The "remote control" laparoscopic bag: a simple technique to remove intra-abdominal specimens

Area of Science:

• Minimally Invasive Surgery
• Gynecologic Oncology
• Surgical Technology

Background:

• Laparoscopic removal of adnexal masses often requires specialized endopouches to prevent intra-abdominal spillage.
• Existing methods may necessitate additional instruments for bag manipulation.
• There is a need for simpler, more efficient laparoscopic containment solutions.

Purpose of the Study:

• To describe a novel, easily manipulated laparoscopic bag technique for adnexal mass extraction.
• To present a cost-effective and instrument-free method for opening and closing a laparoscopic bag.
• To evaluate the safety and efficacy of this new technique in gynecologic procedures.

Main Methods:

• A laparoscopic bag was constructed from sterile disposable surgical item wrapping and two long sutures.
• The bag was introduced via a laparoscopic cannula and manipulated using the sutures threaded through its neck.
• The technique was validated through in vitro testing and subsequent clinical application.

Main Results:

• The drawstring technique was successfully demonstrated in vitro.
• The laparoscopic bag was safely and effectively used in three patients undergoing oophorectomy and salpingo-oophorectomy.
• The technique proved easy to use, reduced operative time, and was cost-effective, allowing for in-bag manipulation due to its size.

Conclusions:

• The developed drawstring design provides simple and effective manipulation for opening and closing laparoscopic bags.
• This technique facilitates safe extraction of adnexal masses, minimizing intra-abdominal spillage.
• The method offers a practical, cost-effective solution for laparoscopic surgery.