Magnetic Surgery by Unknown

Author:Unknown
Language: eng
Format: epub
ISBN: 9783030739478
Publisher: Springer International Publishing

Foregut Surgery

As mentioned earlier, once feasibility and safety of magnetic instrumentation was attained in general basic surgical procedures, many scholars began to implement the procedure in foregut and bariatric surgery. In the case of foregut surgery, due to the unpredictable force that magnetic instrumentation can provide, magnetic instruments have been mainly utilized for purposes of liver retraction either by mimicking laparoscopic fan retraction (Caddedu), grasping the diaphragmatic crura (Dominguez), or by grasping the edge of the liver (Levita Mag). Additionally, magnetic instruments have been utilized for gastric retraction because the stomach can withstand more pressure and retraction, especially in the case of sleeve gastrectomies, when the grasped and retracted area is part of the specimen being resected. Lastly, as an important technical point, the upper abdominal wall usually has a lower thickness than in the lower abdomen and pelvis. This allows for more coupling capacity, which as we will discuss later may be an important limitation in some individuals (i.e., morbidly obese) or given anatomical areas (lower abdomen, pelvis, etc.) where there is an increased thickness of the abdominal wall.

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