Axillary dissection: use of a mechanical retractor

Area of Science:

• Surgical techniques
• Orthopedic surgery
• Medical device innovation

Background:

• Achieving adequate axillary exposure is crucial for various surgical procedures.
• Current methods may require significant surgeon assistance and can limit visibility.
• Improving retractor systems can enhance surgical outcomes and efficiency.

Purpose of the Study:

• To introduce and evaluate a novel table-based retractor for operative axillary exposure.
• To assess the device's effectiveness in displacing pectoral muscles and maintaining exposure.
• To determine if the retractor reduces the need for assistance and improves visibility.

Main Methods:

• A table-based retractor system was employed to displace medial pectoral muscles.
• The patient's shoulder was abducted, and the arm was suspended from the retractor's crossbar.
• Surgical team feedback on ease of use, visibility, and assistance requirements was collected.

Main Results:

• The table-based retractor effectively maintained operative axillary exposure.
• Medial displacement of pectoral muscles was achieved consistently.
• Surgeons reported improved visibility and a reduced need for additional personnel.

Conclusions:

• This table-based retractor offers a convenient and effective solution for axillary exposure.
• The device enhances surgical efficiency by improving visualization and minimizing assistance.
• It represents a valuable advancement in surgical retractors for axillary procedures.