A novel technique for laparoscopic removal of the fallopian tube after ectopic pregnancy via transabdominal or transumbilical port using homemade bag: A randomized trial

Ali Akdemir, Ahmet Mete Ergenoğlu, Levent Akman, Ahmet Özgür Yeniel, Fatih Sendağ, Mehmet Kemal Oztekin, Ali Akdemir, Ahmet Mete Ergenoğlu, Levent Akman, Ahmet Özgür Yeniel, Fatih Sendağ, Mehmet Kemal Oztekin

Abstract

Background: The purpose of this study was to evaluate the feasibility and surgical outcome of a novel technique for laparoscopic removal of the fallopian tube using a homemade retrieval bag through a 10-mm transumbilical or 5-mm transabdominal port.

Materials and methods: A total of 40 women with ruptured ectopic tubal pregnancy were randomized into a 10-mm transumbilical group (n = 20) or a 5-mm transabdominal group (n = 20) according to the port used for specimen removal. Fallopian tube removal was performed using a new method based on the use of a homemade surgical glove as a retrieval bag.

Results: There were no differences in the demographic characteristics between the two groups. The specimen retrieval time was significantly shorter in the transumbilical group than in the transabdominal group. Post-operative pain scores, assessed using a visual analog scale, were similar between the groups. No cases of rupture of the homemade retrieval bag were observed.

Conclusion: The laparoscopic removal of the fallopian tube through the 10-mm umbilical port using a homemade retrieval bag is associated with shorter operative time than retrieval through a 5-mm abdominal port. The present results showed the feasibility and safety of our homemade retrieval bag and novel technique.

Keywords: Ectopic pregnancy; homemade retrieval bag; laparoscopy; specimen removal; transumbilical.

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Homemade retrieval bag. The fingers of a sterile surgical glove were removed, and the end of the glove was tied using 2-0 vicryl thread
Figure 2
Figure 2
Specimen removal through a 10-mm umbilical port. (a) The homemade bag was opened with an atraumatic grasper, and the surgical specimen was inserted. (b) The lips of the retrieval bag with the specimen inside were grasped. (c-e) By manipulating the laparoscopic instrument from the right lower abdominal quadrant, the retrieval bag was pushed into the 10-mm port, and the optic system and trocar were removed until the tip of the laparoscopic instrument was observed from the skin. (f) The mouth of the bag was pulled out by the surgeon

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Source: PubMed

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