Laparoscopic-assisted removal of gastric trichobezoar; a novel technique to reduce operative complications and time.

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.