OBJECTIVES: To describe an innovative bag for effective specimen retrieval with the aim of reducing the cost of surgery. Retrieval bags are useful in specimen retrieval after ablative surgery. METHODS: The components of the retrieval bag are a polyethylene roll, nylon thread, and a 5 ureteral catheter. The lower end is double-sewn with an autoseal device. The neck of the bag consists of a folded edge of the polyethylene bag, which is single-sewn. The folded tunnel accommodates the 5F ureteral catheter and nylon thread. Introduction is performed through the 10-mm port with the help of an atraumatic grasper without any special introducer sheath. Two laparoscopic instruments are required to open, place the specimen within, and close the bag. The bag is extracted by extending the port incision, if required. RESULTS: The bag was used in 40 cases, including radical prostatectomy in 7, simple nephrectomy in 18, nephroureterectomy in 11, and adrenalectomy in 4. The running cost of the retrieval bag was <US$2, the least expensive of the specimen retrieval systems currently available. The bag had good laparoscopic visibility in all cases. Organ entrapment required a certain learning curve. The overall entrapment time was 7.6 +/- 3.4 minutes. None of the specimens ruptured during entrapment. The entrapment time differed depending on the type of specimen retrieved. The retrieval time for kidney, prostate, and adrenal specimens was 8 +/- 3, 3 +/- 2, and 3 +/- 1.3, respectively. CONCLUSIONS: The retrieval bag is inexpensive and easy to make and maintain, and effectively useful with good maneuverability. Copyright 2010 Elsevier Inc. All rights reserved.
OBJECTIVES: To describe an innovative bag for effective specimen retrieval with the aim of reducing the cost of surgery. Retrieval bags are useful in specimen retrieval after ablative surgery. METHODS: The components of the retrieval bag are a polyethylene roll, nylon thread, and a 5 ureteral catheter. The lower end is double-sewn with an autoseal device. The neck of the bag consists of a folded edge of the polyethylene bag, which is single-sewn. The folded tunnel accommodates the 5F ureteral catheter and nylon thread. Introduction is performed through the 10-mm port with the help of an atraumatic grasper without any special introducer sheath. Two laparoscopic instruments are required to open, place the specimen within, and close the bag. The bag is extracted by extending the port incision, if required. RESULTS: The bag was used in 40 cases, including radical prostatectomy in 7, simple nephrectomy in 18, nephroureterectomy in 11, and adrenalectomy in 4. The running cost of the retrieval bag was <US$2, the least expensive of the specimen retrieval systems currently available. The bag had good laparoscopic visibility in all cases. Organ entrapment required a certain learning curve. The overall entrapment time was 7.6 +/- 3.4 minutes. None of the specimens ruptured during entrapment. The entrapment time differed depending on the type of specimen retrieved. The retrieval time for kidney, prostate, and adrenal specimens was 8 +/- 3, 3 +/- 2, and 3 +/- 1.3, respectively. CONCLUSIONS: The retrieval bag is inexpensive and easy to make and maintain, and effectively useful with good maneuverability. Copyright 2010 Elsevier Inc. All rights reserved.
Authors: Ali Akdemir; Ahmet Mete Ergenoğlu; Levent Akman; Ahmet Özgür Yeniel; Fatih Sendağ; Mehmet Kemal Oztekin Journal: J Res Med Sci Date: 2013-09 Impact factor: 1.852