A new technique for seprafilm® that can be practiced with a 5-mm trocar

• Main Authors: Rikiya Sano (Author), Yoshiaki Ota (Author), Tamaki Tanaka (Author), Soichiro Suzuki (Author), Koichiro Shimoya (Author), Mitsuru Shiota (Author)
• Format: Book
• Published: Wolters Kluwer Medknow Publications, 2021-01-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2213-3070; 10.4103/GMIT.GMIT_36_20
• Keywords: adhesion; endoscopy; hysterectomy; laparoscopy; Gynecology and obstetrics; RG1-991
• Source: Gynecology and Minimally Invasive Therapy, Vol 10, Iss 3, Pp 168-170 (2021)

Seprafilm® is an adhesion barrier sheet. However, it is difficult to handle it through a 5-mm trocar. We have devised a method of applying Seprafilm® safely and reliably through a 5-mm trocar by using a holder that comes with the film. We practiced this method in three cases of total laparoscopic hysterectomy for uterine leiomyoma. The quarter-pack is cut into three pieces. The film placed on the holder sheet was rolled up with forceps (or wrapped around forceps) and inserted into a 5 mm trocar. After application, the center of the short axis of the holder was pinched with a grasping forceps, and the holder was drawn out of the body through the trocar. Of the 36 pieces placed, Seprafilm® broke only in once. Insertion was successful in 100%, and the holder was successfully retrieved through the trocar in 92% (33/36) of the cases. The holder may be easily retrieved after application. This technique represents an extremely simple versatile application method in operations in which only 5-mm trocars can be used.