Problem

Challenge to obtain good exposure due to location of stoma

The stoma of the patient had reduced connection with the skin. It was decided to perform a revision of the colostoma through a laparoscopic procedure. The stoma was located on the lateral side distal from the splenic flexure. It is a challenge to obtain good exposure and a proper orientation of the active instrument (e.g. vessel sealer) to the mesocolon (and adhysiolysis). Normally this requires multiple instrument re-allocations of the assisting instrument to dissect the complete length segment and circumference of the descending colon.

“I have a perfect exposure and stretch of a large section of the mesocolon and adhesiolysis.”

– D. Lips, M.D.

Solution

The steerable LaproFlex grasper can be bent to always keep optimal exposure

After grasping tissue, the steerable LaproFlex grasper can be used as a retractor by placing the bending section against or around the colon. This establishes optimal exposure and at the same time also stretch over a long tissue plane. This results in full access for the active instrument and a continuous dissection without multiple re-allocations of the LaproFlex grasper.

“I can continuously dissect having a single allocation of the LaproFlex that both retracts the colon and stretches the mesocolon.”

– D. Lips, M.D.