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Endobag extractor to remove masses during laparoscopy
O R Köchli1, M P Schnegg, D J Müller
1Department of Obstetrics and Gynecology, School of Medicine, University of Basel, Switzerland. okoechli@uhbs.ch
Obstetrics and Gynecology
|February 16, 2000
Summary
A novel endobag extractor simplifies laparoscopic surgery by enabling specimen removal without minilaparotomy. This instrument reduces the risk of endobag rupture when extracting large intra-abdominal masses.
Area of Science:
- Minimally Invasive Surgery
- Surgical Instrumentation
Background:
- Laparoscopic removal of intra-abdominal masses often uses endobags.
- Specimens exceeding trocar or incision size pose a risk of endobag rupture.
Purpose of the Study:
- To introduce a new instrument for facilitating endobag extraction during laparoscopy.
- To avoid conventional minilaparotomy for specimen removal.
Main Methods:
- Development of an endobag extractor with three diverging blades.
- The instrument creates an adjustable, funnel-shaped opening in the abdominal wall.
- Allows extraction of the full endobag without rupture risk.
Main Results:
- Successfully removed various specimens, including ovarian tumors and salpingo-oophorectomy specimens, in 22 cases.
- Demonstrated ease of use and effectiveness in diverse laparoscopic procedures.
Conclusions:
- The new instrument enables straightforward laparoscopic specimen removal.
- It eliminates the need for conventional minilaparotomy and reduces endobag rupture risk.