New technique for insertion and attachment of an adhesion barrier (Seprafilm) in laparoscopic surgery from a 5-mm port: double moist roll technique

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  • Kitade Hiroaki
    Department of Hepato-Biliary-Pancreatic Surgery, Kansai Medical University
  • Yanagida Hidesuke
    Department of Hepato-Biliary-Pancreatic Surgery, Kansai Medical University
  • Hijikawa Takeshi
    Department of Hepato-Biliary-Pancreatic Surgery, Kansai Medical University
  • Yamada Masanori
    Department of Gastrointestinal Tract Surgery, Kansai Medical University
  • Tokuhara Katsuji
    Department of Gastrointestinal Tract Surgery, Kansai Medical University
  • Yoshioka Kazuhiko
    Department of Gastrointestinal Tract Surgery, Kansai Medical University

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Other Title
  • 鏡視下手術における5-mmポートからの癒着防止材セプラフィルム<sup>®</sup>挿入法
  • 鏡視下手術における5-mmポートからの癒着防止材セプラフィルム挿入法 : double moist roll technique
  • キョウシ シタテジュツ ニ オケル 5-mm ポート カラ ノ ユチャク ボウシザイ セプラフィルム ソウニュウホウ : double moist roll technique
  • ―double moist roll technique―

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Abstract

<p>Background: Insertion and attachment of the Seprafilm adhesion barrier is commonly thought to be cumbersome and difficult in laparoscopic surgery. However, we have developed a double moist roll technique that makes this procedure easy to perform without any special devices. We report on how to insert and attach Seprafilm from a 5-mm port with this technique.</p><p>Method: 1) Cut a rectangular Seprafilm quarter pack in half (into two triangular sheets). 2) Moisturize two sheets of Seprafilm on moist gauze. 3) Overlay two sheets of Seprafilm and grasp the sharp edge with forceps and twist the Seprafilm around the forceps. 4) Wipe the entrance and the inside of the 5-mm port and insert the Seprafilm into the abdominal cavity through the port.</p><p>Results: The Seprafilm decompresses automatically in the abdominal cavity, can be attached according to the surgeon’s needs.</p>

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