J Min Access Surg Close
 

Figure 1: Set up of J-shaped retractor (a) After a vertical incision of the skin through the umbilicus, the umbilical wound including the entire thickness of the abdominal wall was expanded using an Alexis retractor. (b) A Thompson surgical retractor was applied. The Thompson retractor was mounted on the surgical table with an angled arm that fits in the joint of a rail clamp. (c) One J-shaped retractor was secured to the angled arm with articulation. A J-shaped retractor was designed for attachment to the Thompson surgical retractor. Then, a 5-mm 30° rigid laparoscope was inserted into the pelvic cavity via the umbilical incision to exclude the presence of adhesions. (d) Abdominal wall retraction was performed with two J-shaped retractors for gasless laparoscopy. While the operator lifted the J-shaped retractor manually, the assistant adjusted the clamp of the angled arm connected to the Thompson retractor. (e) The J-shaped retractor was manually lifted and tightened to secure the working area

Figure 1: Set up of J-shaped retractor (a) After a vertical incision of the skin through the umbilicus, the umbilical wound including the entire thickness of the abdominal wall was expanded using an Alexis retractor. (b) A Thompson surgical retractor was applied. The Thompson retractor was mounted on the surgical table with an angled arm that fits in the joint of a rail clamp. (c) One J-shaped retractor was secured to the angled arm with articulation. A J-shaped retractor was designed for attachment to the Thompson surgical retractor. Then, a 5-mm 30° rigid laparoscope was inserted into the pelvic cavity via the umbilical incision to exclude the presence of adhesions. (d) Abdominal wall retraction was performed with two J-shaped retractors for gasless laparoscopy. While the operator lifted the J-shaped retractor manually, the assistant adjusted the clamp of the angled arm connected to the Thompson retractor. (e) The J-shaped retractor was manually lifted and tightened to secure the working area