Which retractor would you use for abdominal wall retraction?

The Balfour retractor is specifically designed for abdominal wall retraction during surgical procedures. Its distinctive shape features curved blades and adjustable, variably angled arms that can effectively hold the abdominal incision open, providing excellent visibility and access to the abdominal cavity. This retractor is particularly useful for surgeries requiring prolonged exposure, as it can maintain tension on the tissue while allowing the surgeon to work within a spacious field. The design helps minimize tissue trauma and allows for fine manipulation of abdominal organs.

In contrast, other retractors like the Gelpi, Travers, and Gosset have differing designs and applications that may not be suitable for abdominal wall retraction. For example, the Gelpi retractor is often used in orthopedics or smaller incisions, while the Travers retractor is more commonly utilized in soft tissue surgeries. The Gosset retractor is typically designed for specific uses within the abdominal cavity but does not provide the same level of expansive access as the Balfour. Thus, when performing abdominal surgeries, the Balfour retractor stands out as the optimal choice for effective abdominal wall retraction.