Читать книгу Small Animal Laparoscopy and Thoracoscopy онлайн
207 страница из 232
21 21 Bergemann, J.L., Hibbert, M.L., Harkins, G. et al. (2001). Omental herniation through a 3‐mm umbilical trocar site: unmasking a hidden umbilical hernia. J. Laparoendosc. Adv. Surg. Tech. 11: 171–173.
22 22 Shaher, Z. (2007). Port closure techniques. Surg. Endosc. 21: 1264–1274.
23 23 Mikhail, E. and Hart, S. (2014). Laparoscopic port closure. Surg. Technol. Int. 24: 27–33.
4.3 Miscellaneous Surgical Instrumentation
Penny J. Regier and W. Alex Fox‐Alvarez
Key Points
Specimen retrieval bags allow for extraction of tissue with reduced risk of bacterial or neoplastic contamination.
Single‐use integrated suction and irrigation devices are commercially available, but separate options for resterilization are also available.
Wound protector and retractor devices are very useful for increased surgical exposure and port protection.
Specimen Retrieval Bags
Prior to the development of specimen retrieval bags, minimally invasive surgeons removed intracorporeally resected tissue through unprotected port sites and small incisions. Manipulating infectious or neoplastic specimens through port incisions can lead to the uncommon but serious complication of port‐site metastasis or infection [1, 2]. The use of a retrieval bag allows for a contained extraction of potentially harmful tissue within an impermeable pouch and has been documented to reduce port or incision site contamination [3–6]. In veterinary medicine, specimen retrieval bags have been most often reported for use in minimally invasive cholecystectomy and tumor resections in the thorax and abdomen [7–9].