The wonderful use of surgical gloves in total gastrectomy

The wonderful use of surgical gloves in total gastrectomy

Regarding laparoscopic total gastrectomy, minimal invasive procedures pose a significant technical challenge and demand.

Secondly, in traditional surgical procedures, surgical gloves are very important and require the extension of the left puncture port, which usually needs to be extended to 3-4 cm, and in some cases, the incision needs to be extended to 6 cm.

At first, due to the back and forth movement or rotation of the tubular stapler at the incision site, the expanded edge of the incision was often torn apart and enlarged, possibly causing damage.

Eight major advantages

1： Due to the reliance on the left extended port to stop minimally invasive surgical procedures, the excised surgical specimen can be retrieved earlier.

2： Thanks to the establishment of an internal medicine glove port afterwards, the tube stapler can be pulled out from one of the fingers of this glove during surgery to complete the firing tube stapler and anastomosis operation, which is a maintenance of the incision. Importantly, the use of internal medicine gloves as a port makes it easier to hold the stapler stem during surgery.

3： Compared to traditional procedures, thanks to the soft latex gloves, intraoperative operations can be stopped in a more relaxed space, resulting in a safer and more accurate completion of esophagojejunal anastomosis with the stapler.

4： Compared to traditional surgery that involves indirect extraction of the tubular stapler through the abdominal wall incision without maintenance, this innovation makes the entire surgical process cleaner and cleaner. During the extraction and extraction of the tubular stapler during the operation, it prevents the purification of the surgical incision, greatly reducing the risk of incision infection or tumor metastasis.

5： Better sealing effect greatly reduces the probability of air leakage, thereby ensuring the fluctuation of pneumoperitoneum.

6： When the tube stapler is pulled out of the maintenance incision, the other finger of this glove can be used to retrieve the previous punch card (as shown in Figure 2), which can effectively prevent the trouble caused by missing one punch card. If it is still not enough, the other finger of this glove can even be used, allowing more forceps and endoscopic equipment to be used during the operation.

7： Before removing the incision maintainer, due to the continuous use of muscle dissection techniques, the damage to the abdominal wall incision and abdominal wall muscles has also increased significantly. In traditional surgery, in order to allow the removal of a 25mm tubular stapler, the incision on the left abdominal wall must be extended to a length sufficient to complete the operation, and there is no puncture card to remove such a large incision.

8： Using gloves as a port to pull out the stapler, after completing the E-J anastomosis, there is no need to seal the designated port of the pull-out tube stapler to prevent pneumoperitoneum and loss of surgical field caused by pneumoperitoneum.