Improvement of Working Volume and Applications of Retractors Used in Surgical Operations

Year 2024, Volume: 3 Issue: 1, 14 - 23, 30.03.2024

Akif Cinel Huseyin Ipek Altuğ Uşun Kutay Çava Mustafa Aslan

https://doi.org/10.59518/farabimedj.1415269

Abstract

Retractor systems are crucial in assisting physicians during surgical operations, ensuring optimal access to the surgical site, holding necessary equipment, and facilitating various procedures such as holding open wounds, stretching tissues, and removing them from the surgery site. Currently, retractors are tailored to specific anatomical regions. For instance, thyroid surgery presents unique challenges due to the gland's location and proximity to vital structures. Accessing the thyroid tissue amid the complexities of the neck region, which includes muscles like sternohyoid, sternothyroid, thyrohyoid, and omohyoid, requires careful retraction for a safe and effective procedure. The success of thyroid surgery relies on distinguishing the thyroid gland from surrounding structures, precisely determining surgical margins, and ensuring a clear view of the surgical field to mitigate potential complications. In this study, two distinct retractor holder designs, versatile for various operations, were developed and evaluated for their working volume, degrees of freedom in design, and applicability in surgical procedures. These designs aim to contribute to improving surgical outcomes, reducing complications, and general advances in the field of surgical instrumentation

Keywords

Design, Retractor, Surgical operation, Working volume

Cerrahi Operasyonlarda Kullanılan Ekartörlerin Çalışma Hacmi ve Uygulamalarının Geliştirilmesi

Abstract

Ekartör sistemleri, cerrahi operasyonlar sırasında hekime yardımcı olması, cerrahi bölgeye optimum erişimin sağlanması, gerekli ekipmanların bulundurulması, açık yaraların tutulması, dokuların gerilmesi, ameliyat alanından uzaklaştırılması gibi çeşitli işlemlerin kolaylaştırılmasında önemli bir rol oynamaktadır. Şu anda ekartörler belirli anatomik bölgelere göre uyarlanmıştır. Örneğin tiroid cerrahisinde, bezin konumu ve hayati yapılara yakınlığı nedeniyle benzersiz zorluklar içermektedir. Sternohiyoid, sternotiroid, tirohiyoid ve omohyoid gibi kasları içeren boyun bölgesinin karmaşıklıkları arasında tiroit dokusuna erişim, güvenli ve etkili bir prosedür için dikkatli bir şekilde geri çekilmeyi gerektirir. Tiroit cerrahisinin başarısı, tiroit bezinin çevre yapılardan ayırt edilmesine, cerrahi sınırların kesin olarak belirlenmesine ve olası komplikasyonları azaltmak için cerrahi alanın net bir şekilde görülebilmesine bağlıdır. Bu çalışmada, çeşitli operasyonlar için çok amaçlı, iki farklı ekartör tutucu tasarımı geliştirilmiş ve çalışma hacimleri, tasarımdaki serbestlik dereceleri ve cerrahi işlemlerde uygulanabilirlikleri açısından değerlendirilmiştir. Bu tasarımlar ile cerrahi sonuçların iyileştirilmesine, komplikasyonların azaltılmasına ve cerrahi enstrümantasyon alanında genel ilerlemelere katkıda bulunmayı amaçlamaktadır.

Keywords

Cerrahi operasyon, Çalışma hacmi, Ekartör, Tasarım

Thanks

The designs developed in this study have been applied for patent protection with the patent number 2022/016858. The patent application process was facilitated with the assistance of the Technology Transfer Application Research Center at Karadeniz Technical University.

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