos recursos. Um dos motivos dessa limitação é o custo do dispositivo. Nesta nota, buscamos oferecer uma opção barata que utiliza materiais amplamente disponíveis no centro cirúrgico e cuja confecção é simples.

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Conflict of interest statement

Conflict of interest: no.

Figures

Figure 1
Figure 1. Steps for making the internal and external halos that will serve as the ends of the surgical wound protector.
Figure 2
Figure 2. Steps for making one of the ends of the surgical wound protector consisting of the sectioned sterile glove and two halos (internal and external).
Figure 3
Figure 3. Steps for making the other end of the surgical wound protector and attaching the halos to the sterile glove.
Figure 4
Figure 4. Twisting maneuver of the surgical wound protector that allows the maintenance of the pneumoperitoneum in laparoscopic surgeries, outside the operative field (a and b), and in the operative field, after the removal of the specimen (c), demonstrating the device’s ability to maintain an adequate pneumoperitoneum (d).
See this image and copyright information in PMC

References

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