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Updated: Apr 21, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma

Published on: January 22, 2022

Laparoscopic specimen retrieval bags.

Noam Smorgick¹

¹Gynecologic Endoscopy Unit, Department of Obstetrics and Gynecology, Assaf Harofe Medical Center, Affiliated with Sackler school of Medicine, Tel-Aviv University, Zeriffin, 70300 Beer Yaakov, Israel.

Journal of Obstetrics and Gynaecology of India

|November 5, 2014

Summary

Specimen retrieval bags are crucial in gynecologic endoscopy for safely removing tissues like adnexal cysts and masses. They are now also vital for contained "in-bag" myoma morcellation to prevent malignant cell spread.

Keywords:

Laparoscopy Morcellation Ovarian cyst Specimen retrieval bag

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Area of Science:

Gynecologic Endoscopy
Surgical Technology

Background:

Specimen retrieval bags are established tools in laparoscopic gynecologic surgery.
Concerns about malignant cell spread during myoma morcellation have increased.

Purpose of the Study:

To review the indications for using specimen retrieval bags in gynecologic endoscopy.
To describe available specimen bag technologies for surgical containment.

Main Methods:

Literature review of current practices and technologies.
Analysis of specimen retrieval bag applications in gynecologic procedures.

Main Results:

Specimen bags facilitate contained removal of adnexal masses.
"In-bag" morcellation using retrieval bags addresses concerns of malignant cell dissemination.

Conclusions:

Specimen retrieval bags are essential for safe tissue extraction and morcellation in gynecologic endoscopy.
The use of these bags enhances containment and minimizes risks during procedures.