LaproFlex used during laparoscopic revision of a colostoma

Continuous dissection of the mesocolon

Problem

Challenge to obtain good exposure due to location of stoma

The stoma of the patient had reduced connection with the skin. It was decided to perform a revision of the colostoma through a laparoscopic procedure. The stoma was located on the lateral side distal from the splenic flexure. It is a challenge to obtain good exposure and a proper orientation of the active instrument (e.g. vessel sealer) to the mesocolon (and adhysiolysis). Normally this requires multiple instrument re-allocations of the assisting instrument to dissect the complete length segment and circumference of the descending colon.

“I have a perfect exposure and stretch of a large section of the mesocolon and adhesiolysis.”

– D. Lips, M.D.

 

Problem

Challenge to obtain good exposure due to location of stoma

The stoma of the patient had reduced connection with the skin. It was decided to perform a revision of the colostoma through a laparoscopic procedure. The stoma was located on the lateral side distal from the splenic flexure. It is a challenge to obtain good exposure and a proper orientation of the active instrument (e.g. vessel sealer) to the mesocolon (and adhysiolysis). Normally this requires multiple instrument re-allocations of the assisting instrument to dissect the complete length segment and circumference of the descending colon.

“I have a perfect exposure and stretch of a large section of the mesocolon and adhesiolysis.”

– D. Lips, M.D.

 

Solution

The steerable LaproFlex grasper can be bent to always keep optimal exposure

After grasping tissue, the steerable LaproFlex grasper can be used as a retractor by placing the bending section against or around the colon. This establishes optimal exposure and at the same time also stretch over a long tissue plane. This results in full access for the active instrument and a continuous dissection without multiple re-allocations of the LaproFlex grasper.

“I can continuously dissect having a single allocation of the LaproFlex that both retracts the colon and stretches the mesocolon.”

– D. Lips, M.D.

 

Solution

The steerable LaproFlex grasper can be bent to always keep optimal exposure

After grasping tissue, the steerable LaproFlex grasper can be used as a retractor by placing the bending section against or around the colon. This establishes optimal exposure and at the same time also stretch over a long tissue plane. This results in full access for the active instrument and a continuous dissection without multiple re-allocations of the LaproFlex grasper.

“I can continuously dissect having a single allocation of the LaproFlex that both retracts the colon and stretches the mesocolon.”

– D. Lips, M.D.

 

Watch the LaproFlex in action: 

LaproFlex can also be used for:

• Any kind of colon resections • Rectum resection
• Rectopexy
• Other specialties

D. Lips, M.D.

Gastrointestinal surgeon / surgical oncologist Medisch Spectrum Twente, Enschede

over 10 years of experience, 54 publications

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Why the LaproFlex?

• Short learning curve
• Precision handgrip
• Freedom for wrist/arm

The Laproflex is a handheld steerable laparoscopic device, 5 mm in diameter. Available with multiple end-effectors.