Endobag use in laparoscopic gynecological surgeries: a systematic review

Feghali, Elio Junior; Laganà, Antonio Simone; Daccache, Aimee; Bitar, Roger; Garzon, Simone; Uccella, Stefano; Petousis, Stamatios; Sleiman, Zaki

doi:10.1080/13645706.2021.1982727

Cited by 13 publications

(18 citation statements)

References 27 publications

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“…Some studies have reported that the application of the endobag system could be time-consuming due to bag manipulation (27). Based on our findings, the total operative time did not differ significantly between the study and control groups.…”

Section: Discussionsupporting

confidence: 58%

“…Therefore, in this study, we reported an NMC system with the aim of realizing the integration of the containment bag and laparoscopic trocars to form a completely sealed containment barrier that prevents the spillage of liquids and tissue from the time the uterine tissue is morcellated and encapsulated in the system. Several protected techniques by using endobag systems for UL power morcellation have been described in the literatures (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27). Although these technologies can play a protective role, there are still three major shortcomings.…”

Section: Discussionmentioning

confidence: 99%

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A Novel Multi-Port Containment System for Laparoscopic Power Morcellation to Prevent Tumoral Spread: A Retrospective Cohort Study

et al. 2022

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ObjectiveTo report a novel multi-port containment (NMC) system for laparoscopic power morcellation to prevent tumoral spread and to evaluate its safety, validity, and feasibility.MethodsThis retrospective study included women who underwent laparoscopic myomectomy (LM) between January 2014 and August 2020 at a single academic institution. The NMC system was used in the study group (n = 193); the control group underwent unprotected LM (n = 1753).ResultsAfter 1:1 propensity score matching, no significant differences in the baseline characteristics were observed between 193 matched pairs. Bag damages were detected in two cases in the study group before morcellation, and the NMC systems were replaced. There were no significant differences between the two groups in terms of the complications, total operative time, estimated blood loss, or postoperative hospitalization duration. In the study group, all operations were completed and no system rupture or leakage was observed. The median follow-up times were 21 and 54 months in the study and control groups, respectively. There was no peritoneal tissue spread in the study group. However, three (3/5, 0.6%) and six (6/1,753, 0.3%) patients in the control group experienced malignant and benign peritoneal tissue spread, respectively.ConclusionThe NMC system for laparoscopic power morcellation is valid, safe, and feasible for preventing a tumor spread.

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

A Novel Multi-Port Containment System for Laparoscopic Power Morcellation to Prevent Tumoral Spread: A Retrospective Cohort Study

et al. 2022

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“…Based on our systematic review and meta-analysis, we can confirm that transvaginal and PSSR after LM are comparable in terms of operative time, as well as for intra-operative complication rate, although the necessity of postoperative analgesic rescue doses was confirmed higher in women who underwent PSSR. This element could be due, at least in part, by the necessity to enlarge the trocar site to extract the specimen, especially in case of power morcellation [28], which is not required in case of transvaginal extraction [29, 30]. Indeed, lower postoperative pain for transvaginal specimen retrieval compared with transumbilical specimen retrieval was found also in a previous randomized trial [31] and confirmed by a systematic review [32] which included different types of procedures (adnexal surgery, uterine myomectomies, bowel resections, and others).…”

Section: Discussionmentioning

confidence: 99%

Transvaginal versus Port-Site Specimen Retrieval after Laparoscopic Myomectomy: A Systematic Review and Meta-Analysis

Laganà

Vitagliano

Casarin

et al. 2022

Gynecol Obstet Invest

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Introduction: To date, there is no robust evidence suggesting whether transvaginal (TVSR) or port-site specimen retrieval (PSSR) after laparoscopic myomectomy (LM) may lead to better surgical outcomes. Considering this element, we aimed to compare surgical outcomes of TVSR versus PSSR after LM. Methods: A search (PROSPERO ID: CRD42020176490) of international databases, from 1980 to 2020, in English language, was conducted. We selected studies that included women who underwent LM with TVSR compared with PSSR. Results: We did not find significant differences for operative time (MD=-8.90 [95% CI -30.00, 12.20]; I2=87%), myoma retrieval time (MD=-1.85 [95% CI -13.55, 9.85]; I2=98%), blood loss (MD=-27.62 [95% CI -178.68, 124.43]; I2=91%), intra-operative complication rate (OR 0.51, 95% CI 0.01–23.09; I2=69%) and hospital stay (MD=-0.14 [95% CI -0.43; 0.15]; I2=64%); we found a significant lower post-operative rescue analgesics utilization in the TVSR group compared with the PSSR group (OR 0.31, 95% CI 0.16–0.61, I2=0). Conclusion: TVSR and PSSR after LM showed comparable results for operative time and surgery-related complications. However, the need of post-operative rescue analgesics was lower in women who underwent TVSR.

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“…It is possible that this technique can be applied to the treatment of adnexal mass during pregnancy. In addition, it has been suggested that Endo Bags be used to extract suspected malignant masses to prevent spillage and the chance of spillage is rarely existed ( 25 ). In single-port laparoscopy, the cyst can be placed in a bag after cystectomy and retracted through the umbilical incision.…”

Section: Discussionmentioning

confidence: 99%

Single-Port Laparoscopic Surgery for Adnexal Mass Removal During Pregnancy: The Initial Experience of a Single Institute

et al. 2022

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ObjectiveSingle-port laparoscopy has become a feasible and safe approach for the management of benign adnexal masses during pregnancy. To our knowledge, there are few reports on the feasibility and safety of single-port laparoscopy for adnexal mass removal during pregnancy. Our study reports the use of single-port laparoscopy in adnexal mass removal during pregnancy in our hospital.MethodsWe included 10 cases of single-port laparoscopic surgery for adnexal mass removal during pregnancy in the West China Second University Hospital between January 2017 and March 2020. Median values were found using SPSS20. When the p-value was <0.05, the median and interquartile range were used. All patients provided informed consent.ResultsThe following median values were recorded: surgical time, 112.50 min; blood loss, 25 ml; postoperative hospital stay, 3 days; postoperative pain [visual analog scale (VAS)] at 6 h, 3; and postoperative pain (VAS) at 24 h, 2. Our study reported no postoperative spontaneous abortions. There was one preterm birth.ConclusionSingle-port laparoscopy appears to be safe for both the mother and the fetus.

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Endobag use in laparoscopic gynecological surgeries: a systematic review

Cited by 13 publications

References 27 publications

A Novel Multi-Port Containment System for Laparoscopic Power Morcellation to Prevent Tumoral Spread: A Retrospective Cohort Study

A Novel Multi-Port Containment System for Laparoscopic Power Morcellation to Prevent Tumoral Spread: A Retrospective Cohort Study

Transvaginal versus Port-Site Specimen Retrieval after Laparoscopic Myomectomy: A Systematic Review and Meta-Analysis

Single-Port Laparoscopic Surgery for Adnexal Mass Removal During Pregnancy: The Initial Experience of a Single Institute

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