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Laparoscopic myomectomy using self-made retrieval bag to contain tissue extraction
Ning-Ning Zhang1, Si-Lei Chen1, Na Zuo1
1Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China.
Fertility and Sterility
|March 1, 2020
Summary
A novel self-made retrieval bag effectively contains tissue during laparoscopic myomectomy, preventing parasitic myomas and reducing costs. This safe and feasible technique led to a successful pregnancy and full-term delivery.
Area of Science:
- Minimally Invasive Surgery
- Gynecologic Oncology
- Surgical Innovation
Background:
- Uterine myomas are common benign tumors requiring surgical intervention.
- Laparoscopic myomectomy offers a minimally invasive approach but carries risks like parasitic myoma formation.
- Tissue containment during morcellation is crucial for patient safety.
Observation:
- A self-made retrieval bag, constructed from a sterile medical bag, was utilized during laparoscopic myomectomy.
- The procedure involved myoma resection followed by contained morcellation within the retrieval bag.
- This technique was demonstrated in a case of a 32-year-old woman with a symptomatic 6 cm uterine myoma.
Findings:
- The self-made retrieval bag successfully contained all tissue fragments during laparoscopic power morcellation.
- The patient experienced no symptoms of iatrogenic parasitic myoma post-operatively.
- The patient achieved a successful pregnancy and delivered a full-term baby 26 months after surgery.
Implications:
- This cost-effective, self-made retrieval bag technique enhances the safety of laparoscopic myomectomy by preventing parasitic myoma.
- The approach is feasible and valuable for gynecologic surgeons.
- It offers a practical solution to reduce operative expenses and improve patient outcomes.
