ABSTRACT

When the procedure is completed, the entire abdominal cavity is checked for hemostasis. Then, the ancillary trocars should be withdrawn under visual control. To prevent hernia formation, the fascia of the umbilical and the ancillary ports should be closed. Closure of the ancillary ports should be performed under endoscopic visualization. Afterwards, the retractor can be removed from the abdominal cavity by turning it counter-clockwise. The abdominal cavity can then be elevated by one hand while the other hand is holding the endoscope. The trocar sheath is removed from the incision while the optic remains in the abdomen. Withdrawing the endoscope slowly out of the abdominal cavity ensures that no bowel or omentum is pinched in the incision. The fascia is sutured, and, after approximating subcutaneous tissue, the skin is adapted by sutures. The AbdoLift™ is then removed piece by piece from the operating table and prepared for cleaning and sterilization.