A Novel Laparoscopic Tissue Retrieval Device

Abstract

The author describes an obstetrical forceps-like device that may be successful in removing surgical specimens following a laparoscopic procedure.

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

“…An interesting technique is described by Ghezzi et al and Schellpfeffer in which a polythene bag is used to draw the large specimen into the mouth of the trocar port and then forceps are used to morcellate and retrieve the tissue without enlarging the port site as well as protecting the port site from contact of the specimen. 3,13 Morcellator (mechanical or thermal) can be used in cases, where tissue is supposed to be benign in nature. Morcellator should be used with caution in any suspected malignancy and preferably specimen should be morcellated in a rip proof bag whenever possible.…”

“…Three patients (7%) had superficial subumbilical trocar site wound infection which was managed conservatively. 3 In a study done by Turial and Schier, they used sterile plastic bag (innermost cover from Redon drain package) to laparoscopically remove tissue through umbilical port. According to them, this bag is cost effective, does not need port enlargement as compared to commercially available bags and there was no bag rupture as seen with glove bag technique.…”

“…2 One method of retrieval of specimen from the abdomen is to enlarge one of the laparoscopic trocar incisions but it is against the concept of minimal access surgery (MAS). 3 Tissue retrieval through port site may cause contamination, implantation and port site hernia formation. 4 Transumbilical port is most thinnest and most distensible portion of the anterior abdominal wall.…”

“…Morcellated tissue may disturb the pathological findings on histopathology in cases of suspected malignancy. 3 Large diameter morcellator remove tissue in less time but is associated with incisional hernia formation. 2 This complication can be avoided by port closure with sutures.…”

Efficacy of Powder-Free Surgical Glove Bag Versus No Glove Bag for Retrieval of the Gallbladder During Laparoscopic Cholecystectomy: A One Year Randomized Controlled Study

“…[6][7][8] In LC, their use is thought to provide the further benefit of reducing the risk of stone spillage into the peritoneal cavity. However, the use of retrieval bags can make removal of the specimen more difficult, requiring enlargement of the port site incision and potential risk of abdominal organ damage during bag insertion and retrieval (9)(10). Intraperitoneal spillage of bile and gallstones and later implantation of gallstones, during dissection of the gallbladder off its liver bed and it's retrieval without endobag, are documented complications (11)(12).…”