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Novel cost-effective specimen retrieval bag in laparoscopy: Nadiad bag
Arvind P Ganpule1, E Gotov, Shashikant Mishra
1Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India.
Objectives:
To describe an innovative bag for effective specimen retrieval with the aim of reducing the cost of surgery. Retrieval bags are useful in specimen retrieval after ablative surgery.
Methods:
The components of the retrieval bag are a polyethylene roll, nylon thread, and a 5 ureteral catheter. The lower end is double-sewn with an autoseal device. The neck of the bag consists of a folded edge of the polyethylene bag, which is single-sewn. The folded tunnel accommodates the 5F ureteral catheter and nylon thread. Introduction is performed through the 10-mm port with the help of an atraumatic grasper without any special introducer sheath. Two laparoscopic instruments are required to open, place the specimen within, and close the bag. The bag is extracted by extending the port incision, if required.
Results:
The bag was used in 40 cases, including radical prostatectomy in 7, simple nephrectomy in 18, nephroureterectomy in 11, and adrenalectomy in 4. The running cost of the retrieval bag was
Conclusions:
The retrieval bag is inexpensive and easy to make and maintain, and effectively useful with good maneuverability.
