Miller's Visceral Retainer                 

• Silastic 
• Flexible
  
• Radiopaque
  
• Resterilisable
  
• Latex free

             The 2009 version of the well known MVR.

MVR sweetlip, designed by Howie Engineering, Brisbane, May 09

INDICATIONS FOR USE:

Usual indications for employing a visceral retainer during the closure of
the anterior abdominal wall after an operation where the peritoneal cavity
has been entered are as follows:
    1. Bowel obstruction, where the   
        intestines are distended with
        retained gas, fluid or faeces.

    2. At the conclusion of an anaesthetic  
        where nitrous oxide had been used as one of the anaesthetic
        agents, causing distension of the bowel.    

   3. At the conclusion of an anaesthetic where neuromuscular
       blockade is beginning to wear off, causing an increase in tone
       in the abdominal wall musculature and the tendency for the
       bowels to protrude.

4. Marked intra-abdominal obesity

Regular use of Miller's Visceral Retainer can be expected to
reduce inadvertent visceral injury during abdominal closure,
and also needle stick injury to staff in theatre.

The frequency where a visceral retainer would be helpful is at least
fortnightly for an averagely busy general surgeon.  Maximum benefit
will be obtained if Miller's Visceral Retainer is on the list of standard
instruments put out for laparotomy.

Always remove the Retainer by gently pulling it out by the handle in a
caudal direction in order to leave the omentum in the correct position.

                           Dr Brian Miller with MVR 'sweetlip' June 2010