Abstract
Trichobezoar complicates trichophagia. It can provide a diagnostic challenge due to
the variety of presenting features. Surgical removal is usually required for relief
of symptoms and prevention of further complications. We describe 2 cases of gastric
trichobezoar, and present a novel laparoscopic-assisted technique of removal of large
trichobezoars involving the use of an Alexis wound retractor. This is advantageous
as it keeps peritoneal cavity and skin clean and the gastric wound is protected from
trauma by repeated instrumentation. Excellent access to the stomach is provided. A
larger foramen means the bezoar could be removed quicker than through a port, reducing
operative time.
Key words
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References
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Article info
Publication history
Accepted:
December 5,
2012
Received in revised form:
November 27,
2012
Received:
September 6,
2012
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.