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Endobag use in laparoscopic gynecological surgeries: a systematic review.
Elio Junior Feghali1, Antonio Simone Laganà2, Aimee Daccache1
1Lebanese American University Medical Center - Rizk Hospital, Beirut, Lebanon.
Summary
In-bag morcellation using endobags is a safe and cost-effective method for laparoscopic gynecologic surgeries. This technique effectively handles large specimens with minimal complications.
Area of Science:
- Gynecologic Surgery
- Minimally Invasive Procedures
- Surgical Technology
Background:
- Laparoscopic gynecologic surgeries often involve tissue morcellation.
- Concerns exist regarding the safety and efficiency of traditional morcellation techniques.
- Endobags offer a contained method for morcellation during these procedures.
Purpose of the Study:
- To evaluate endobags used in laparoscopic gynecologic surgeries.
- To assess specimen weight, operative time, and complications associated with in-bag morcellation.
Main Methods:
- Systematic review of prospective and retrospective studies.
- Inclusion of 11 studies with 1160 patients.
- Data extraction on endobag types, procedures, specimen weight, morcellation time, and complications.
Main Results:
- Various endobags (MorSafe, Endocatch II, etc.) were analyzed.
- Successful morcellation of specimens up to 2314g was reported.
- In-bag morcellation did not significantly increase operative time or complications compared to uncontained methods.
Conclusions:
- Endobag-assisted (contained) morcellation is a safe option in gynecologic laparoscopy.
- It is a cost-effective approach with a low complication rate, even for large specimens.
