World Journal of Surgery

, Volume 7, Issue 4, pp 555–556 | Cite as

How to use abdominal wall retractors at laparotomy in grossly obese patients

  • Harry Tera
The Surgeon's World-Operative Technique


A simple technique for applying laparotomy retractors to obese patients has been successfully applied in 25 patients. The procedure involves creating a “tunnel” through the subcutaneous fat tissue from a midline incision to a second skin incision, through which the retractor is introduced. No complaints were reported in 20 patients followed for 6–18 months, and except for slight redness in one wound, no complications from the extra incisions occurred.

Copyright information

© Société Internationale de Chirurgie 1983

Authors and Affiliations

  • Harry Tera
    • 1
  1. 1.Department of SurgeryCentral HospitalVästeråsSweden

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