Recommendation

Many factors and aspects influence the choice of a specific retractor. Some commonly used retractors are compared in Table 1. More than one type of retractor should be available to obtain the best possible exposure of the different parts of the abdominal cavity.

Table 1. Comparison of different retractor systems

System

Construction

Installation

Adjustment

Accessories

Maintenance

Bookwalter

Closing ring and fixation

Complex

Three dimensions

+++

Elaborate

Thompson

Arm

Complex

Three dimensions

+++

Elaborate

Omnitract

Arm

Complex

Three dimensions

+++

Elaborate

Rochard

Arm

Complex

Tension only in one direction

+

Elaborate

Kirschner

Closing ring

Quick

Limited

++

Easy

Balfour

Closing ring

Quick

Limited

+

Easy

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