IN ORDER TO ELIMINATE, OR AT LEAST REDUCE, THIS RISK, IT IS NECESSARY TO ACT IN TWO WAYS: BY USING BARRIER PROTECTION AND BY MODIFYING THE SURGICAL TECHNIQUE.
IT IS FOR THIS REASON THAT A SURGICAL INSTRUMENT HAS BEEN DESIGNED TO DO WHAT WAS FORMERLY DONE BY SURGEON'S LEFT HAND, NAMELY TO ENSURE THAT THE VISCERA ARE NOT DAMAGED WHEN THE ABDOMINAL WALL IS BEING SUTURED. THIS INSTRUMENT IS CALLED THE PROTECTOR DE BOTET (PdB).

THE MOST COMFORTABLE WAY TO USE THE PROTECTOR DE BOTET (PdB) IS AS FOLLOWS: ONE OF THE BRANCHES OF THE INSTRUMENT IS PLACED UNDER ONE EDGE OF THE ABDOMINAL WALL. IT IS NECESSARY TO PULL THE PROTECTOR DE BOTET (PdB) UPWARDS TO SEPARATE THE ABDOMINAL WALL FROM THE VISCERA. THE INSTRUMENT SHOULD ALSO BE POSITIONED IN THE SAME DIRECTION THAT THE SURGEON WILL USE THE NEEDLE. IN THIS WAY, A TUNNEL IS FORMED BETWEEN THE ABDOMINAL WALL AND THE PROTECTOR DE BOTET (PdB). WHICH THE NEEDLE MUST FOLLOW, AND THERE IS NO POSSIBILITY FOR THE SURGEON OR THE PATIENT SUFFERING ANY KIND OF INJURY.

FOLLOWING THIS, THE PROTECTOR DE BOTET (PdB) IS PLACED BELOW THE OTHER SIDE OF THE ABDOMINAL WALL AND THE EXIT STITCH IS MADE. THE INSTRUMENT IS HANDLED BY THE SURGEON'S ASSISTANT AT ALL TIME; THE SURGEON WORKS AS HE HAS ALWAYS DONE, WITH THE NEEDLE HOLDER IN ONE HAND AND THE FORCEPS IN THE OTHER.