Page 15 - Peer Reviewed Laparoscopic Jornal

WJOLS

Different Techniques of Tissue Retrieval from Abdominal Cavity during Minimal Access Surgery

A B
Figs 4A and B: Morcellator and morcellated tissues

Fig. 5: HALS and tissue retrieval

It is indicated for complex and advance laparoscopy tissue retrieval was successful, while in eight patients (19%),
procedures. It restores tactile sensation and help to complete it was unsuccessful due to size of the mass. The subumbilical
the laparoscopic surgery without conversion. 9 incision became large during specimen removal. There was
no sac rupture and no intraoperative complications relating
MATERIALS AND METHODS to tissue retrieval. There was no incisional hernia in 2 to

A literature search was performed using Google, Yahoo, 6 weeks postoperative period. Three patients (7%) had
PubMed, Springer library facility available at World superficial subumbilical trocar site wound infection which
Laparoscopy Hospital, Gurgaon, Haryana, India. was managed conservatively. 3
In a study done by Turial and Schier, they used sterile
AIM plastic bag (innermost cover from Redon drain package) to
laparoscopically remove tissue through umbilical port.
To evaluate the different techniques of tissue retrieval from
abdominal cavity during MAS. According to them, this bag is cost effective, does not need
port enlargement as compared to commercially available

REVIEW OF EVIDENCE bags and there was no bag rupture as seen with glove bag
technique. 7
Transumbilical Tissue Retrieval with Endobag In a study done by Ghezzi et al (1,116 women) underwent
A prospective study was done by Schellpfeffer in which operative laparoscopy and endobags were used for
42 patients underwent for laparoscopic tissue retrieval after laparoscopic tissue retrieval through umbilical port. They
surgery by transumbilical route. In 34 out of 42 patients, the described method to remove large specimen without
World Journal of Laparoscopic Surgery, May-August 2013;6(2):63-68 65