CHAPTER 4

Abdominal Self-Retaining Retractors

Abdominal self-retaining retractors are retractors that do not require a person to hold them in the proper position. Once the surgeon places the retractor, and sets the racket, nut, or universal joint, the retractor stays open until released.

4-1 Top to bottom: Bookwalter retractor table post; Bookwalter retractor horizontal bar; Bookwalter retractor horizontal flex bar.

4-2 Top to bottom: Bookwalter retractor oval ring, medium; Bookwalter retractor: Balfour blades, second blade, side view.

4-3 Top to bottom: Bookwalter retractor: segmented parts (2 segmented half-circles, medium; 2 segmented straight extensions) placed together with 4 locking screws; 1 vertical extension bar; 1 Kelly retractor blade with ratchet mechanism attached; 2 post couplings.

4-4 Left to right: 1 Harrington retractor blade; 1 Kelly retractor blade (2 × 6 inch); 1 Kelly retractor blade (2 × 4 inch); 1 Kelly retractor blade (2 × 3 inch); 2 Kelly retractor blades (2 × inch); 6 ratchet mechanisms; 2 malleable retractor blades (2 × 6 inch); 2 malleable retractor blades (3 × 6 inch).

4-5 O’Sullivan-O’Connor retractor with 3 blades.

4-6 Top to bottom: Upper hand retractor: 1 horizontal bar with 3 blade supports; 2 vertical arms; and 2 table attachments.

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