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Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
Published on: June 13, 2025
The "Ruston Stretch": a simple way to get a large specimen out through a small hole
Elizabeth Burt1, Mohsen Moustafa, Dimitrios Georgantzis
1University Department of Obstetrics and Gynaecology, Royal Free Hospital, London, England. efb101@doctors.org.uk
Abstract:
The balance between port-site size and ease of specimen removal is often a challenge in laparoscopic surgery. Herein we describe a simple technique that circumvents this dilemma by means of port-site dilation using Hegar dilators.
Insights
Minimally invasive surgery often faces challenges balancing port site size with specimen removal. This technique uses Hegar dilators for port site dilation, simplifying specimen extraction in laparoscopic procedures.
Area of Science:
- Surgical techniques
- Minimally invasive surgery
- Laparoscopic procedures
Background:
- Achieving adequate port-site dimensions for specimen retrieval in laparoscopic surgery can be challenging.
- Standard port sites may limit the size of specimens that can be removed without further tissue damage or increased invasiveness.
Observation:
- A novel technique utilizing Hegar dilators for port-site dilation is presented.
- This method aims to expand the surgical port during specimen extraction.
Findings:
- Hegar dilators provide a simple and effective means to dilate port sites.
- This dilation facilitates easier and potentially safer removal of surgical specimens.
Implications:
- This technique offers a practical solution to a common challenge in laparoscopic surgery.
- It may improve efficiency and patient outcomes by simplifying specimen retrieval.
- Further studies could explore the application of this method across various laparoscopic procedures.
