What is a liver winder?

The

liver winder is a surgical tool used to move the liver from the visual field of the surgeon during the operation involving the abdominal cavity. It can also be used to provide liver support because it is moved from the original location. Most liver windows are designed for use several times and must be sterilized before use in surgery. The size and shape of the liver winder depends on the type of operation, such as endoscopic, laparoscopic or open abdominal surgery. In general, at least three sizes will be prepared for each type of procedure, allowing the surgeon to choose the best size for the patient. The thin metal tube consists of an opening similar to a triangle at the end of the tool. Once this windmill is inserted into the abdominal cavity, it can be used to lift the organ or move other internal structures from the visual Field surgeon. This type of winder is most commonly used during endoscopic operations.

Another liver winder used in endoscopic procedures withIt calls Nathanson® winding. This tool is equipped with long thin tubes with a slightly end -shaped end. The curved end is used to hold the liver in place while the surgeon completes the procedure.

The liver winder used for laparoscopic procedures has two angles separated by a thin tube. The upper angle allows the device to be inserted into the abdominal cavity and the lower rounded angle is used to hold and move the liver and other abdominal organs as needed. This type of winder is most commonly used during obtok surgery on the stomach.

Open abdominal surgery may require the use of a large liver winder that is mounted to the stability table. The device has four legs connected to a curved part of the organization that holds the organ on site. Can be left in place during an extended operation.

Complications from using the liver winder during surgery differ. Another cut necessary to insertThe winding can be infected and required to treat antibiotics. On the surface of the liver may occasionally occur a market or cut, which can cause longer healing times and increase the pain and discomfort reported by the patient. Rarely, the liver lobe, which was withdrawn during endoscopic or laparoscopic operations, may develop venous overload, which results in lack of oxygen blood circulating in the liver system. Oxygen reduction may cause the development of necrosis in the lobe of the liver that has been moved during the operation and cause the need for further surgery to remove the affected lobe.