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A simple, inexpensive method of specimen removal at laparoscopy
Roy Mashiach1, Shlomo Mashiach, Joseph B Lessing
1Department of Obstetrics and Gynecology, Lis Medical Center, 64044 Tel-Aviv, Israel.
Summary
Enlarging laparoscopic ports for tissue removal increases risks. A new, simple technique uses a sterile bag and suture to remove specimens without enlarging the 5-mm port, enhancing patient safety.
Area of Science:
- Minimally Invasive Surgery
- Surgical Techniques
- Laparoscopy
Background:
- Enlarging laparoscopic ports (5mm to 10/12mm) for specimen removal is common.
- Port site enlargement increases risks of vessel injury, herniation, and cosmetic concerns.
Purpose of the Study:
- To present a novel, cost-effective technique for tissue removal during laparoscopy.
- To avoid the need for port site enlargement during specimen extraction.
Main Methods:
- A sterile plastic bag is attached to a firm thread.
- The bag is introduced through an existing 11/12mm cannula after telescope removal.
- Specimens are placed in the bag, which is then withdrawn via the cannula using the thread.
Main Results:
- The technique was successfully performed in over 300 patients.
- No intraoperative or postoperative difficulties or complications were reported.
- The device is inexpensive and quick to assemble (2 minutes).
Conclusions:
- This method offers a safe and efficient alternative for laparoscopic specimen retrieval.
- It mitigates the risks associated with port site enlargement.
- The technique is suitable for routine use in minimally invasive surgery.