After performing a C-section, the surgeon discovers a hole in the bowel. Which abdominal retractor should be requested?

In the context of a C-section where a hole in the bowel has been discovered, the most suitable abdominal retractor to request is the Bookwalter retractor. This retractor is specifically designed for complex abdominal surgeries and can provide optimal exposure of the operative field.

The Bookwalter retractor features a self-retaining mechanism that allows for a wide range of adjustment, making it particularly useful when deeper surgical access is needed, as would be the case when addressing a bowel injury. Its versatility and ability to hold open the abdominal incision facilitate better visualization and access to the site of the injury, allowing for careful assessment and repair.

Other types of retractors, such as the Deaver, Weitlaner, or Richardson retractors, may be employed in various scenarios but do not offer the same level of exposure nor the self-retaining aspect that is crucial for a repair procedure in this situation. The Deaver retractor, while effective for certain retraction needs, typically provides more generalized but limited access compared to the Bookwalter. The Weitlaner retractor is often used in superficial surgical fields rather than deep abdominal cases, and the Richardson retractor is more suited for holding open the edges of an incision rather than managing complex scenarios like