{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T04:10:49Z","timestamp":1788667849605,"version":"build-2803163510"},"reference-count":0,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"abstract":"<jats:p>Commercial self-retaining perineal retractors provide excellent exposure during anorectal and vaginal surgery but remain prohibitively expensive for many resource-limited hospitals. We designed an indigenous self-retaining perineal retractor using readily available materials, incorporating a re-usable stainless-steel ring, modified barbless fishing hooks, disposable Foley catheter traction strings and a novel self-locking slot mechanism. The device was prospectively evaluated in three patients undergoing colorectal and gynecological procedures. It provided stable self-retaining circumferential exposure, facilitated precise dissection and suturing and was not associated with device-related complications. Costing approximately US$10, this reusable system offers an affordable, versatile alternative for perineal surgery in low-resource settings.<\/jats:p>","DOI":"10.1177\/00494755261478155","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T03:03:11Z","timestamp":1788490991000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A low-cost indigenous self-retaining perineal retractor: Design and early clinical evaluation"],"prefix":"10.1177","author":[{"given":"Kanhaiya","family":"Hariyale","sequence":"first","affiliation":[{"name":"State Cancer Institute, NSCB Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yogesh","family":"Tiwari","sequence":"additional","affiliation":[{"name":"State Cancer Institute NSCB Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Utkarsh","family":"Ghormare","sequence":"additional","affiliation":[{"name":"State Cancer Institute NSCB Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harikrishna","family":"Damde","sequence":"additional","affiliation":[{"name":"NSCB Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0209-216X","authenticated-orcid":false,"given":"Arpan","family":"Mishra","sequence":"additional","affiliation":[{"name":"State cancer institute NSCB Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0604-8676","authenticated-orcid":false,"given":"Dhananjaya","family":"Sharma","sequence":"additional","affiliation":[{"name":"Professor and Head (Retired), Department of Surgery, NSCB Medical College, Jabalpur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,3]]},"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755261478155","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00494755261478155","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755261478155","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T03:36:04Z","timestamp":1788665764000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00494755261478155"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,3]]},"references-count":0,"alternative-id":["10.1177\/00494755261478155"],"URL":"https:\/\/doi.org\/10.1177\/00494755261478155","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,3]]},"article-number":"00494755261478155"}}